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Standard 2 - Governance and quality

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Standards

There are effective governance systems that ensure compliance with all legal, regulatory, professional, and educational requirements and clear lines of responsibility and accountability for meeting those requirements

All learning environments optimise safety and equality, taking account of the diverse needs of, and working in partnerships with, students and all other stakeholders.

Requirements

Accredited education institutions, together with delivery sites and training practices, must:

  1. comply with all relevant legal, regulatory, professional and educational requirements.

    This may be evidenced through:

    1. Office of Qualifications and Examinations Regulation (Ofqual) report and action plans
    2. Council for the Curriculum Examinations and Assessment (CCEA) report and action plans
    3. Qualifications Wales report and action plans
    4. Scottish Qualifications Authority (SQA) report and action plans
    5. Office for Standards in Education (OFSTED) report and action plans
    6. Office for Students (OfS) report and action plans
    7. Quality Assurance Agency (QAA) report and action plans
    8. RCVS quality monitoring reports and action plans
    9. External examiners reports and action plans
    10. Written confirmation of programme validation
    11. Minutes of validation/accreditation event and evidence of any conditions to have been addressed
    12. Evidence of RCVS pre-accreditation support
    13. Quality improvement plan
    14. Curriculum mapping to meet RCVS Day One Competences, Skills, and Professional Behaviours
    15. Curriculum mapping document to QAA Subject Benchmark Statements for Veterinary Nursing (HEI)
    16. Institute for Apprenticeships and Technical Education (IfATE)
    17. RCVS annual self-assessment reports

    Guidance:

    As detailed by the evidence list, this requirement demonstrates that AEIs and delivery sites abide by UK regulation as required by the specific type of programme. This will likely include evidence that the AEI is compliant with the General Conditions of Recognition.

    Where an AEI validates a programme delivered at a partner delivery site, the validation process must be clear, and evidence of the validation approval provided. If validation has not yet been undertaken, a planned date must be provided, and this requirement will only be met once validation is approved. If the validation has already been granted, it is expected that a condition is included referencing the need to address RCVS requirements.

    The mapping documents for the RCVS Day One Competences, Skills and Professional Behaviours are suggested as evidence in order to demonstrate that the governance and quality processes have checked that the qualification meets RCVS requirements.
    The QAA Subject Benchmark statements are only required for HE programmes. Module / unit paperwork is not required for this requirement.

  2. provide all information and evidence required by regulators in a timely manner, i.e. within published timescales.

    This may be evidenced through:

    1. Completed action plans from regulatory, professional, and legal bodies

    Guidance:

    It is imperative that evidence and documentation is received by regulatory bodies in accordance with their published timescales; completing the requisite action plans, for example, will demonstrate compliance with this requirement.

    For existing programmes, providing evidence of liaison and communication with regulators, during auditing procedures, for example, can also be used as evidence. Submissions of data returns to regulators could also be used as an evidence example.

  3. comply with the RCVS Code of Professional Conduct for Veterinary Nurses.

    This may be evidenced through:

    1. Module/qualification documentation
    2. Programme/qualification curriculum
    3. Monitoring of teaching and learning
    4. Schemes of work/syllabus
    5. Student and clinical supervisor handbooks
    6. RCVS Day One Skills recording platform sampling records
    7. Professional behaviour evaluation records
    8. Tutorial reviews

    Guidance:

    This requirement differs from that in Standard 1 in that this exclusively references the Code of Professional Conduct for Veterinary Nurses and aims to ensure that the Code is embedded throughout the qualification. It is expected that the governance and quality processes include checks to ensure that this is the case.

  4. comply with the RCVS Veterinary Nurse Registration Rules.

    This may be evidenced through:

    1. Adequate clinical practice provision/employment
    2. Documented programme structure
    3. Programme/qualification handbook

    Guidance:

    The RCVS Veterinary Nurse Registration Rules stipulate the mandatory requirements which qualifications must include, such as the hours required in clinical practice. It is expected that the governance and quality processes include checks to ensure that this is the case.

  5. adopt a partnership approach, with shared responsibility, evidenced by a memorandum of understanding (MOU) between the accredited education institution and the delivery site and between the delivery site and the training practice. This must be regularly reviewed and clearly stipulate the roles, responsibilities, and regulatory requirements.

    This may be evidenced through:

    1. Memoranda of understanding
    2. Quality assurance procedures
    3. Risk assessments
    4. Review meeting minutes
    5. TP/aTP handbook
    6. Clinical supervisor handbook
    7. Delivery site approval and monitoring records and action plans
    8. TP/aTP secondment documents
    9. Written agreement with examination sites (AOs)
    10. Communication regarding changes of accredited AEI

    Guidance:

    There are various different models of veterinary nurse qualifications, thus the evidence requirements will vary depending on the specific approach utilised.

    Where an AEI validates a programme delivered at a partner delivery site, there must be an MOU in place detailing how the relationship is managed, who undertakes which elements of the agreement and what the expectations are.

    AEIs, or their delivery sites, must also have a MOU in place with the TPs they approve, or that they utilise as a secondary affiliated TP (see Standard 6). These MOUs also need to include the relationship details, who undertakes which elements of the agreement and what the expectations are.

    All MOUs need to be reviewed at a regularly specified point, for example annually or biannually, and include details of role requirements. It is also expected that site inspections are undertaken at regular intervals, assuring all parties that the learning environments remain safe, effective, and fit for purpose.

  6. ensure that recruitment, selection, and retention of students is open, fair, and transparent, and includes measures to understand and address underrepresentation.

    This may be evidenced through:

    1. Selection criteria for admission
    2. Recruitment documentation
    3. Copies of student certificates
    4. Accredited prior learning (APL) and recognised prior learning (RPL) policies
    5. Equality of opportunity policy
    6. Interview records
    7. Self-assessment reports
    8. Widening participation strategy and plan
    9. Application process
    10. Interview/selection process

    Guidance:

    Linking back to Standard 1 (Requirements 1.10 and 1.11), promotion of equal, diverse, and inclusive approaches is an expectation of all veterinary nurse qualifications. This requirement considers those previous requirements in the context of student recruitment and how AEIs and delivery sites are assured that recruitment, selection and retention is fair.

    This will include examples of recruitment processes, such as the interview process if utilised, with accessible options, as well as the follow up selection processes and how that is managed in a fair and inclusive way. The retention of students can be evidenced by
    consideration of how the AEI or delivery site supports students with additional needs, and thus promotes programme completion by potentially underrepresented groups.

  7. have entry criteria for the programme that includes evidence that the student has a capability in numeracy, literacy, and science, written and spoken English and mathematics to meet the programme outcomes.

    This may be evidenced through:

    1. Programme/qualification specification
    2. Prospectus
    3. Website
    4. Social media
    5. Careers leaflets
    6. Equivalence policy
    7. Work experience requirements

    Guidance:

    The RCVS does not set entry criteria for veterinary nurse qualifications; these must be set by each AEI and be specific to the type of course. For example, a Foundation Degree will have different entry criteria to a Bachelor’s Degree. Additionally, the entry criteria must be relevant for the programme outcomes and ensure that the basic science, mathematics, and English language requirements are considered.

    AEIs utilising an apprenticeship pathway must ensure that the entry criteria do not contradict that specified by IfATE.

    AEIs utilising UCAS for the application process should consider the standard points requirements for similar programmes.

    All programmes are expected to have accepted equivalencies, enabling students who have not undertaken the typically expected qualifications to have access to the course. It must be clear what can be considered for equivalency and why, although it is accepted that not every example can be included, and some applicants will need to be considered on a case-by case basis. The process for checking qualifications should be clear.

    AEIs and delivery sites must validate qualifications provided for the entry criteria; this ensures there are no obstacles to programme completion at a later point.

  8. demonstrate a robust process for the recognition of prior learning (RPL).

    This may be evidenced through:

    1. RPL policy
    2. RPL documentation
    3. RPL decision recording
    4. RPL guidance on website
    5. Examples of RPL mapping

    Guidance:

    The RCVS does not stipulate what should be included in RPL policies and processes, rather that each AEI has a robust policy which can be effectively applied. It is accepted that RPL can be challenging for veterinary nurse qualifications, thus each AEI must have a clear rationale for its approach.

    The RPL policy may be applicable to the whole AEI, or there may be a separate approach for the veterinary nurse qualifications. The RPL policy must also consider the UK educational regulatory requirements for the specific type of programme.

    RPL in this context can also accommodate the following:

    APL – accredited prior learning
    RPEL – recognition of prior experiential learning
    APEL – accredited prior experiential learning

  9. provide accurate and accessible information to students enabling them to understand and comply with relevant governance processes and policies.

    This may be evidenced through:

    1. Student induction processes
    2. Student handbook
    3. Programme/qualification handbook
    4. TP/aTP handbook
    5. AEI/delivery site fitness to practise policy
    6. RCVS enrolment guidance
    7. RCVS registration guidance
    8. RCVS Code of Professional Conduct references within relevant documentation
    9. Reasonable adjustment policy
    10. Online learning platform

    Guidance:

    Different AEIs, delivery sites and TPs will have differing approaches to achieving this requirement; providing students have the opportunity to access the relevant information it is not mandated as to how this is managed. This may include printed handbooks, or online inductions, depending on the AEI and the access requirements of its students.

    It is expected that AEIs, delivery sites and TPs will ensure that the required information is updated as necessary and remains relevant to each cohort of students. AEIs will want to ascertain that students can understand the information they are accessing; this is routinely checked by panel members and RCVS personnel during accreditations and quality monitoring.

    When providing evidence to the RCVS, AEIs may wish to consider providing direct access to the online or virtual learning platform.

  10. have robust, effective, fair, impartial, and lawful fitness to practise procedures to swiftly address concerns, and, where appropriate, notify the RCVS, as the regulator, about the conduct of students that might compromise public and animal safety and protection. The procedure must include disclosure of criminal convictions that may affect registration with the RCVS.

    This may be evidenced through:

    1. AEI/delivery site fitness to practise policy
    2. Fitness to study policy
    3. Appeals procedure and policy
    4. Academic malpractice policy
    5. Academic integrity policy and guidance
    6. Student code of conduct
    7. Induction processes
    8. Student interviews
    9. Student recruitment policy
    10. Annual criminal conviction declarations
    11. Whistleblowing policy
    12. Fitness to practise meeting minutes

    Guidance:

    delivery site; it is not acceptable to reference the RCVS guidance without a supportive, institution specific policy or procedure. This must include a clear statement that the RCVS will be notified of concerns as required. If the policy is an AEI, or delivery site, wide policy, this may be covered with reference to the PSRB requirements.

    Student veterinary nurses must be informed about the importance of disclosure of criminal convictions, and how this may affect their ability to register upon completion of the programme. It is suggested that AEIs and delivery sites revisit this discussion at multiple points throughout the programme. Student veterinary nurses should be supported to be honest about any criminal convictions, acting with the integrity expected of registered professionals. Nonetheless, it is likely they will be worried about the impact of disclosing, and they must be supported with this.

    TPs must also be aware of, and follow, the AEI fitness to practise policy, empowering students to work within the scope of the Code and their capabilities.

  11. confirm that students meet the required programme outcomes in full and are eligible for academic and professional award.

    This may be evidenced through:

    1. Board of examiners meeting minutes
    2. Student progression meeting minutes
    3. Exit award details

    Guidance:

    The academic award references the AEI qualification, which is awarded upon successful completion, whereas the professional award references the eligibility for student veterinary nurses to apply to join the RCVS Register of Veterinary Nurses. Students may complete their academic award but choose not to Register.

    Additionally, if students cannot complete the professional elements, for example they cannot achieve the programme requirements relating to the RCVS Veterinary Nurse Registration Rules, they may only be eligible to be awarded an exit, or step-off, award. This should be clearly indicated and justified. Exit, or step-off, awards cannot utilise the term ‘veterinary nursing’ (or derivatives of this term) in the title.

    The personnel responsible for awarding the qualification must be familiar with these requirements and the process must be clearly documented.

  12. undertake regular reviews of all learning environments and provide assurance that they are safe, effective, and fit for purpose.

    This may be evidenced through:

    1. Course reviews
    2. Student feedback
    3. TP/aTP quality monitoring records
    4. Risk assessments
    5. Health and safety policy
    6. Delivery site sampling policy
    7. AEI site visit or site review documentation for delivery sites and TP/aTP
    8. Memoranda of understanding
    9. External examiner reports
    10. Standard operating procedures
    11. E-safety policy
    12. Student training regarding online safety

    Guidance:

    Whilst this requirement appears to be similar to Requirement 1.1, and does relate to health and safety, this requirement is more relevant to the checks undertaken.

    The AEI must be assured that campus reviews are undertaken, be that at the AEI or its delivery site. Likewise, AEIs and delivery sites must be assured that effective reviews are conducted of their TPs. This requirement is not referencing the specific checks which are undertaken, but a rationale and approach for the reviews, which are clearly documented.

  13. have safe and effective recruitment processes in place to ensure appropriate personnel are recruited to support programme delivery.

    This may be evidenced through:

    1. Staff development plans
    2. Staff in-house training records
    3. Job descriptions and/or person specifications
    4. Recruitment policy
    5. External examiner/advisor recruitment policy
    6. Safer recruitment policy

    Guidance:

    AEIs, delivery sites and TPs must be able to demonstrate that they can safely and effectively recruit when required. This is not about the current programme team, or recruitment of clinical supervisors, but demonstrating that an appropriate person specification can be written, effective advertisement is undertaken, and there is a clear onboarding and induction process.

  14. where an accredited education institution is not yet fully accredited, or at the discretion of the Veterinary Nurse Education Committee, facilitate the attendance of the RCVS at a trial/mock OSCE/practical assessment at least one year in advance of the final summative assessment taking place for the relevant cohort of students.

    This may be evidenced through:

    1. Proposed dates for trial/mock examination

    Guidance:

    This requirement is only relevant to new provision, with the exception of existing programmes that have made significant amendments to the practical assessments.

    For existing provision, this requirement can be marked as ‘not applicable’.

    For new provision, or those making changes to the practical assessments, an indication as to when the mock assessment will likely run would be helpful.

    The purpose of the examination trial is to check that the examination delivery can be completed in the way described in the policy and procedure documents. Given that this activity will take place a year before the first cohort sits the examination (for new provision) it may not be appropriate for students to take part. In this case consideration should be given to using newly-qualified nurses or clinical supervisors to play the role of the student.

  15. where an accredited education institution plans to make any changes to its provision, including assessments, the RCVS must approve all changes prior to implementation.

    This may be evidenced through:

    1. Correspondence with RCVS regarding proposed changes
    2. Process for programme changes

    Guidance:

    Veterinary nurse qualifications are accredited by Veterinary Nurse Education Committee; should a change be made to the accredited programme it is no longer the programme which was reviewed and accredited by the Committee. Thus, all changes must be reported to the RCVS, and then accepted by Veterinary Nurse Education Committee before they can
    be implemented.

    It is helpful for AEIs and delivery sites to have a standard process which is followed in this scenario, which should also consider other educational regulatory requirements and Competition and Markets Authority stipulations. Guidance can be provided by the RCVS as required.  

  16. provide evidence that adequate market demand and finances are in place and are sufficient to sustain and develop the programme and have been approved by the AEI.


    This may be evidenced through:

    1. Budget
    2. Self-assessment reports
    3. Institution’s annual report containing audited accounts
    4. Budgetary forecast for the programme
    5. Evidence of actual and/or projected income sources
    6. Evidence of demand for the programme (the market)
    7. Marketing strategy
    8. National Student Survey
    9. End of programme evaluation
    10. Justification for critical student number e.g. business planning documentation

    Guidance:

    This requirement should demonstrate that there is, or will be, sustainability of provision.

    This covers the financial sustainability, for example, that the AEI, and delivery sites, can afford to run the programme, with all of the associated costs. This may be best evidenced by a profit and loss breakdown, clearly demonstrating income versus outgoings, and further planned developments.

    Additionally, this requirement covers programme sustainability, such as a market demand for the programme with effective recruitment meeting the needs of the AEI. This should clearly reference a critical number / critical mass consideration demonstrating at which point the modelling becomes unsustainable and the programme would not be able to run. It is accepted that new programmes may make a financial loss in the first few years; the AEI is expected to acknowledge this and agree to the modelling.