1. Revalidation Present and Future Operationalisation. Zoey Spendlove Doctoral Researcher Graduate Teaching Associate (Health Policy and Management) Centre for Health, Innovation, Leadership and Learning (CHILL)

2.  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.

3. 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

4. Midwives (Band 5+6) Midwives (Band 7) Midwifery Management RegistrarConsultant/ Service Director Consultant Appraiser/ Trust Management 965754 2016 4 MidwivesDoctors Observation: Over 300 hours

5.  Organisational Level  Departmental Level  Individual Level

6.  Leadership  Clinical governance underpinning  IT infrastructure  Appraisal process

7.  Leadership  Human resource investment  Appraiser performance

8.  Ambivalence towards policy process  Individual engagement  ‘fitness to practise’ vs ‘performance management’

9.  Bureaucratic regulation rather than professional imperative  Revalidation construction  Future operationalisation

10.  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

11.  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.

12. Revalidation Present and Future Operationalisation. Zoey Spendlove Doctoral Researcher Graduate Teaching Associate (Health Policy and Management) Centre for Health, Innovation, Leadership and Learning (CHILL) University of Nottingham