Trainee Revalidation. Confirmation of trainee revalidation principles. Introduction to the trainee...

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Trainee Revalidation

Transcript of Trainee Revalidation. Confirmation of trainee revalidation principles. Introduction to the trainee...

Trainee Revalidation

• Confirmation of trainee revalidation principles.

• Introduction to the trainee revalidation logo.

• The logo purpose; to assist in highlighting the guidance and information applicable to the trainee revalidation process.

Trainee Revalidation

• The Deanery and Local Education Providers are working together to ensure the process is streamlined.

• For the most up to date information please visit the Northern Deanery website

www.northerndeanery.nhs.uk

Session Aims

The aims of this presentation are;

• To inform stakeholders about the principles of revalidation.

• To provide an overview of the trainee revalidation process.

The Key Messages

• It is what trainees are already doing.

• It is minimal additional paperwork.

• It is to enhance patient safety.

Acronyms used in Revalidation

GMC Revalidation definition

The GMC defines revalidation as;

“Our new way of regulating licenced Doctors that will give extra confidence to patients that their Doctors are up to

date and fit to practice”

Revalidation start date

The start date for national revalidation was; 3rd December 2012.

RO’s (Responsible Officers) were revalidated first,

this will have taken place between the 3rd December 2012 and the 31st March

2013.

GMC Process overview

Recommendation options

*Fitness to practice concerns must be raised in real time

Revalidation domains for Doctors

• Knowledge, Skills and Performance.

• Safety and Quality.

• Communication, partnership and team work.

• Maintaining Trust.

Supporting documentation

This supporting documentation is to be gathered by

all Licensed Doctors.

Trainee Revalidation is different….

Why is Trainee Revalidation Different?

There is already a robust ARCP process in place.

Is additional evidence required?

• Trainees gather NO additional evidence.

• Trainees must continue to collect evidence, as is usual practice, for their ARCP portfolio.

• Requirement is to demonstrate competencies required by Curriculum (currently).

How does the Revalidation process work for trainees?

There are two processes to consider:

1. Educational Process 2. Revalidation Process

These processes run in parallel and compliment each other.

ARCP Panel and Chair role in process

Process 1 - the Educational process:

The Chair and Panel review the ARCP evidence and award an outcome – as is current practice.

ARCP Panel and Chair in process

Process 2 - the Revalidation process:

Once the ARCP Chair and Panel have awarded an outcome, the Chair will then review the clinical governance information (3 key documents) prior to completing the Enhanced ARCP Outcome Form. The Chair and Panel then complete 2 additional questions, explained in more detail shortly.

Process 2 – Revalidation: documentationThe documentation is completed as follows: • Exit Report – For completion by the LEP.

• Enhanced Form R - For completion by the trainee.

• The Educational Supervisor Annual ARCP Report (2 additional questions) - For completion by the Educational/Clinical Supervisor.

• Enhanced Outcome Form (2 additional questions) – For completion by the ARCP Panel Chair.

These documents are subject to change as the process progresses however, they are currently active

1. Exit Report - LEP

• This documentation is completed by the LEP (Local Education Provider).

• It is then submitted to the PSU at the end of the each rotation. The PSU then support this process.

Trainee Forename Trainee Surname GMC Number Employer / Host Training

Organisation

Specialty Grade Dates of Employment Involved in conduct, capability or Formal Serious Untoward Incidents/ Significant Event Investigation or named in complaints (Please state YES or NO)

Start Date End Date

Of the trainees listed above, I confirm that I have included an Exception Exit Report for each of the trainees involved in

conduct, capability or formal Serious Untoward Incidents/ Significant Event Investigation or named in complaints whilst employed with us, either as a trainee doctor or as a locum, on the dates specified.

Signature Date Full name Job Title Name of the Organisation

Name of the Medical Director (If the signatory is not the MD)

(To be completed by the Employer/ Host Training Organisation. In the case of GP trainees in a primary care placement this would be completed by the PCT/ Organisation responsible for maintaining the local GP Performance List.)

1. Exit Report - LEP

The Exit Report consists of two parts:

1. The Collective Exit Report - Completed bi-annually or when the trainee leaves the LEP.

2. The Exception Exit Report - This is a more detailed report which is only completed if the trainee has been involved in an investigation (closed or open) by the LEP.

2. Enhanced Form R - TraineeThis is a self declaration covering;

• Full scope of practice.

• Involvements in any SUIs/Significant events (closed or still under investigation).

• Compliments and complaints.

• Probity.

• Health.

2. Enhanced Form R –

TraineeThe trainees complete a Form R when they register with the Deanery, and again if their details change.

As of Dec 3rd 2012 all trainees must complete the Enhanced Form R annually

• The form will be sent to the trainee at least 6 weeks prior to the ARCP panel.

• It must be returned by the trainee to their SPC at least 2 weeks prior to the ARCP.

2. Enhanced Form R - Trainee• Enhanced Form R includes Scope of Practice.

• This section enables you to list all locum and non-NHS work as a doctor (even if with your current employer) completed over the past year.

Self Declaration to be completed by TraineeScope of Practice –

Since your last ARCP or if no ARCP since GMC full registration, please list, any past and present employers/HTO placements/ time out of programme/ advisory/ voluntary roles or any other activity undertaken in your capacity as a registered medical practitioner including all locum and non NHS work even if these are with current employer/HTO. (Please add more rows if required).

Type of Work (OOP/clinical/non-clinical etc.) Start Date End date Details of Employing/ Hosting Organisation/GP Practice

Significant Events - The GMC state that a significant event (also known as an untoward or critical incident) is any unintended or unexpected event, which could or did lead to harm of one or more patients. This includes incidents which did not cause harm but could have done, or where the event should have been prevented. All doctors as part of revalidation are required to record and reflect on Significant events in their work with the focus on what you have learnt as a result of the event/s.

Please note that you do not need to list any significant events that were not investigated.

3. The Educational Supervisor Annual ARCP Report• The Educational Supervisor annual ARCP report is an

important part of both the ARCP and the Revalidation process.

• It is completed by the Educational Supervisor prior to a trainees ARCP panel.

• Depending upon the specialty, some Clinical Supervisors may be responsible for completing this report.

3. The Educational Supervisor Annual ARCP ReportA meeting is held to complete this report with the Educational Supervisor and the trainee.

The aims of this meeting are;

• To review the portfolio of evidence.

• Generate discussion e.g. Successes; SUI; Incidents; Concerns; Reflection (declared on the Enhanced Form R).

• Facilitate the joint completion of the report.

The aims of the Annual Report are to;

• Summarise and document any discussions.• Signpost the evidence in the ARCP portfolio.• Document any strengths, concerns including;

Successes; SUIS; Incidents; concerns. • Review reflection on the above.• Recommend areas for development.

3. The Educational Supervisor Annual ARCP Report

There are 2 additional questions in the Educational Supervisor Annual ARCP Report:

• Most development areas will be picked up in the current Educational process.

• The trigger point in answering ‘Yes’ or ‘No’ to the question below is ‘if the trainee has been involved in a Trust level investigation’.

3. The Educational Supervisor Annual ARCP Report

Details of concerns/investigations:

Are you aware if this trainee has been involved in any conduct, capability or Serious Untoward Incidents/ Significant Event Investigation or named in any complaint?

Yes/ No

If so are you aware if it has/ these have been resolved satisfactorily with no unresolved concerns about a trainee’s fitness to practice or conduct?

Yes/No

Comments, if any:

The section below is only applicable for the Clinical/Educational Supervisor of a GP trainee in a primary care placement:If there is an unresolved concern or conduct, capability/ SUI investigation or a complaint for this trainee please complete the Exception Exit Report and notify the Deanery

Process 2 - Triangulation of Evidence at the ARCP Panel

ARCP Panel Chair

1. Exit Report2. Enhanced Form

R 3. Educational

Supervisor Annual ARCP Report

Process 2 – Reaching an outcomeEducati

onal Supervi

sors Report

Enhanced

Form R

LEP Exit

Report

Enhanced

Outcome Form

No concer

n

No concer

n

Yes concer

n

Yes concer

n

Any concerns will be monitored by the PSU

4. ARCP Panel Chair –

Process 2The ARCP panel chair completes the enhanced part of the outcome form from the documentation provided.

Trainee Forename: Trainee Surname: GMC No:

Expected CCT / CESR (CP):Specialty Training Programme:

NTN/DRN: GMC Training Prog Approval No:

Date of previous Revalidation (if applicable): Date of expected Revalidation:

Members of the Panel & appt (Lay, TPD, External, Academic etc)

1. 2.3. 4.

5. 6.

Date of Review:

Period covered: From: To:

Year of Training 1, 2, 3, 4, 5, 6, 7, 8

Grade of training programme reviewed ACF / ACL /CL / CT / ST / FTSTA LAT

or Other (Please State)…………………………………………………..

Trainee Revalidation

Relies upon the following key aspects;

• The current ARCP processes being undertaken proficiently throughout the year.

• The timely completion and return of the Enhanced Form R.

• The timely return of LEP Exit Reports.

When does the Revalidation process begin?• For most trainees this will be at the beginning of FY2.

• For trainees in Locum Appointment for Service (LAS) posts the process will begin in FY1.

• Non UK trainees may enter the programme later so their process will begin: Once they are fully registered.

What are the timescales?

From the 1st of April 2013 trainees will

revalidate on a 5 year cycle or

at CCT date, whichever is sooner.

Standard 5 year cycleFY 2 •Full Registration – process begins

• ARCP Evidence & Clinical Governance

Year 2 •ARCP Evidence & Clinical Governance

Year 3 •ARCP Evidence & Clinical Governance

Year 4 •ARCP Evidence & Clinical Governance

Year 5 •ARCP evidence & Clinical Governance - Revalidation

Year 1 •NEW 5 year cycle begins

3 year cycle

FY2 •Full Registration – process begins•ARCP evidence & Clinical Governance

Year 2 •ARCP evidence & Clinical Governance

Year 3 •ARCP evidence & Clinical Governance

Year 4 •ARCP evidence & Clinical Governance - Revalidate at CCT

Year 1 •5 year Cycle begins

7 year cycleFY2 • Full Registration – Process begins -

• ARCP Evidence & Clinical governance

Year 2 • ARCP Evidence & Clinical Governance

Year 3 • ARCP Evidence & Clinical Governance

Year 4 • ARCP Evidence & Clinical Governance

Year 5• ARCP Evidence & Clinical Governance –

Revalidation Year 1 • ARCP evidence & Clinical Governance

Year 2• ARCP Evidence & Clinical Governance – Revalidate at CCT

Year 1 • 5 year cycle begins

Key messages

• It is what trainees are already doing • It is minimal additional paperwork • It is to enhance patient safety

Remember If you are unsure, please ask

Further information can be found via

Northern Deanery website http://www.northerndeanery.nhs.uk/NorthernDeanery/deans-office/revalidation

The GMC website http://www.gmc-uk.org/doctors/revalidation.asp

Deanery Revalidation Lead: Aliy [email protected]

Telephone: (0191) 275 4710