Transcript Slide 1

Revalidation
Adapted from ARCP CHAIR TRAINING
Background
• Revalidation for Trainee Doctors began on 3rd
December 2012 for any trainees applying for CCT.
• The GMC will expect the Deanery/LETB to revalidate a
minimum of 20% of Trainees in the first year (2013) and
then ensure that all East Midlands Trainees are
revalidated by the end of March 2016.
• Revalidation will begin from FY2 (once trainees are
registered with the GMC) and is a 5 yearly cycle or at
CCT (whichever comes sooner).
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• The process to revalidate trainees will be delivered by
enhancing the existing ARCP process. The ARCP
process will begin with the collection of evidence that
will assist the Responsible Officer. Additional
information will be required from employers (SUIs and
complaints, etc.) and will be reported to the panel.
• The panel will then need to:
a) decide on fitness to progress in training (ARCP)
b) comment on whether they have identified any
known concerns regarding fitness to practice,
based on evidence viewed.
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Process - 1
• The GMC have commented that the current ARCP
process delivers 70% of the information that will be
required by the Responsible Officer to revalidate
trainees. This information will already be available
within the Deanery/LETB, and is already viewed by
panels, to inform the Responsible Officer.
• The further 30% of the information required will be
from employers and trainees. This will come from
Employers who will need to highlight any complaints/
investigations/SUIs that have occurred for individual
trainees or for Employers to confirm there are “No
Known Concerns” with an individual trainee’s fitness
to practice.
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Process - 2
• The remaining information will come from trainees, who
need to self-declare aspects of their practice via an
Enhanced Form R, on an annual basis.
The following diagram details:
• How the process for Revalidation will operate and how
the ARCP panel fits within that process.
• How the connection between the work of the ARCP panel
and the annual collation of evidence will inform the
Responsible Officer’s recommendation to revalidate an
individual trainee on a 5 year cycle.
• N.B. The evidence will be held centrally within the
Deanery/LETB office so it is available for the Responsible
Officer at the trainee’s revalidation date.
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REVALIDATION: THE ARCP PANEL’S COMMENT ON FITNESS TO PRACTICE
•
Trainee completes an enhanced Form R
(self-declaration) annually.
•
Form R identifies all work undertaken in
last year, plus any SUI’s/ complaints/
outstanding investigations.
•
This form is sent to the Deanery/LETB
EDUCATIONAL EVIDENCE
(e-portfolio, ES reports, etc. – info
currently collected)
For Revalidation
comment: Essential
ENHANCED
FORM R
For Revalidation
comment: Use if
present, not yet
essential*
EMPLOYER EXIT
REPORT
For Revalidation
comment: Use if
present, not yet
essential*
1) Panel gives an educational progression outcome (Outcomes 1-9) as before.
2) Panel now also comments on “fitness to practice”. The comment is based on the
evidence presented at the ARCP panel only. Comment either:
•
Responsible Officer at employer base
receives a spreadsheet from the
Deanery/LETB detailing all trainees in
employment at that time.
•
Responsible Officer (employer) indicates
for each trainee whether there are “no
known concerns” or any issues that need
highlighting. This is done on the
‘Collective Exit Report’.
•
For trainees where there are issues or
concerns, an ‘Exception Exit Report’
(known as a ‘Grey Form’) is completed.
•
This is completed by the employer’s
Medical Director (or delegate) to
highlight details of the concerns with a
trainee’s “fitness to practice”.
No evidence of concerns presented to this panel today and…
• …all expected evidence was seen by this panel, {or}
• …the following expected evidence was not seen by this panel:
{PLEASE DETAIL EXPECTED EVIDENCE NOT SEEN, IF ANY}
OR
Yes, this panel has been presented with evidence of concern(s), the
details of which are as follows:
{+ DETAIL CONCERNS}
NB: In the case of an adjournment (e.g. the two-week adjournment for an Outcome 5 to
allow time for evidence to be gathered), any comment made in the original ARCP can be
superceded by a comment made based on new evidence when the panel reconvenes.
NB: Any concerns raised or missing evidence identified will be reviewed/investigated by
the APD and the Deanery’s Revalidation Coordinator. They will then be raised with the
Responsible Officer or Deputy Dean (as appropriate) for further action if required. The
panel can only comment on evidence presented to them, and can feel reassured that if
they state ‘no concerns but _____ evidence not seen by panel’, this evidence will be
pursued and assessed by the Responsible Officer and Deanery before the R.O. makes any
decision about her recommendation to the GMC.
NB: In the case of a missing Educational Supervisor’s report, the R.O. will not make a
Revalidation recommendation until an ES Report is acquired and reviewed by a
subsequent panel.
* Valid only for 2013 as introductory measure. Form R and Exit
Report may become essential in 2014
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What this means to a panel
• There is a standard set of national documents that all
Deaneries/LETB must use for both ARCPs and
Revalidation.
• A COPMED Trainee Revalidation Steering Group are
nationally developing the process of transferring data
between Responsible Officers, for trainees who move to a
another Deanery/LETB, which the Deanery/LETB will be
expected to adhere to once defined.
• This group will also be responsible for collating feedback
nationally that may further develop the process, systems
or documents that we will be expected to use for
Revalidation.
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2013
First time to try this……….
• Locally we will contact all East Midlands trainees on 1st
April 2013 to request completion of an Enhanced Form
R on their practice and we will be doing this routinely
on an annual basis.
• All Trust Chief Executives and Medical Directors within
the East Midlands will also be contacted and asked to
provide information on current trainee’s fitness to
practice. N.B. Employers will be asked to confirm that
there are “No Known Concerns” with an individual
trainee or there are “Concerns”. Concerns may be due
to current or pending investigations. This will be a
twice yearly activity at pre-defined time periods.
• Again information will be held within the
Deanery/LETB and sent to panels when the trainee is
to be assessed.
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• Within the Deanery/LETB we need to receive this data
from trainees and employers by the end of April in
order for us to deliver the requirements of
revalidation.
• The Deanery/LETB will filter this information which will
then be passed on to the ARCP panels who will record
any comments on the ARCP form. This will be the
mechanism to then communicate information back to
the Deanery/LETB.
• ARCP Chairs can assist greatly with this process by
completing the ARCP Request Form, ensuring that all
trainees that they intend to assess at a panel are
detailed and that this form is received well in advance
of the panel.
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Working with the GMC
• This is a new initiative and new teams have been
established at the GMC to deliver this.
• The Deanery/LETB works with the GMC to ensure that
all East Midlands trainees have been allocated
revalidation dates. The GMC have determined the
dates they wish a trainee revalidated by.
• The GMC has written to all East Midlands trainees to
inform them if their revalidation date is this year.
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Current Issues
• Some Trusts have experienced difficulty in providing
information requested on SUIs and complaints and
have highlighted that they require time to develop
their systems to deliver this. Current systems do
not attribute SUIs to individuals. The exception to
this is GMC referrals, which they are able to
attribute to the individual. This will mean that there
will be gaps in the information that Trusts hold and
can send until they develop the mechanisms and
systems to support recording this information.
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Current Issues
• Some Trusts are currently looking at recruiting
dedicated roles to assist with delivering Revalidation
on an organisation wide basis. The Deanery/LETB will
need to link individuals in the LETB with these
roles/teams in the future so information can be shared.
This will assist in joining up Deanery/LETB and Trust
activities for Revalidation.
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Further work that will assist ARCP
Chairs
• Training and documentation is being developed to assist
Educational Supervisors in ensuring that their reports
now account for professional conduct and behaviour in
addition to educational competence and skill. This will
improve the reports and enhance the information
submitted to the panel.
• These tools will be launched in April 2013 and released
to the Chairs of Panels and Heads of School to cascade
to their Training Programme Directors and Educational
Supervisors.
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Questions
• What evidence would help you complete the
educational/academic supervisors reports to
meet revalidation requirements?
• Can you foresee any problems for trainees
completing the Enhanced Form R?
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