PREPARING FOR REVALIDATION

Licences issued Revalidation pilots ongoing to test the whole process – completion March 2011 Responsible Officers – to be in place by October 2010 although legislation has not gone through Parliament yet

Responsible Officer Expected to be Medical Director but will need support Business case to go to Board asap At end of each 5 year Revalidation cycle will recommend to GMC that Doctor is fit for revalidation – will be based on 5 satisfactory appraisals

RO contd Will work with regional GMC Affiliates

APPRAISERS Senior Doctors – Consultants and SAS Drs Interviewed - Job description and person specification - and trained – expected to do 10 appraisals each year Attend regular training and support groups Time in Job Plan Have annual review by Appraisal Lead

The Appraisal Process Secure and Confidential Medical Lead, Administrator and Steering group Written guidance for Appraisers and Appraisees System regularly reviewed as national guidance changes – annual self assessment and eventually external reviews every 3 years System quality assured

Preparing for Appraisal Administrator contacts Appraisee 3 months before appraisal due – this should take place within 12 months of the last one Appraiser allocated – can refuse x1 Appraiser not necessarily from same speciality Same Appraiser can be used up to 3 times Appointment arranged preferably in SPA time – details given to administrator

Preparation contd Prior to the Appraisal Appraisee must meet with CD for a job plan review and completion of Form A ( This includes assessment of Royal College Standards and draft PDP) Advice re documentation to be included in portfolio is available

Document preparation NHS Toolkit to be used preferably All the Doctor’s practice should be included- NHS and Private Clinical work Educational roles – educational supervisors should include form recommended by NACT Management roles Research interests Dr at Rugby club or races etc

Documents to be included Evidence to support the domains of Good Medical Practice and your speciality standards- map the evidence to the relevant standard – remember revalidation is a 5 year cycle – do not have to do it all in 1 year

Other documents required Include Form A – meeting with CD Your report from Complaints dept – 4Cs SUIs – not currently happening 360 MSF – once during Revalidation cycle

Documents mapped to GMP

NEW DOMAINS OF GOOD MEDICAL PRACTICE FOR THE FUTURE

Domain 1 – Knowledge Skills and Performance Maintain Professional Performance Apply knowledge and experience to practice Keep clear, accurate and legible records

Domain 2 – Communication, Partnership and Team work Communicate effectively Work constructively with colleagues and delegate effectively Establish and maintain partnerships with patients

Domain 3 – Safety and Quality Put into effect systems to protect patients and improve care Respond to risks to safety Protect patients from any risk posed by your health

Domain 4 – Maintaining Trust Show respect for patients Treat patients and colleagues fairly and without discrimination Act with honesty and integrity

Review of Portfolio Should be given to Appraiser 2 weeks before meeting If there is insufficient information for an assessment of fitness to practice to be made then further information is requested

Appraisal Discussion The Appraiser will clarify, challenge and encourage reflection Progress towards Revalidation will be agreed

Appraisers will make a judgement At least 1 item of information relating to each attribute – shows good practice As above but more required – no concern re patient safety Information available demonstrates concern re patient safety No information available

Appraiser makes 4 statements Presence or absence of immediate concerns re fitness to practice Whether there is sufficient information to show satisfactory progress towards revalidation Satisfactory progress with key elements of previous year’s PDP Agreement with current PDP

Evaluation of Appraisal Form 4 to be completed – by Appraiser Agreed with Appraisee Appraisal signed off Appraisee fills in Appraisee feedback form

Also: Reporting Form B still in use – evidence that Appraisal has taken place – can be used for other employers

Form 4 stored anonymously – used for QA

Return to work after a prolonged absence Appraisal should occur within a month with a view to setting goals and producing a PDP – obviously a full portfolio will not be available here

Information re Appraisal available at LNC website On Intranet – under Appraisal and Development Review – click on Medical Staff Appraisal