Revalidation Present and Future Operationalisation.

Zoey Spendlove

Doctoral ResearcherGraduate Teaching Associate (Health Policy and Management)

Centre for Health, Innovation, Leadership and Learning (CHILL)

Potentially marks one of the largest and most significant developments in the history of health professional regulation.

Dearth of research exploring the implementation process and subsequent impact of revalidation upon professional groups…

This presentation discuss emergent findings of real-time research

observing the organisational operationalisation of revalidation.

explore the factors which have influenced the interpretation and construction of revalidation, posing recommendations for future operationalisation.

Revalidation………

How is revalidation being implemented within the

organisation and subsequently in maternity

services, and how does this compare with

national recommendations

Trust Management, Obstetric consultants, Obstetric

registrars, Medical Management, Midwifery Management, Band 5,6,7

Midwives

Observation, Interview, Interpretive documentary

analysis

How are plans for revalidation being

received and constructed within maternity services

Obstetric consultants, Obstetric registrars, Medical

management, Midwifery Management, Band

5,6,7,midwives

Observation, Interview, Interpretive documentary

analysis

How is the introduction of revalidation impacting upon inter-professional roles, relationships and

dynamics within maternity services

Obstetric consultants, obstetric registrars, Medical

management, Midwifery management, Band 5,6,7

midwives

Observation, Interview

Research

Question

Personnel

Methods

Ethnographic Approach

Midwives (Band 5+6)

Midwives(Band 7)

Midwifery Management

Registrar Consultant/Service Director

Consultant Appraiser/Trust Management

9 6 5 7 5 4

20 16

4

Interviews: Total 36

Midwives Doctors

Observation: Over 300 hours

Organisational Level

Departmental Level

Individual Level

Emergent Findings

Leadership

Clinical governance underpinning

IT infrastructure

Appraisal process

Organisational Level

Leadership

Human resource investment

Appraiser performance

Departmental Level

Ambivalence towards policy process

Individual engagement

‘fitness to practise’ vs ‘performance management’

Individual Level

Bureaucratic regulation rather than professional imperative

Revalidation construction

Future operationalisation

Implications

For revalidation to be integral to organisational regulatory processes and fostered as a professional imperative, organisations require

◦ effective leadership and professional ownership◦ robust clinical governance processes◦ sufficient financial and human resource

investment◦ standardised revalidation processes

Concluding remarks

If revalidation is to achieve its intended impact

◦ Organisations require additional support and guidance in overcoming identified barriers to its operationalisation

◦ Organisations must work together with regulators to ensure uniformity of revalidation policy implementation.

Concluding remarks

Revalidation Present and Future Operationalisation.

Zoey Spendlove

Doctoral ResearcherGraduate Teaching Associate (Health Policy and Management)Centre for Health, Innovation, Leadership and Learning (CHILL)

University of Nottingham