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GMC Revalidation Workshop at AGM 2012
1. Get ready for revalidation
AGM 2012, London Olympia
22 November 2012
2. Get ready for revalidation
⢠Revalidation: towards implementation
Jon Billings, General Medical Council
⢠Doctorsâ experiences of revalidation
Dr Anita Donley, NHS Revalidation Support
Team
⢠Preparing for revalidation: information
and support
Dr Ian Starke, Royal College of Physicians
⢠Your questions
2
4. Revalidation is:
⢠Part of a wider system of measures to promote
improvements in safety and quality
⢠Intended to ensure all medical practice takes place
within a governed environment
⢠A positive affirmation of a doctorâs professionalism
based on GMC core guidance Good Medical
Practice
Revalidation isnât:
⢠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
4
5. Statutory framework
RO regs â since Jan 2011 Revalidation regs â from Dec 2012
5
6. How revalidation works: the process
For doctors in
training
⢠Trainee
⢠Panel
Regular
ARCP/RITA
6
7. Requirements for doctors
(not trainees)
Pursuit of excellence Recognising human factors
⢠Knowledge, skills and performance
⢠Safety and quality
Openness Seeking comparators
⢠Communication, partnership and
teamwork
Disclosure Reflection
⢠Maintaining trust
Learning
Valuing peers
Commitment to improving
Showing insight
10. Revalidation
⢠ââŚsupporting, quality
assuring and
improving the practice
of the vast majority of
doctors who already
perform to an
acceptable standard â
(2006)
12. Developing, piloting and testing
Objectives of RST Testing and Piloting project (2011-12) were to:
⢠inform implementation of revalidation
⢠inform development of guidance for doctors and designated
bodies
⢠provide information to inform Department of Health (England)
business case for revalidation.
13. Developing, piloting and testing: what RST found
⢠Medical Appraisal Guide (MAG) pilot : Appraisal for revalidation set out in
MAG takes nine hours. This is no longer than previous systems.
⢠Public and patient involvement : Patients felt proposed model would meet
their needs, expectations and concerns. Many assumed system similar to
revalidation already existed.
⢠Doctors in training pilot : Trainees found modified ARCP process piloted was
fair, efficient and took very little extra time. However, employers found completion of
exit reports for each trainee time-consuming and resource intensive.
⢠Colleague and patient feedback study : Doctors most positive when
appraiser discusses colleague and patient feedback with them. They strongly prefer
a known and trusted colleague to deliver feedback.
14. Medical appraisal
Inputs Outputs
Scope of PDP
work
Supporting Appraisal
Portfolio Confidential Summary of
information sign off
review discussion discussion
Last PDP
& appraisal
summary
Appraiser statement
Other
16. Organisational readiness: ORSA 2011-12
⢠High level of engagement in ORSA exercise (95% response rate from
designated bodies).
⢠Substantial progress made between 2010-11 and 2011-12.
⢠Improvements in all measured key indicators.
Key findings:
⢠82% of doctors linked to organisations ready to support them with
revalidation.
⢠Almost 100% doctors had a responsible officer.
⢠Overall appraisal rate rose to 73%, with significant increases reported
for every grade of doctor.Â
17. Action plans
⢠Designated bodies in England produced action plans by the end of
July 2012 to ensure systems ready by December.
⢠Progress against plans monitored by SHA clusters, working closely
with designated bodies.
⢠NHS RST supporting SHA clusters with this process.
19. Revalidation: a personal view
⢠Revalidation for me:
â A realistic challenge
â How good is âgood enoughâ?
â The importance of effective appraisal
â The retention of the âexcellenceâ agenda
⢠Revalidation for my service :
â How can revalidation drive quality of care?
â How will we know that revalidation is âworkingâ?
20. Preparing for revalidation
⢠GMC requirements and specialty guidance
⢠NHS Revalidation Support Team on appraisal
⢠Your RO, appraiser and date
⢠Supporting information for the first cycle
â Continuing professional development
â Quality improvement activity â types of audit
â Significant events
â Feedback from colleagues and patients
â Review of complaints and compliments
⢠Trainees and SAS doctors
21. Support available from Colleges
⢠Establishment of helpdesks â e-mail / FAQs
⢠Specialty training of advisers for doctors, appraisers
and ROs
⢠Tools for the job:
â E-portfolio to record supporting information
â Colleague and patient feedback tools
â Personal clinical audit tool
â Clinical guidelines and CPD opportunities
⢠Monitor experience of doctors and appraisers.