Transcript Slide 1
REVALIDATION: THE BASICS April 2012 Basic requirement • 5 annual appraisals • Required content of appraisal • Appraiser must be ‘approved’ – (More on this later) GMC or UKPHR? • Revalidation is not an FPH process • It is a process of the GMC and UKPHR for people who want to retain their license to practise GMC process • Set out in law (regulations) • ..for people who want to retain their license to practise • Based on 5 annual appraisals UKPHR process • Mandatory • … for people who wish to remain registered with UKPHR • Based on 5 annual appraisals Evidence Based Appraisal • • Information about ENTIRE SCOPE of your work Keep up to date • • Review your practise • • • CPD and reflection Quality improvement Significant events Get feedback • • • Colleagues Patients and carers Compliments and complaints Appraisal evidence (Information about ENTIRE SCOPE of your work) • Probity • Health • Sign off of previous appraisal • PDP plus review Appraisal evidence (Keeping up to date) • CPD certificate • Summary including reflection on learning Appraisal evidence (Review of practice) • Clinical audit* (once every 5 years) • Audit, review, re-audit • Case review or discussion ( every year - two per annum) • Significant events • Or nil declaration Appraisal evidence (Feedback) • Colleague • Supervision / training feedback • Formal Complaints • Multi source feedback* – At least once in the revalidation cycle – ‘normally by the end of year two’ The ‘RO’ system - GMC • Applies to GMC revalidation • ‘Prescribed connection’ in law to ‘designated body’ • RO of your designated body recommends (or not) your revalidation to GMC • RO also appoints and train appraisers Who is my RO? - GMC • Laid down in law – no choice • “Prescribed connection” • GMC will write to you but… UKPHR RO? • UKPHR may or may not use an RO system • The UKPHR will announce its process in 2012 following completion of the multidisciplinary revalidation pilot Designated bodies 1. Primary Care Trusts 2. Local Health Boards 3. National Health Service Trusts 4. NHS Foundation Trusts 5. Strategic Health Authorities 6. Health Boards 7. The Department of Health 8. The Scottish Ministers 9. The Welsh Ministers 10.Postgraduate medical deaneries in England and Wales 11.Any Scottish training governance body 12.The Royal Navy 13.The regular army within the meaning of section 374 of the Armed Forces Act 2006 14. The Royal Air Force Designated bodies 15. Special Health Boards 16. Special Health Authorities 17. The Common Services Agency for the Scottish Health Service 18. Bodies which provide independent health care services within the meaning of section 2(5) of the Regulation of Care (Scotland) Act 2001(2) A Government department or any executive agency of a Government department 19. The following locum agencies: (a) limited companies with shares owned wholly by the Secretary of State for Health, which are concerned with the contracting of locum doctors(3); and (b) locum agencies in England and Wales which are participants in the NHS Purchasing and Supply Agency’s national framework agreement for the supply of medical locums(4) 20. A non-departmental public body 21. Any body whose principal office is located in the United Kingdom and whose President or Dean is a member of the Academy of Medical Royal Colleges Employed by a Local Authority? • Many PH consultants in England will be employed by local authorities • DH has indicated that local authorities in England will be ‘designated bodies’ (but no timescale set) • ?Honorary contracts with PHE? Dual specialties • ‘Work in progress’ - being pursued nationally • You only have one RO, who must make a recommendation to the GMC about the totality of your work • One session per week of GP (on a 'performers list') trumps a further nine sessions in public health FPH role • ‘Specialty specific guidance’ to ROs in other designated bodies • The e-portfolio • But further guidance from RST due April 2012 • FPH Multi-source feedback pilot instrument • But other instruments available • Vice president as RO for ‘waifs and strays’ Not yet live • Still in pilot phase • Secretary of State to activate the legislation • Go-live date is end 2012 Summary • GMC or UKPHR process not FPH • Five ‘enhanced’ appraisals by an approved appraiser • FPH provides ‘specialty specific guidance’ • Not live yet Timeline • Summer 2012: SoS assessment of organisational readiness in UK • Dec 2012: Legislation enabled • Dec 2012: Revalidation begins • March 2013: ROs revalidated • March 2014: Recommendations to regulators begin (20%) • March 2016: All doctors revalidated Preparation • Continue CPD • Annual appraisals with PDP as output • Gather evidence: – General information – providing context about what you do in all aspects of your work – Keeping up to date – maintaining and enhancing the quality of your professional work – Review of your practice – evaluating the quality of your professional work – Feedback on your practice – how others perceive the quality of your professional work What if I can’t be bothered? Failure to engage Fitness to practise Fitness to practise Issues that will impact on fitness to practise include: • Patient safety concerns • Failure to engage in revalidation • Undermine confidence in the profession • Conduct (which includes fraud and dishonesty among many other factors) • Performance • Health Remediation • Remediation will commence if someone fails to provide sufficient satisfactory evidence • A locally driven process with full compliance as the most likely outcome • Indications of impaired Fitness to Practise in the view of the RO will be referred to the regulator Further information • http://www.gmc-uk.org/doctors/revalidation.asp • http://www.publichealthregister.org.uk/revalidation • http://www.revalidationsupport.nhs.uk/ • http://www.fph.org.uk/revalidation • [email protected]