Get ready for revalidationAGM 2012, London Olympia22 November 2012

Get ready for revalidation

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• Revalidation: towards implementationJon Billings, General Medical Council

• Doctors’ experiences of revalidationDr Anita Donley, NHS Revalidation Support Team

• Preparing for revalidation: information and support Dr Ian Starke, Royal College of Physicians

• Your questions

Revalidation: towards implementationJon Billings, Assistant Director – RevalidationGeneral Medical Council

Revalidation is:• Part of a wider system of measures to promote

improvements in safety and quality• Intended to ensure all medical practice takes place

within a governed environment• A positive affirmation of a doctor’s professionalism

based on GMC core guidance Good Medical Practice

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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

Statutory framework

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RO regs – since Jan 2011 Revalidation regs – from Dec 2012

How revalidation works: the process

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How revalidation works: the process

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Regular ARCP/RITA

• Trainee• Panel

For doctors in training

Requirements for doctors(not trainees)

Requirements for doctors(not trainees)

• Knowledge, skills and performance

• Safety and quality

• Communication, partnership and teamwork

• Maintaining trust

Requirements for doctors(not trainees)

Openness

Disclosure

Showing insight

Learning

Pursuit of excellence

Reflection

Valuing peers

Commitment to improving

Recognising human factors

Seeking comparators

First revalidation cycle: how it wil l work

Doctors’ experiences of revalidationDr Anita Donley OBE, Medical DirectorNHS Revalidation Support Team

Revalidation

• ‘…supporting, quality assuring and improving the practice of the vast majority of doctors who already perform to an acceptable standard ’ (2006)

NHS Revalidation Support Team

www.revalidationsupport.nhs.uk

Developing, piloting and testingObjectives of RST Testing and Piloting project (2011-12) were to:• inform implementation of revalidation• inform development of guidance for doctors and designated bodies• provide information to inform Department of Health (England) business case for revalidation.

Developing, piloting and testing: what RST found• Medical Appraisal Guide (MAG) pilot : Appraisal for revalidation set out in MAG takes nine hours. This is no longer than previous systems. • Public and patient involvement : Patients felt proposed model would meet their needs, expectations and concerns. Many assumed system similar to revalidation already existed.• Doctors in training pilot : Trainees found modified ARCP process piloted was fair, efficient and took very little extra time. However, employers found completion of exit reports for each trainee time-consuming and resource intensive.• Colleague and patient feedback study : Doctors most positive when appraiser discusses colleague and patient feedback with them. They strongly prefer a known and trusted colleague to deliver feedback.

Medical appraisal

Inputs Outputs

Confidentialdiscussion

Portfolioreview

PDP

Appraisal sign off

Summary of discussion

Appraiser statement

Other

Last PDP& appraisal summary

Scope of work

Supporting information

Still some challenges • Locums• SAS doctors • Information• Organisations

Organisational readiness: ORSA 2011-12• High level of engagement in ORSA exercise (95% response rate from

designated bodies).• Substantial progress made between 2010-11 and 2011-12.• Improvements in all measured key indicators.

Key findings:• 82% of doctors linked to organisations ready to support them with

revalidation.• Almost 100% doctors had a responsible officer.• Overall appraisal rate rose to 73%, with significant increases reported

for every grade of doctor. 

Action plans • Designated bodies in England produced action plans by the end of

July 2012 to ensure systems ready by December.• Progress against plans monitored by SHA clusters, working closely

with designated bodies.• NHS RST supporting SHA clusters with this process.

Preparing for revalidation: information and supportDr Ian Starke, Medical Director for RevalidationRoyal College of Physicians

Revalidation: a personal view

• Revalidation for me:– A realistic challenge– How good is “good enough”?– The importance of effective appraisal– The retention of the “excellence” agenda

• Revalidation for my service:– How can revalidation drive quality of care?– How will we know that revalidation is “working”?

Preparing for revalidation

• GMC requirements and specialty guidance• NHS Revalidation Support Team on appraisal• Your RO, appraiser and date• Supporting information for the first cycle

– Continuing professional development – Quality improvement activity – types of audit– Significant events – Feedback from colleagues and patients– Review of complaints and compliments

• Trainees and SAS doctors

Support available from Colleges

• Establishment of helpdesks – e-mail / FAQs• Specialty training of advisers for doctors, appraisers

and ROs• Tools for the job:

– E-portfolio to record supporting information– Colleague and patient feedback tools– Personal clinical audit tool– Clinical guidelines and CPD opportunities

• Monitor experience of doctors and appraisers.

Your questions

Thank you for coming• Visit us on Stand No. B94

• Find out more at www.gmc-uk.org/ready4reval

• Email revalidation@gmc-uk.org