Guide

Who can sign NMC revalidation? Your confirmer, usually your line manager

Updated

Confirmation is the one requirement you cannot complete alone, and the one most often left too late. It is also more flexible than people expect.

Question 1

Which register are you revalidating on?

What a confirmer does

"This is the person who looks at the evidence you have collected and 'confirms' that you have met the revalidation requirements" (nmc.org.uk).

In your application you declare you have shown an appropriate confirmer that you met the requirements. You give their name, NMC Pin or other professional identification number where relevant, email, professional address and postcode.

Who can confirm NMC revalidation for you

  • Where possible, your line manager. The NMC states plainly that your line manager does not have to be an NMC-registered nurse or midwife.
  • If you have no line manager, the NMC recommends an NMC-registered nurse, midwife or nursing associate where possible.
  • If you have neither, you can seek confirmation from another healthcare professional regulated in the UK.
  • Not a family member or close friend. The NMC treats that as a conflict of interest.

When to arrange it

"You should get your confirmation in the final year of your three year renewal period, to ensure that it is as recent as possible."

The NMC asks you to meet your confirmer face to face where you can, to talk them through each requirement. Share its information for confirmers with them beforehand, so they know what they are asked to do.

How it relates to the reflective discussion

They are separate requirements that can sometimes be combined. If your confirmer is a nurse, midwife or nursing associate, the reflective discussion can be part of the confirmation discussion.

If your confirmer is not NMC-registered, the reflective discussion must come first. Your discussion partner need not be your confirmer, though the NMC notes one person can make it easier.

The form

The confirmation form is mandatory. You do not submit it, but keep it safe in your records, on paper or electronically, and protect the personal data it holds about your confirmer.

In MyNMC you enter your confirmer's NMC Pin if they are a nurse, midwife or nursing associate. The NMC notes that entering your own Pin by mistake stops the application.

If you work through an agency, across several employers, or alone, agree who will confirm you at the start of the final year, not the final month. Face-to-face time with the right person is the scarce resource, not the paperwork.

Questions, answered directly

Who can be my NMC revalidation confirmer?

Where possible, your line manager, who does not have to be NMC-registered. If you do not have a line manager, the NMC recommends an NMC-registered nurse, midwife or nursing associate. If you have neither, you can seek confirmation from another healthcare professional regulated in the UK. A family member or close friend cannot act as your confirmer.

Can my confirmer also be my reflective discussion partner?

Yes, if they are a nurse, midwife or nursing associate: the NMC says the reflective discussion can then form part of the confirmation discussion. If your confirmer is not NMC-registered, you must have the reflective discussion with an NMC registrant first, before the confirmation discussion takes place.

Who can sign off my NMC revalidation?

Your confirmer: the person who checks your evidence and confirms you met the requirements. Ideally your line manager, who need not be NMC-registered. With no line manager, the NMC recommends an NMC-registered nurse, midwife or nursing associate, and failing that another UK-regulated healthcare professional. A family member or close friend cannot do it. (NMC, revalidation requirements: confirmation, read 22 October 2026)

Sources

This site's own datasets, every figure quoted from its source and dated:

  • The Regulator Register Series carries 6 published figures read from 2 sources' own pages, from 1.70 to 21 percent, read 12 October 2026.
  • The UK Revalidation Requirements carries 8 published figures read from 2 sources' own pages; the 7 published figures given by registration run from 450 to 1,350 hour, read 7 November 2026.
  1. NMC, revalidation requirements overview
  2. NMC, practice hours
  3. NMC, continuing professional development
  4. NMC, practice-related feedback
  5. NMC, written reflective accounts
  6. NMC, reflective discussion
  7. NMC, confirmation
  8. NHS England, what is revalidation
  9. NHS England, 10 steps to revalidation for doctors
  10. NHS England, colleague and patient feedback
  11. RCGP, supporting information and reflection on your appraisal (31 January 2025)

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Every figure on this site is traced to the regulator that publishes it.

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