Please note this is only a copy of your online submission, and is not confirmation of your registration.

Ref: RevalidationSummary/V2

Mrs Ivette Barrozo

Flat 12 Orion House
143a Balaam Street
London
E13 8AF
England

Dear Mrs Barrozo,

Thank you for submitting your application for revalidation. Please find below a summary of your
revalidation declarations.

Please note this is only a copy of your online submission, and is not confirmation of your
registration. You can check your registration by logging on to your NMC Online account.

Online revalidation submission date: 29/08/2021 17:03:56

I have undertaken the required hours of practice as a registered nurse and/or

midwife in the last three years in line with ‘How to revalidate’: Yes

Practice Details:

Nurse 450 Yes

Are you currently practising?

Yes

Employer details:

Employer type Employed directly (not via an agency)

Currently practising Yes
Date from 01/09/2020
Date to Current

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Please note this is only a copy of your online submission, and is not confirmation of your registration.

University College London Hospital NHS

Organisation name
Trust
Address line 1 235 Euston Rd, London
Address line 2 NW1 2BU
Address line 3
Address line 4
Country England
Postcode nw10 2bu
Direct clinical care or management - adult
Scope of practise
and general care nursing
Work setting Hospital or other secondary care

I have undertaken the required hours of Continued Professional Development

(CPD) in line with ‘How to revalidate’: Yes

I have received feedback in line with ‘How to revalidate’: Yes

I have written my reflective accounts in line with ‘How to revalidate’: Yes

I have had a reflective discussion on my CPD, my feedback and the Code with at
least one other NMC-registered nurse or midwife in line with ‘How to revalidate’:
Yes

NMC Pin: 13A1202E

Title: Ms
Forename: Ayra
Surname: Reyes
Email: ayra.reyes1@nhs.net
Postcode: NW1 2BU
Address line 1: 235 Euston road
Address line 2: London
Address line 3:
Address line 4:
Country: England

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Please note this is only a copy of your online submission, and is not confirmation of your registration.

Contact number: 07885238779

Date of discussion: 21/08/2021

The above named nurse/midwife/nursing associate has given their consent to be

contacted by the NMC if needed to verify the information I’ve provided, and I
agree for this nurse/midwife/nursing associate to be contacted by the NMC for
this reason.
Yes

Do you have a health condition and/or disability that currently affects or could
affect your ability to practise safely and effectively?
No

Are you managing your health condition and/or disability so that you can practise
safely and effectively?
-

Do you declare that you are of good character which enables you to practise
safely and effectively?
Yes

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Please note this is only a copy of your online submission, and is not confirmation of your registration.

Have you received a police charge, caution, conviction or conditional discharge

that is not (considered) protected?
No

Have you ever been subject to a finding that your fitness to practise is impaired
by a body responsible for regulating or licensing a profession (Including health
and social care)?
No

Professional Indemnity Arrangement:

I declare that my professional indemnity

Employment contract(s)
arrangement is by virtue of:

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Please note this is only a copy of your online submission, and is not confirmation of your registration.

Confirmation:

I declare that an appropriate confirmer has confirmed that I’ve met the
revalidation requirements in line with ‘How to revalidate’ and have completed the
confirmation form.
Yes

Was your confirmation given as part of an appraisal of practice?

Yes

Do you have regular appraisals?

Yes

Do you have a line manager who is also an NMC registered nurse, midwife or a
nursing associate?
Yes

Another NMC registered nurse or midwife

I have received confirmation from:
who is not my line manager
NMC Pin: 13A1202E
Same as NMC registered nurse or midwife
who has taken part in your reflective Yes
discussion.:
Date of confirmation: 21/08/2021
The confirmer has given their consent to
be contacted by the NMC if needed to
verify the information I’ve provided, and I Yes
agree for this confirmer to be contacted by
the NMC for this reason:

You can print a receipt of payment through your NMC Online account.

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Please note this is only a copy of your online submission, and is not confirmation of your registration.

Thank you

© The Nursing and Midwifery Council 2015

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