Updating the UK Competence Framework for Orthopaedic and Trauma Nurses 2019.

The updated RCN Competence Framework for orthopaedic and trauma practitioners was published in 2019 following completion of a 2 year project undertaken by a working group of representatives from England, Northern Ireland, Scotland and Wales. Expert musculoskeletal practitioners, inclusive of an allied health professional and working across the lifespan, in varying domains of orthopaedic and trauma practice collaborated to produce a working document applicable to trauma and orthopaedic (T&O) practitioners from all NHS pay bands. The 2019 document builds on the original and subsequent versions (2005 and 2012), importing new evidence and reformatting so that it is contemporary and easily cross referenced with the NMC Code (2018). The restructure includes an example of a learning contract demonstrating how the framework can be applied in practice, whether for self-learning, or in conjunction with the revalidation process. This paper reflects on and describes the process undertaken by the working group in the development and restructuring of the 2019 framework, including its evaluation to date and planned in the future.