Please click on link to see Final Sign-off video https://www.youtube.com/watch?v=Y8AJbyn2GMo&rel=0
Prior to being recorded as an ANP your line manager needs to confirm that you have completed all the required training for the role and have evidence that you meet all the required competencies. This process is termed ‘final sign-off’.
Final sign-off is required when an individual:
During the two to three year training period a trainee ANP will have amassed a great deal of evidence to demonstrate their learning and clinical competence. This evidence should be stored in their NHS Education for Scotland TURAS ePortfolio.
For final sign-off the ANP trainee would select out the evidence which best demonstrates their learning and competence. The trainee ANP will submit a ‘Share-Pack’ of this evidence to their line manager when they are ready for ‘final sign-off’.
Final Sign-off involves:
The Line manager would set a date for the trainee ANP to submit a ‘Share Pack’ of their portfolio. The line manager would share this with the Practice Supervisor/Assessor. Both would be expected to review the portfolio and confirm it is completed to a satisfactory standard. As a minimum the following is expected.
The Practice Supervisor/Assessor and Line Manager will together determine whether the trainee has:
If the trainee has passed, the line manager would inform the Consultant Nurse – Advanced Practice who is responsible for recording ANPs on the Scottish Standard Workforce Information System (SWISS). The trainee, employed as Band 7 Annex 21 or Band 6, would be expected to move to a Band 7 at this stage.
If a provisional pass, the line manager would set a period of time (no less than 1 month and usually no-more than 6 months) for the individual to obtain the required evidence. Trainees employed as Band 7 Annex 21 or band 6 would not normally move until competence has been achieved. The trainee would not normally move to a Band 7 until after confirmation that satisfactory evidence has been submitted.
If a fail, the line manager, in consultation with others (which may include the clinical supervisor, education supervisor and Human Resources) the most appropriate course of action for the individual. This may include re-doing part of the training or termination of the traineeship.
If the Practice Supervisor/Assessor and Line Manager cannot agree on a grade the view of the internal moderator should be sought. If agreement can still not be reached then advice can be sought through the external moderation mechanism system i.e. the Academy.
A sample of portfolios will be internally and externally moderated each year. Each Board will put in place a mechanism for internal moderation.
The Advanced Practice Academy will put in place a mechanism for external moderation of a sample of portfolios from each board every year. This mechanism will involve a suitable expert(s) from another Board reviewing ePortfolios and providing feedback to the line manager, the Board Advanced Practice Lead and the Board Nurse Director.
External Experts will be recorded within their employing Board as an ANP or NMAHP Consultant and either have teaching and assessing qualification or be recognised by the Academy as an ‘External Expert’.
The Academy’s recommendations will be advisory only. Ultimately it will be for the employer to determine whether an individual has met all the requirements to practice.
 Supervised practice may involve direct supervision where the supervisor is physically present with the trainee or indirect where supervision is provided at a distance or delegated to another clinician
 This may include formal academic modules/courses, clinical courses, eLearning, reflection
 Individual specialist areas may require higher numbers that specified here
Final Sign off documentation
Click here to see the ‘Final Sign-off’ documentation that the line manager and supervisor in practice will use to assess the ePortfolio.
Example of an ePortfolio share pack
Please click on the link below to see a dummy ePortfolio for a trainee ANP. In this portfolio you’ll see evidence being gathered to meet the requirements for final sign-off.
Please note the numbering system and ordering being used to make it easier for a reviewer to find the evidence.
DOPS Direct Observation of Procedural Skill (DOPS)
CBD Case Based Discussion (CbD)
REF Reflective Account
FFO Feedback from Others
SPR Supervisor in Practice Report
Please don’t look too carefully at the evidence in this dummy portfolio as it is only indicative!