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
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