Medical Revalidation

What is revalidation?

Revalidation is the process by which doctors will have to demonstrate to the GMC, normally every five years, that they are up to date and fit to practise and complying with the relevant professional standards.

Revalidation is a new way of regulating the medical profession that will:

• provide a focus for doctors' efforts to maintain and improve their practice; • facilitate the organisations in which doctors work to support them in keeping their

practice up to date; • and encourage patients and the public to provide feedback about the medical

care they receive from doctors.

In these ways, revalidation will contribute to the ongoing improvement in the quality of medical care delivered to patients throughout the UK.

Patients and Public

The Revalidated Doctor

Individual Organisation

Revalidation will include strengthened appraisals and organisational governance. The organisation’s Responsible Officer will make a recommendation to the GMC based on the information held on each doctor.

Q. So what will happen in a “strengthened appraisal”?

A. Appraisee will provide supporting information in accordance with the GMC Good Medical Practice framework

The 4 GMC Domains1) Knowledge, skills and performance2) Safety and quality3) Communication, partnership and teamwork4) Maintaining Trust

Each domain has 3 attributes

Q. What supporting information?

A. Generic evidence set includingReview of practice (such as audit and

significant event review)Participation in continuing professional

developmentPatient and colleague feedbackSpecialist standardsPatient & colleague feedback

Organisational Readiness Self Assessment•Completed by Designated Bodies (includes PCTs) as an end of year report in May 2011 •Indication of the current state of preparation •Helps to prioritise development needs •Mid year assessments in October & December•Repeated in April/May 2012 to inform the Secretary of State’s decision regarding commencement of the revalidation.

ORSA includes:•Number of

– Doctors, Appraisers– completed and missed appraisals

•Responsible Officer – training, support•Organisational Governance Systems

– Performance, activity, quality data– Complaints– Significant events, SUIs– Clinical Audit, Compliance with national guidance [eg NICE]– Contribution to national registries

•CPD description

ORSA includes:•Appraisal Policy•Appraisers – training, support•Information sharing arrangements

– New recruits, other organisations, locum exit reports– Sharing key information with doctor

•Process for investigation and management of performance concerns•Remediation policy•Fair and non-discriminatory

What does this mean for practice managers?

Doctors will require:•annual appraisals• individual information for appraisals; audits, significant event reviews, performance data, complaints, patient & colleague feedback•Locums will also require the above plus exit reports where they have worked for more than 5 days/year

Year 2010 2011 2012 20132014etc

Quarter 1 2 3 4 1 2 3 4 1 2 3 4

Pathfinder Pilots

Responsible Officers [training]

Testing, Piloting Refinement

‘Go Live’ Decision ?Phased Implementation

PatientSafety

PatientSatisfaction

ClinicalEffectiveness

QUALITY