PREPARING FOR REVALIDATION

• Licences issued• Revalidation pilots ongoing to test the whole

process – completion March 2011• Responsible Officers – to be in place by October

2010 although legislation has not gone through Parliament yet

Responsible Officer

• Expected to be Medical Director but will need support

• Business case to go to Board asap• At end of each 5 year Revalidation cycle will

recommend to GMC that Doctor is fit for revalidation – will be based on 5 satisfactory appraisals

RO contd

• Will work with regional GMC Affiliates

APPRAISERS

• Senior Doctors – Consultants and SAS Drs• Interviewed - Job description and person

specification - and trained – expected to do 10 appraisals each year

• Attend regular training and support groups• Time in Job Plan• Have annual review by Appraisal Lead

The Appraisal Process

• Secure and Confidential• Medical Lead, Administrator and Steering group• Written guidance for Appraisers and Appraisees• System regularly reviewed as national guidance

changes – annual self assessment and eventually external reviews every 3 years

• System quality assured

Preparing for Appraisal

• Administrator contacts Appraisee 3 months before appraisal due – this should take place within 12 months of the last one

• Appraiser allocated – can refuse x1• Appraiser not necessarily from same speciality• Same Appraiser can be used up to 3 times• Appointment arranged preferably in SPA time –

details given to administrator

Preparation contd

• Prior to the Appraisal Appraisee must meet with CD for a job plan review and completion of Form A ( This includes assessment of Royal College Standards and draft PDP)

• Advice re documentation to be included in portfolio is available

Document preparation

• NHS Toolkit to be used preferably• All the Doctor’s practice should be included-

• NHS and Private Clinical work• Educational roles – educational supervisors should

include form recommended by NACT• Management roles• Research interests• Dr at Rugby club or races etc

Documents to be included

• Evidence to support the domains of Good Medical Practice and your speciality standards-map the evidence to the relevant standard – remember revalidation is a 5 year cycle – do not have to do it all in 1 year

Other documents required

• Include Form A – meeting with CD• Your report from Complaints dept – 4Cs• SUIs – not currently happening• 360 MSF – once during Revalidation cycle

• Documents mapped to GMP

NEW DOMAINS OF GOOD MEDICAL PRACTICE FOR THE FUTURE

Domain 1 – Knowledge Skills and Performance

• Maintain Professional Performance• Apply knowledge and experience to practice• Keep clear, accurate and legible records

Domain 2 – Communication, Partnership and Team work

• Communicate effectively• Work constructively with colleagues and

delegate effectively• Establish and maintain partnerships with

patients

Domain 3 – Safety and Quality

• Put into effect systems to protect patients and improve care

• Respond to risks to safety• Protect patients from any risk posed by your

health

Domain 4 – Maintaining Trust

• Show respect for patients• Treat patients and colleagues fairly and without

discrimination• Act with honesty and integrity

Review of Portfolio

• Should be given to Appraiser 2 weeks before meeting

• If there is insufficient information for an assessment of fitness to practice to be made then further information is requested

Appraisal Discussion

• The Appraiser will clarify, challenge and encourage reflection

• Progress towards Revalidation will be agreed

Appraisers will make a judgement

• At least 1 item of information relating to each attribute – shows good practice

• As above but more required – no concern re patient safety

• Information available demonstrates concern re patient safety

• No information available

Appraiser makes 4 statements

• Presence or absence of immediate concerns re fitness to practice

• Whether there is sufficient information to show satisfactory progress towards revalidation

• Satisfactory progress with key elements of previous year’s PDP

• Agreement with current PDP

Evaluation of Appraisal

• Form 4 to be completed – by Appraiser• Agreed with Appraisee• Appraisal signed off• Appraisee fills in Appraisee feedback form

Also:

• Reporting Form B still in use – evidence that Appraisal has taken place – can be used for other employers

• Form 4 stored anonymously – used for QA

Return to work after a prolonged absence

• Appraisal should occur within a month with a view to setting goals and producing a PDP – obviously a full portfolio will not be available here

Information re Appraisal available at

• LNC website• On Intranet – under Appraisal and Development

Review – click on Medical Staff Appraisal