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 bodies 1. Primary Care Trusts 2.Local Health Boards 3.National Health Service Trusts 4.NHS Foundation Trusts 5.Strategic Health Authorities 6.Health Boards 7.The Department of Health 8.The Scottish Ministers 9.The Welsh Ministers 10.Postgraduate medical deaneries in England and Wales 11.Any Scottish training governance body 12.The Royal Navy 13.The regular army within the meaning of section 374 of the Armed Forces Act The Royal Air Force

Designated bodies 15. Special Health Boards 16. Special Health Authorities 17. The Common Services Agency for the Scottish Health Service 18. 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 department 19. 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 body 21. 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

Issues 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