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Midwifery competency tracker

Log the clinical competencies your revalidation portfolio should evidence, alongside the generic NMC revalidation sections.

Tip

The midwifery competency tab appears on Dashboard › Revalidation only when your profile profession is set to Midwife. Entries are included in the downloadable NMC portfolio PDF.

What it is

The generic NMC revalidation sections cover practice hours, CPD, reflective accounts, feedback, and the confirmation discussion. The midwifery competency tracker adds a dedicated log for the clinical skills and situations a midwifery portfolio is expected to evidence: obstetric emergencies attended, fetal monitoring reviews, different birth modes, bereavement care, safeguarding escalations.

Each entry captures what happened, where, how long you were involved, and what you learned. Entries are rolled into the NMC revalidation portfolio PDF under a "Midwifery competencies" section so you can submit one document.

Categories

  • Obstetric emergency attended: PPH, shoulder dystocia, cord prolapse, eclampsia, maternal collapse. Note your role (lead, second midwife, first responder) in the summary.
  • CTG / fetal monitoring review: intrapartum CTG review or interpretation case. Note the classification reached and whether escalated.
  • Waterbirth: waterbirth facilitated (home, birth centre, or obstetric unit). Note gestation and any complications.
  • Breech birth attended: planned or undiagnosed breech. Note mode (vaginal or caesarean), your role, and learnings.
  • Instrumental birth attended: ventouse, forceps, or trial of instrumental in theatre. Your role (accompanying, scribing, second midwife).
  • Bereavement / loss care: care for families experiencing stillbirth, neonatal death, or termination for anomaly. Note support offered.
  • Home birth attended: homebirth facilitated as lead or second midwife. Note transfer if any.
  • Twin or higher-order birth: multiple birth attended. Note mode and your role.
  • Complex postnatal care: care of postnatal women with significant complications (severe PPH, sepsis, pre-eclampsia, perineal trauma repair).
  • Safeguarding escalation: antenatal or intrapartum safeguarding concern raised, MDT referral made, or ICON / domestic abuse disclosure managed.
  • Other competency or skill: free-text for anything that does not fit the above (specialist clinic, student supervision, audit project).

Anonymising entries

Always anonymise what you write. No patient names, hospital numbers, dates of birth, or identifying details. Stick to clinical facts, your role, and the learning. If you would not read it aloud in a case review, do not write it into the tracker.

How entries appear in the portfolio

The downloadable NMC portfolio PDF has a dedicated "Midwifery competencies" section after the confirmation discussion. Each entry shows: the category label, date, location and hours (if provided), a "What happened" narrative, and any learnings. Entries are ordered chronologically.

Frequently asked questions

Do I need to log every birth I attend?
No. The tracker is for competencies you want on record against your revalidation portfolio. A well-evidenced cycle typically has a handful of entries per category over three years, not a line for every shift.
Can nurses use this?
No. The tab only appears for profiles with profession set to Midwife. Nurses use the generic NMC revalidation sections (CPD, reflective accounts, feedback, confirmation).
Do the entries count towards my practice hours target?
Not directly. Practice hours are derived from your logged shifts in Sessional. The competency entries evidence skills and situations, not hours. You can optionally note hours on an entry for your own record.
Can I upload an evidence document alongside an entry?
Yes. The entry has an optional document link so you can attach a learning record, debrief form, or simulation certificate from your document store. Attach the document first in the Documents section, then reference it from the entry.
Is there a template for the summary?
No, and intentionally. Write in your own voice. A typical entry is 3 to 6 sentences: what the situation was, what your role was, what the outcome was, and what you would do differently next time. Anonymise.

Related help

NMC revalidationDocuments and expiry alertsLogging shifts