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Nursing and Midwifery Advisory Council

Nursing and Midwifery Advisory Council

There are just under 1000 nurses and midwives registered with the Nursing and Midwifery Council (NMC) and living on the Island.  The majority of these nurses and midwives are employed within the statutory services of the Department of Health and Social Care. In line with UK legislation, the Nursing and Midwifery Orders (2001) have been identically translated into Manx law.  Therefore all nurses and midwives wishing to practice on the Isle of Man must be on the NMC Register and work within the standards laid down by the NMC. This ensures we have a regulatory framework that can be trusted and relied upon to support practitioners, but most importantly protect patients and the public.

Our nurses and midwives work across all care settings on the Isle of Man, including secondary care, primary care, mental health services, Hospice care, independent nursing care and prison healthcare.  Student nurses undertake clinical placements in all these areas. Our nursing structures and roles are very similar to those which would be found in the UK.  Our nursing career paths have the same or similar opportunities as other UK jurisdictions. Nurse Consultants and Advanced Nurse Practitioners are key roles required to be implemented to supplement the shortfall in middle grade doctors. Our registered practitioners are supported in practice by a host of non-registered support workers, working at a variety of skill and knowledge levels.

We recognise that in an island setting like ours, we have a great opportunity to work together and share best practice across all sectors. We also recognise that we are in an ideal situation to monitor standards of care across all care settings.  

Structure of the NMAC


The purpose of the Nursing and Midwifery Advisory Council (NMAC) is to lead the professional and strategic development of the Island’s nurses and midwives through teamwork and collaborative working.

NMAC is the voice of nursing and is the advisory authority on all matters relating to nursing and midwifery.  On behalf of our regulator and professional bodies, this team of nurses and midwives lead the strategic planning of nurse education, training and development and practice development to ensure the delivery of consistently high standards of nursing care across all sectors of healthcare on the Isle of Man.

NMAC is led by the Island’s Chief Nurse and meets monthly to set standards, agree policy ad consider new initiatives and developments.  The main the functions of NMAC are to:-

  • Lead the strategic direction of nursing and midwifery on the Island
  • Advise on all matters relating to nursing and midwifery
  • Implement and monitor consistent nursing and midwifery standards across the Island
  • Lead the strategic planning of education, training and development for all nurses, midwives and health visitors.

NMAC is not a statutory forum.  These nurses and midwives work in a collaborative way in the best interest of patients and their families, simply because they know it is the right thing to do.  They recognise that by working together they can achieve much more, increase their sphere of influence and strengthen the voice of nursing and midwifery on the Isle of Man.

In the last few years NMAC’s key achievements include:-

  • Increasing the number of pre-registration Nurse training, Adult branch places
  • Increasing the number of pre-registration Mental Health branch places
  • Introducing a pre-registration Midwifery branch
  • Developing a variety of additional post-registration programmes and modules at Level 6 and Level 7 for nurses, midwives and other health care practitioners, e.g. assessment and management of minor illness and injury
  • Monitoring the effectiveness of non-medical prescribing (the Island has more than 100 nurse prescribers) – Level 7 (Masters).

Standardised policies and procedures include:-

  • Professional Identification Number Policy
  • Nursing and Midwifery Revalidation Policy
  • Raising and Escalating Concerns over Patient Care, Safety and Wellbeing
  • Uniform Policy
  • Mandatory Training Policy for Registered Nurses, Midwives and Health Care Assistants.

The Chief Nurse produces a quarterly seasonal newsletter for all nurses and midwives on the Island called Chief Nurse News.

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