Revalidation Towards implementation CPEIPAC meeting October 2012 Revalidation

Revalidation: Towards implementation CPE-IPAC meeting, October 2012

Revalidation is… • Part of a wider system of measures to promote improvements in safety and quality • Intended to ensure that all medical practice is conducted within a governed system • Positive affirmation of a doctor’s fitness to practise based on GMC core guidance Good Medical Practice • 1 Positive recommendation from a responsible officer

Revalidation isn’t… • A test or exam with a pass or fail outcome • A new way to raise concerns about a doctor • The only purpose or output of appraisal or training assessment 2

All doctor’s who hold full registration with a Licence to Practise are required to revalidate. The Licence to Practise allows doctors to exercise certain privileges in the UK, for example to work as a doctor in the NHS, sign death certificates and write prescriptions. It’s important to note that doctor’s are able to hold full registration with the GMC without a Licence to Practise. Holding a Licence to Practise • applies only to UK medical practice • has no legal standing outside of the UK - it’s the registration that provides the evidence of good standing with the GMC. 3

Requirements for doctors… CPD Reviewed Complaints & Compliments Quality Improvement Activity Whole practice annual appraisal based on GMP Patient Feedback Significant Events Colleague Feedback 4

How ready is ready? The doctor must be participating in an annual appraisal process which has Good Medical Practice as its focus and which covers all of their medical practice The doctor must have completed at least one of these appraisals, which has been signed off by the doctor and their appraiser The doctor must have demonstrated, through appraisal, that they have collected and reflected on the information as outlined in the GMC’s guidance Supporting information for appraisal and revalidation

The recommendation… • Doctor • Appraiser Cycle of appraisal & review 6 Revalidation recommendation • Responsible Officer • General Medical Council Revalidation decision

Recommendation options… Revalidation Responsible Officer recommendation Request for more time (defer) Failure to engage Concerns about Fitness to Practise must be raised when they arise 7

Deferral requests… Providing supporting information Participating in a local or national process Insufficient information HR or investigation Information gaps 8 Performance or remediation Participating in a GMC process [revalidation placed on hold] Fitness to Practise

Notification of non-engagement… ü Confirms RO cannot make an informed recommendation as the doctor has not engaged in revalidation X Not a mechanism for addressing concerns about a doctor’s fitness to practise Like deferrals • Relates to insufficient information in support of a doctor’s revalidation Unlike deferrals • Concerns doctors who have had sufficient opportunity and support to engage in revalidation, but failed to do so • No reasonable grounds for failure to engage 9

Making recommendations

Revalidation requirements… Employers 11 Responsible Officers Doctors Appointed an RO Robust local systems & processes Collecting all their supporting information Provided support to the RO Aware of all the doctors they are responsible for Reflecting on their practice Robust local systems Provide doctors access to supporting information Engaging in whole practice appraisal

Implementation principles Patient safety paramount Manageable for the service & GMC Driven & owned locally Consistent, fair & transparent implementation principles May take up to 5 years to revalidate all doctors Vast majority revalidated by March 2016 Representative of connected doctors Representative of total population of doctors

Scheduling

Scheduling steps Responsible Officer 25 Jun – 6 July 25 Jun – 20 July Sign up to GMC Connect Check your list of doctors via GMC Connect Responsible Officer 25 July – 14 Sept Schedule doctors to cohorts (quarters/years) using submission spreadsheets on GMC Connect GMC operational activity GMC 17 Sept – 3 Dec GMC assigns submission dates to doctors

GMC support

Contacts RO Protocol http: //www. gmc-uk. org/doctors/revalidation/13631. asp GMC website http: //www. gmc-uk. org/doctors/revalidation/12385. asp GMC Revalidation inquiries team 0161 923 6277 revalidation@gmc-uk. org GMC Employment Liaison Advisors http: //www. gmc-uk. org/doctors/revalidation/12402. asp NHS Revalidation Support Team 0207 972 5818 http: //www. revalidationsupport. nhs. uk/index. php

www. gmc-uk. org/revalidation 0161 923 6602 17

Professor Malcolm Lewis, Chair - Continued Practice, Revalidation and Registration Board