Transcript Slide 1

January 2013
What is revalidation?
• Revalidation is not an FPH process
• Revalidation is the process whereby
you will:
• a) maintain your GMC licence to
• b) maintain your place on the UK Public
Health Specialist Register
• Revalidation is a five-year cycle based
on annual appraisal
• Annual appraisal to discuss entire scope
of practice
• Specific inputs and outputs
• Recommendation is made to the
regulator once every five years
Basic requirement
• Connect to a Responsible Officer
• Annual appraisal meeting based on a
discussion of supporting information
from your entire scope of practice
provided against the Framework of
Good Medical Practice (applies to GMC
and UKPHR).
Who is my RO?
• Connection to the RO is prescribed.
There is no choice
• Usually via your employer (or PHE for
LA employees)
• If in training: your Deanery
• You only have one RO, who will make a
recommendation to the GMC about the
totality of your work
The ‘RO’ system - GMC
• ‘Prescribed connection’ to ‘designated
body’ is set in law (i.e. no choice)
• RO of your designated body makes a
recommendation to the GMC
• GMC sets revalidation date
The ‘RO’ system - UKPHR
• ‘Prescribed connection’ to ‘designated
body’ is same as GMC (i.e. no choice)
• RO of your designated body makes a
recommendation to the UKPHR
• UKPHR sets revalidation date
Evidence-based Appraisal
Information about ENTIRE
SCOPE of your work
Keep up to date
Review your practise
CPD and reflection
Quality improvement
Significant events
Compliments and complaints
Get feedback
Patients and carers
Supporting Information
The supporting information that you will need to bring
to your appraisal will fall under four broad headings:
• 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.
Supporting Information
There are six types of supporting information that you
will be expected to provide and discuss at your
appraisal at least once in each five-year cycle. They are:
1. Continuing professional development
2. Quality improvement activity
3. Significant events
4. Feedback from colleagues
5. Feedback from patients (if you see patients)
6. Review of complaints and compliments
General Information
(Information about ENTIRE SCOPE of your work)
Employment (all work)
Probity declaration
Health declaration
Sign off of previous appraisal
PDP plus review
Keeping up to date
• CPD certificate
• Summary of CPD for the current year
including reflection on learning
• Any statutory or mandatory training
Review of practice
• Quality Improvement activity*
• Audit, review, re-audit (once every 5 years)
• Case review or discussion (two per annum)
• Significant events
• Or nil declaration
• Multi source feedback from colleagues
and patients*
– At least once in the revalidation cycle
– RO decides which tool to use
• Review of Complaints and Compliments
• Can also include supervision / training
Portfolio of evidence
• Electronic portfolio recommended
• Your responsibility to keep records for
the entire cycle – including when you
move jobs
• RO will decide what system to use
Who is my appraiser?
• Appointed by your RO
• Must be properly trained in the new
system of appraisal
• May or may not be a doctor
• May or may not be public health
RO recommendations
There are three types of
recommendations an RO can make:
1. Positive recommendation
2. Deferral request
3. Notification of non-engagement
Readiness criteria
In order to be ready to have a revalidation
recommendation made to the regulator you will have
to fulfil the following criteria:
• You must be participating in an annual appraisal
process which has Good Medical Practice as its focus
and which covers all of your professional practice.
• You must have completed at least one appraisal,
with Good Medical Practice as its focus, which has
been signed off by you and your appraiser.
• You must have demonstrated, through appraisal,
that you have collected and reflected on the six
types of required supporting information
Minimum requirements
Evidence of continuing professional development, review of significant events
and review of complaints and compliments must relate to the 12 month period
prior to the appraisal that precedes any revalidation recommendation.
Evidence of regular participation in quality improvement activities that
demonstrates the individual reviews and evaluates the quality of their work
must be considered at each appraisal. The activity should be relevant to the
individual's current scope of practice.
Evidence of feedback from patients and colleagues must have been undertaken
no earlier than five years prior to the first revalidation recommendation and be
relevant to the individual’s current scope of practice.
Feedback from patients and colleagues that does not fully meet the criteria set
by the GMC may also be included but must have been:
o Focused on the individual, their practice and the quality of care delivered
o Gathered in a way that promotes objectivity and maintains confidentiality
Team-based information may also meet the requirements where no
individualised information is available for quality improvement activities,
significant events or complaints and compliments - as long as there is evidence
of reflection on what this information means for their individual practice.
Dual specialties
• One session per week of GP (on a
'performers list') trumps a further nine
sessions in public health
• Appraisal will focus on entire scope of
practice – your responsibility to include
evidence from all roles
• Talk to your appraiser about your CPD
Academic appraisal
• The current guidance remains
unchanged: Follett principles to be
• Joint appraisal acceptable
• If you hold an honorary contract with
an NHS Trust or health Board, you will
revalidate through them
• If not, it will be PHE
Crown Dependencies
• Jersey, Guernsey and the Isle of Man
are all due to have organisations
granted ‘designated body’ status
Working overseas
• If you continue to hold your licence to
practise while practising overseas, you will
need to revalidate via connection to a UK
• However, you may not need a licence to
practise if you practise entirely outside of the
UK. You may decide it is better to give it up
and apply to have your licence restored if you
need it at some point in the future. More
information about giving up and restoring
your licence is available on the GMC website.
FPH role
• ‘Specialty specific guidance’
– To Fellows and Members
– to ROs and appraisers in other designated
• Vice president is RO for Fellows and
Members with no other ‘prescribed
What to do now
• 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 (including fraud and dishonesty among
many other factors)
• Performance
• Health
• Remediation will commence if someone
fails to provide sufficient satisfactory
• 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
• FPH will not fund remediation
Further information
• [email protected]