Regulating through Revalidation Initial Impacts Judith Chrystie Assistant

Regulating through Revalidation: Initial Impacts Judith Chrystie, Assistant Director, Policy & Regulatory Development, Planning Performance & Change

Presentation Outline Revalidation • Background • Aims • Process Initial Impact • Current Statistics Future • Commitment to review • Independent research & review • Internal improvement work

Revalidation

Revalidation - background Introduced in December 2012 Most significant change in medical regulation in 150 years Innovative and one of the most ambitious schemes in the world Normally every 5 years, doctors demonstrate up to date, fit to practise and providing good care

Revalidation: Aims Bring all doctors into clinical governed system Licence: indicator that doctor meets professional standards Doctors reflect on changes and improvements Help identify problems earlier Extra confidence to patients doctors are regularly checked Improved, safer patient care

Revalidation: Process Annual appraisal

Revalidation: Process • Whole practice appraisal based on Good Medical Practice (GMP) • Discuss practice and performance against four domains and related attributes • Use and reflect on supporting information • Show meet standards and values of GMP

Revalidation: Routes to revalidate • Responsible Officer (RO) - licensed Dr Designa • Legislation lists DBs and RO responsibilities ted Body • Make revalidation recommendations to GMC • Approved by GMC against published criteria. Suitable • Licensed Dr with sufficient link to revalidating Dr Person • Make revalidation recommendations to GMC NPC • • No prescribed connection – no DB or SP Send GMC annual returns (including appraisals) Sit revalidation assessment – knowledge test GMC use material to make revalidation decision

Initial Impact

Current Statistics - 02/12/12 to 31/01/16 225, 234 • Doctors subject to revalidation 173, 282 • Revalidation recommendations approved 51, 952 • Doctors to be revalidated

Recommendations - Current Statistics 381 31571 Revalidation Deferral Non-engagement 141330

Licence Withdrawals - 02/12/12 to 31/01/16 2622

Licences Relinquished - 02/12/12 to 31/01/16 28, 000

Appraisal Rates

Appraisal Rates in England Appraisal Rates -comparison of NHS England audit data 2011 - 2015 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 83. 80% 63. 00% Before Now Appraisal Rates comparison of NHS England audit data 2011 - 2015

Appraisal Rates in Scotland Appraisal Rates - Healthcare Improvement Scotland National Report 2014 -2015 94% 93% Appraisal Rates Healthcare Improvement Scotland National Report 2014 -2015 92% 91% 90% 89% 2014 90. 00% 2015 93. 00%

Appraisal Rates in Wales Appraisal Rates -Wales 90% 80% 70% 60% 50% 40% 30% 20% 77. 00% 53. 00% 10% 0% 2012 -2013 -2014 Appraisal Rates -

Appraisal Rates Positive impact of revalidation Shows commitment to clinical governance Increase in doctors now reflecting and given opportunity to improve practice and delivery of patient care

Future

Evaluating Revalidation Committed to reviewing and evaluating revalidation and seeking to make improvements to the efficiency and effectiveness of the processes

Evaluating Revalidation Independent Work Internal Improvement Projects External Input

Evaluating Revalidation - RAB Revalidation Advisory Board was established in March 2013 Advises GMC how effectively revalidation is operating through members’ perspectives/experiences 4 countries health administrations; ROs, patients; doctors …

Taking Revalidation Forward Sir Keith Pearson leading a review of how we can take revalidation forward in the future Review will draw on evidence of the operation and impact of revalidation since it was launched Offer recommendations by end 2016 about to improve revalidation

Any questions?

Thank you jchrystie@gmc-uk. org www. gmc-uk. org/revalidation