Transcript Slide 1
Revalidation: Towards implementation Jon Billings Assistant Director, Continued Practice and Revalidation 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 doctor’s professionalism based on GMC core guidance Good Medical Practice Revalidation isn’t… 2 • 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 Revalidation requirements… Employers 3 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 The process… • Doctor • Appraiser Cycle of appraisal & review 4 Revalidation recommendation • Responsible Officer • General Medical Council Revalidation decision Requirements for doctors… CPD Reviewed Complaints & Compliments Quality Improvement Activity Whole practice annual appraisal based on GMP Patient Feedback Significant Events Colleague Feedback 5 Minimum requirements for readiness 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 6 Implementation principles Patient safety paramount Manageable for the service & GMC Consistent, fair & transparent implementation principles May take up to 5 years to revalidate all doctors Vast majority revalidated by March 2016 7 Driven & owned locally Representative of total population of doctors Representative of connected doctors 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 8 Positive recommendation • a doctor’s participation in appraisal or assessment • a doctor’s collection of supporting information • any other information used to inform your recommendation • a doctor’s compliance with any GMC conditions or undertakings • a doctor’s compliance with locally agreed conditions on their practice • any unaddressed concerns about a doctor’s fitness to practise. 9 Deferral requests… Providing supporting information Participating in a local or national process Insufficient information HR or investigation Information gaps 10 Performance or remediation Participating in a GMC process [revalidation placed on hold] Fitness to Practise Deferral • • engaged in the systems and processes that support revalidation, but there is incomplete information on which to base a positive recommendation participating in an ongoing local HR or disciplinary process, the outcome of which you will need to consider prior to making your recommendation A deferral request is not: • an RO’s request for the GMC to delay making a decision about a doctor’s revalidation after receiving a recommendation • a route to address concerns about a doctor’s fitness to practise with the GMC • an RO’s request to delay making a recommendation while a doctor is subject to an on-going GMC fitness to practise investigation 11 Non-engagement A doctor is not engaging in revalidation where, in the absence of reasonable circumstances, they: • • 12 do not participate in the local processes and systems that support revalidation on an ongoing basis do not participate in the formal revalidation process. Suitable person… e.g. DB employer contracting doctors for services Existing DB & RO e.g. DB taking responsibility for doctors with similar practice Suitable Person (Criteria to be finalised) Not a DB but the GMC will recognise to appoint an RO 13 e.g. PCT taking on doctors in their area GMC would want to limit extension to existing DBs and ROs Recognise there are healthcare organisations that maybe suitable Quality for RO recommendations is like quality for clinical judgements Upstream System design Training Guidance 14 Midstream Professional judgement Decision support Downstream Monitoring Evaluation Review Elements of the quality system In place are: · 15 system design, including training and guidance · · professional judgement decision support · · · monitoring evaluation review · · · · · · statutory requirements professional duties on doctors GMC Guidance training business rules and processes information systems · · · · · · · designated body governance systems RO networks GMC – contact centre, revalidation decision team GMC ELAs – local support and overview national quality standards across UK countries systems regulators and quality improvement bodies royal colleges advice and guidance Will develop processes to: · · · monitor trends in revalidation and demographic data learn from revalidated doctors later in FtP feed back to ROs on recommendations and potential inconsistencies Implementation… Jun to Oct 12 – DBs and ROs sign up to GMC Connect and Schedule 1st revalidation dates 16 Oct to Nov 12 – GMC assigns submission dates for doctors Dec 12 – Regulations come into effect subject to SoS decision Dec 12 to Mar 13 – Majority of medical leadership revalidation submissions Apr 13 onwards – Recommendati ons made for doctors GMC support 17 Contacts GMC website http://www.gmc-uk.org/doctors/revalidation/12385.asp GMC Revalidation inquiries team 0161 923 6277 [email protected] 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 18 The state of medical education and practice in the UK: 2012 Exploring the barriers and enablers to good medical practice 19 Thank you 20