Transcript Slide 1

PREPARING FOR REVALIDATION
• Licences issued
• Revalidation pilots ongoing to test the whole
process – completion March 2011
• Responsible Officers – to be in place by October
2010 although legislation has not gone through
Parliament yet
Responsible Officer
• Expected to be Medical Director but will need
support
• Business case to go to Board asap
• At end of each 5 year Revalidation cycle will
recommend to GMC that Doctor is fit for
revalidation – will be based on 5 satisfactory
appraisals
RO contd
• Will work with regional GMC Affiliates
APPRAISERS
• Senior Doctors – Consultants and SAS Drs
• Interviewed - Job description and person
specification - and trained – expected to do 10
appraisals each year
• Attend regular training and support groups
• Time in Job Plan
• Have annual review by Appraisal Lead
The Appraisal Process
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Secure and Confidential
Medical Lead, Administrator and Steering group
Written guidance for Appraisers and Appraisees
System regularly reviewed as national guidance
changes – annual self assessment and
eventually external reviews every 3 years
• System quality assured
Preparing for Appraisal
• Administrator contacts Appraisee 3 months
before appraisal due – this should take place
within 12 months of the last one
• Appraiser allocated – can refuse x1
• Appraiser not necessarily from same speciality
• Same Appraiser can be used up to 3 times
• Appointment arranged preferably in SPA time –
details given to administrator
Preparation contd
• Prior to the Appraisal Appraisee must meet with
CD for a job plan review and completion of Form
A ( This includes assessment of Royal College
Standards and draft PDP)
• Advice re documentation to be included in
portfolio is available
Document preparation
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NHS Toolkit to be used preferably
All the Doctor’s practice should be included•
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NHS and Private Clinical work
Educational roles – educational supervisors should
include form recommended by NACT
Management roles
Research interests
Dr at Rugby club or races etc
Documents to be included
• Evidence to support the domains of Good
Medical Practice and your speciality standardsmap the evidence to the relevant standard –
remember revalidation is a 5 year cycle – do not
have to do it all in 1 year
Other documents required
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Include Form A – meeting with CD
Your report from Complaints dept – 4Cs
SUIs – not currently happening
360 MSF – once during Revalidation cycle
• Documents mapped to GMP
NEW DOMAINS OF GOOD MEDICAL
PRACTICE FOR THE FUTURE
Domain 1 – Knowledge Skills and
Performance
• Maintain Professional Performance
• Apply knowledge and experience to practice
• Keep clear, accurate and legible records
Domain 2 – Communication, Partnership
and Team work
• Communicate effectively
• Work constructively with colleagues and
delegate effectively
• Establish and maintain partnerships with
patients
Domain 3 – Safety and Quality
• Put into effect systems to protect patients and
improve care
• Respond to risks to safety
• Protect patients from any risk posed by your
health
Domain 4 – Maintaining Trust
• Show respect for patients
• Treat patients and colleagues fairly and without
discrimination
• Act with honesty and integrity
Review of Portfolio
• Should be given to Appraiser 2 weeks before
meeting
• If there is insufficient information for an
assessment of fitness to practice to be made
then further information is requested
Appraisal Discussion
• The Appraiser will clarify, challenge and
encourage reflection
• Progress towards Revalidation will be agreed
Appraisers will make a judgement
• At least 1 item of information relating to each
attribute – shows good practice
• As above but more required – no concern re
patient safety
• Information available demonstrates concern re
patient safety
• No information available
Appraiser makes 4 statements
• Presence or absence of immediate concerns re
fitness to practice
• Whether there is sufficient information to show
satisfactory progress towards revalidation
• Satisfactory progress with key elements of
previous year’s PDP
• Agreement with current PDP
Evaluation of Appraisal
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Form 4 to be completed – by Appraiser
Agreed with Appraisee
Appraisal signed off
Appraisee fills in Appraisee feedback form
Also:
• Reporting Form B still in use – evidence that
Appraisal has taken place – can be used for
other employers
• Form 4 stored anonymously – used for QA
Return to work after a prolonged absence
• Appraisal should occur within a month with a
view to setting goals and producing a PDP –
obviously a full portfolio will not be available
here
Information re Appraisal available at
• LNC website
• On Intranet – under Appraisal and Development
Review – click on Medical Staff Appraisal