Revalidation

Danielle McSeveneyAlena Billingsley

Aims

• Understand revalidation – What – When– How

• What revalidation means for doctors generally• What revalidation means for trainees,

specifically

At the end of the session

• Define revalidation• Understand the role of appraisal in obtaining

revalidation• Be aware of what tools are available for

gathering evidence• Know what revalidation means for trainees• Sources of information

What is revalidation?

• Revalidation is the process by which licensed doctors are required to demonstrate on a regular basis that they are up to date and fit to practise.– Only for doctors with a licence to practice– Will occur every 5 years– Started 3 December 2012– Most doctors would have been revalidated by

March 2016

Why revalidate?

• Ensures that employer and patient can be confident doctor is up to date and fit to practice

When?

• First cycle– Medical leaders and the majority of responsible officers by

March 2013 (year ‘zero’)– 20% of licensed doctors between April 2013 and the end of

March 2014 – 40% of licensed doctors between April 2014 and March

2015 – and the remaining 40% of licensed doctors between April

2015 and March 2016• Aiming to have revalidated all licensed doctors by

March 2018

What is needed for revalidation?

• A Responsible Officer• An appraisal system and appraisal policy• Appraisers• A system of identifying and sharing concerns

about doctors

The Responsible Officer

• Makes recommendations to the GMC on the revalidation of doctors

• Only for doctors who ‘ have a prescribed connection to your designated body’

• Three categories of recommendation– Positive recommendation that doctor is up to date and fit to

practice– Request to defer date of recommendations– A notification of doctor’s non-engagement in revalidation

• A ‘suitable person’ can make revalidation recommendations for doctors who do not have a connection to a designated body.

Appraisal

• Appraisal occurs annually• Four categories of supporting information– General information

• Providing context about all aspects of your work

– Keeping up to date• Maintaining and enhancing the quality of your work

– Review of your practice• Evaluating the quality of your work

– Feedback on your practice• How other perceive the quality of your work

Six Types of Evidence

• Continuing professional development (CPD)• Quality improvement activity• Significant events• Feedback from colleagues• Feedback from patients• Review of complaints and compliments

Supporting Information for Appraisal

• General information– Personal details– Scope of work– Record of annual

appraisals– PPD and review of PPD– Probity– Statement of Health

• Keeping up to date– CPD– Tailored to specific

needs and interests of you and your practice

CPD should be discussed at each appraisal

Supporting information for Appraisal

• Review of your practice– Quality improvement

activity e.g.• Clinical audit, review of

clinical outcomes, CbD• Involvement in quality

improvement activity at least once every revalidation cycle. (Depends on nature of activity)

– Significant events• Discuss at every appraisal.

Numbers will vary. Focus on what is learnt/ alterations to practice.

• Feedback on your practice– Colleague feedback– Patient feedback

• At least once every revalidation cycle

• GMC has developed questionnaires for this

– Review of complaints and compliments• Discuss how dealt with

and changes to practice

Gathering evidence

• Can store information for appraisal electronically

• RCGP revalidation portfolio allows transfer between other RCGP products– Online environment learning– Essential knowledge updates and challenge progra

mme– Personal Education Planning (PEP) tool

What is needed at the first revalidation?

• GMC licence to practice• Have signed off at least

first appraisal• Collected and reflected

on supporting information

• No resolved issues regarding fitness to practice.

• RCGP Guide to the Revalidation of General Practitioners Version 7.0 June 2012

RCGP states following requirements

• Minimum 50 learning credits in 12 months prior to last appraisal before revalidation date

• SEA at least 2 for 12 month period before revalidation date

• Evidence in regular participation in quality improvement activity

• Colleague and patient feedback – one of each in the 5 years before revalidation recommendation

• Formal complaints in the 12 month period prior to last appraisal before revalidation date

Trainees and revalidation

• Responsible Officer is postgraduate dean– Mr David Wilkinson, at present

• Recommendation will be based mainly on ARCP (or RITA)

• ARCP and revalidation are separate processes– An issue with training does not necessarily mean

that revalidation will not be recommended

Trainees and revalidation

• First revalidation – CCT is automatic revalidation point– Point at which you become eligible for CCT (if training

lasts less than 5 years)– If > 5 years, the first will be 5 years after gaining full

registration with licence to practice, and you will revalidated again at the point at which you become eligible for CCT

• When you complete your training, your designated body will change to the organisation in which you spend most or all of your practice.

Summary

• Understand what revalidation is• Understand the role of appraisal in obtaining

revalidation• Be aware of what tools are available for

gathering evidence• Know what revalidation means for trainees• Sources of information – there is a lot of

information

Useful sites

• GMC– Downloadable guidance for trainees

• RCGP• RCGP revalidation FAQs• Yorkshire and the Humber Postgraduate Dean

ery