REVALIDATION:THE BASICS

November 2011

GMC or UKPHR?

• Revalidation is not an FPH process• It is a process of the GMC and UKPHR for

people who want to retain their license to practise

• This presentation focuses on GMC process

GMC process

• Set out in law (regulations)• ..for people who want to retain their

license to practise• Based on the 4 domains of Good

Medical Practice• FPH has produced PH Specialty

guidance

UKPHR process

• UKPHR will introduce a mandatory parallel revalidation process

• Appraisal will be based on adherence to Good Public Health Practice and the the specialist public health competencies .

• It will not review clinical practice domains

Your RO recommends• RO = ‘Responsible officer’• Most FPH members will revalidate

through an NHS organisation• RO via a ‘Prescribed connection’

Who is my RO?• GMC will write to you but…

UKPHR RO

• The UKPHR will announce its process in 2012 following completion of the multidisciplinary revalidation pilot

Employed by a Local Authority

• We recognise that many PH consultants will be employed by local authorities in England

• This is an area of ‘work in progress’ being pursued nationally

Dual specialties

• This is an area of ‘work in progress’ being pursued nationally

• However, you only have one RO, who must make a recommendation to the GMC about the totality of your work

• One session per week of GP (on a 'performers list') trumps a further nine sessions in public health

Designated bodies1. Primary Care Trusts2.Local Health Boards3.National Health Service Trusts4.NHS Foundation Trusts5.Strategic Health Authorities6.Health Boards7.The Department of Health8.The Scottish Ministers9.The Welsh Ministers10.Postgraduate medical deaneries in England and Wales11.Any Scottish training governance body12.The Royal Navy13.The regular army within the meaning of section 374 of the Armed Forces Act 200614. The Royal Air Force

Designated bodies15. Special Health Boards16. Special Health Authorities17. The Common Services Agency for the Scottish Health Service18. Bodies which provide independent health care services within the meaning of section 2(5) of the Regulation of Care (Scotland) Act 2001(2) A Government department or any executive agency of a Government department19. The following locum agencies: (a) limited companies with shares owned wholly by the Secretary of State for Health, which are concerned with the contracting of locum doctors(3); and (b) locum agencies in England and Wales which are participants in the NHS Purchasing and Supply Agency’s national framework agreement for the supply of medical locums(4)20. A non-departmental public body21. Any body whose principal office is located in the United Kingdom and whose President or Dean is a member of the Academy of Medical Royal Colleges

Basic requirement

• 5 annual appraisals• ... But RO must trust (i.e. have

appointed and trained) the appraiser• Required content of appraisal

Evidence Based Appraisal

• Information about ENTIRE SCOPE of your work

• Keeping up to date• CPD and reflection

• Review of practise• Quality improvement• Significant events

• Feedback on professional practise• Colleagues• Patients and carers• Compliments and complaints

Appraisal evidence (Information about ENTIRE SCOPE of your work)

• Sign off of previous appraisal• PDP plus review• Probity• Health

Appraisal evidence(Keeping up to date)

• CPD certificate• Summary including reflection on

learning

Appraisal evidence(Review of practise)

• Clinical audit (once every 5 years)• Audit, review, re-audit

• Review of clinical outcomes• Case review or discussion ( two per annum)

• Significant events• Or nil declaration

Appraisal evidence(Feedback)

• Colleague• Patient and carer

– At least one in the revalidation cycle– ‘normally by the end of year two’

• Supervision / training feedback• Formal Complaints

FPH role• ‘Specialty specific guidance’ to ROs in

other designated bodies• The e-portfolio• But further guidance from RST due April 2012

• FPH Multi-source feedback pilot instrument• But other instruments available

• Vice president as RO for ‘waifs and strays’

Not yet live

• Still in pilot phase• Secretary of State to activate the

legislation• Go-live date is end 2012• First RO recommendations to GMC by

2017

The Basics

• GMC process not FPH• RO recommendation• Five appraisals • ...but the RO must trust the appraiser

• FPH provides ‘specialty specific guidance’

• Not live yet

Remediation

• Remediation will commence if someone fails to provide sufficient satisfactory evidence

• 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

What if I can’t be bothered?

Failure to engage

Fitness to practise

Fitness to practiseIssues that will impact on fitness to practise include:•Patient safety concerns•Failure to engage in revalidation•Undermine confidence in the profession•Conduct (which includes fraud and dishonesty among many other factors)•Performance •Health

Further information

• http://www.gmc-uk.org/doctors/revalidation.asp• http://www.publichealthregister.org.uk/revalidation• http://www.revalidationsupport.nhs.uk/• http://www.fph.org.uk/revalidation• revalidation@fph.org.uk