Revalidation: Towards implementation CPE-IPAC meeting, October 2012

Revalidation is… Part of a wider system of measures to promote improvements in safety and quality Intended to ensure that all medical practice is conducted within a governed system Positive affirmation of a doctor’s fitness to practise based on GMC core guidance Good Medical Practice Positive recommendation from a responsible officer 1

Revalidation isn’t… A test or exam with a pass or fail outcome A new way to raise concerns about a doctor The only purpose or output of appraisal or training assessment

Holding a Licence to Practise All doctor’s who hold full registration with a Licence to Practise are required to revalidate. The Licence to Practise allows doctors to exercise certain privileges in the UK, for example to work as a doctor in the NHS, sign death certificates and write prescriptions. It’s important to note that doctor’s are able to hold full registration with the GMC without a Licence to Practise. Holding a Licence to Practise applies only to UK medical practice has no legal standing outside of the UK - it’s the registration that provides the evidence of good standing with the GMC. 3

Requirements for doctors… Whole practice annual appraisal based on GMP CPD Quality Improvement Activity Significant Events Colleague Feedback Patient Feedback Reviewed Complaints & Compliments

How ready is ready? The doctor must be participating in an annual appraisal process which has Good Medical Practice as its focus and which covers all of their medical practice The doctor must have completed at least one of these appraisals, which has been signed off by the doctor and their appraiser The doctor must have demonstrated, through appraisal, that they have collected and reflected on the information as outlined in the GMC’s guidance Supporting information for appraisal and revalidation

The recommendation… Doctor Appraiser Responsible Officer Cycle of appraisal & review Responsible Officer Revalidation recommendation General Medical Council Revalidation decision

Recommendation options… Responsible Officer recommendation Revalidation Request for more time (defer) Failure to engage Concerns about Fitness to Practise must be raised when they arise

Deferral requests… Providing supporting information Insufficient information Information gaps Participating in a local or national process HR or investigation Performance or remediation Participating in a GMC process [revalidation placed on hold] Fitness to Practise

Notification of non-engagement… Confirms RO cannot make an informed recommendation as the doctor has not engaged in revalidation Not a mechanism for addressing concerns about a doctor’s fitness to practise Like deferrals Relates to insufficient information in support of a doctor’s revalidation Unlike deferrals Concerns doctors who have had sufficient opportunity and support to engage in revalidation, but failed to do so No reasonable grounds for failure to engage

Making recommendations

Revalidation requirements… Employers Appointed an RO Provided support to the RO Robust local systems Responsible Officers Robust local systems & processes Aware of all the doctors they are responsible for Provide doctors access to supporting information Doctors Collecting all their supporting information Reflecting on their practice Engaging in whole practice appraisal

Implementation principles Consistent, fair & transparent implementation principles Patient safety paramount Driven & owned locally Representative of connected doctors Representative of total population of doctors Vast majority revalidated by March 2016 May take up to 5 years to revalidate all doctors Manageable for the service & GMC

Scheduling

Check your list of doctors via GMC Connect Scheduling steps GMC 17 Sept – 3 Dec GMC assigns submission dates to doctors Responsible Officer 25 Jun – 6 July Sign up to GMC Connect Responsible Officer 25 July – 14 Sept Schedule doctors to cohorts (quarters/years) using submission spreadsheets on GMC Connect Responsible Officer 25 Jun – 20 July Check your list of doctors via GMC Connect GMC operational activity

GMC support

Contacts RO Protocol http://www.gmc-uk.org/doctors/revalidation/13631.asp GMC website http://www.gmc-uk.org/doctors/revalidation/12385.asp GMC Revalidation inquiries team 0161 923 6277 revalidation@gmc-uk.org GMC Employment Liaison Advisors http://www.gmc-uk.org/doctors/revalidation/12402.asp NHS Revalidation Support Team 0207 972 5818 http://www.revalidationsupport.nhs.uk/index.php

www.gmc-uk.org/revalidation 0161 923 6602 17

Professor Malcolm Lewis, Chair - Continued Practice, Revalidation and Registration Board