Andy Tomlinson Revalidation Lead Royal College of Anaesthetists

1. Revalidation update and the new CPD matrix Andy Tomlinson Revalidation Lead Royal College of Anaesthetists AAGBI Congress Edinburgh 2011

2. Revalidation: Why?

3. Revalidation update and the CPD matrix • What is revalidation? • Medical appraisal • Supporting Information • Continuing professional development and the matrix • What should you be doing now?

4. What is Revalidation? “A new process to assure patients, the public, employers and other healthcare practitioners that licensed doctors are up to date and fit to practise.” Revalidation: The Way Ahead GMC Consultation Paper March 2010

5. Revalidation…..is a continuing cycle One revalidation cycle Strengthened appraisal Strengthened appraisal Strengthened appraisal Strengthened appraisal Strengthened appraisal Strengthened appraisal Strengthened appraisal Strengthened appraisal Strengthened appraisal Strengthened appraisal Another revalidation cycle …..for each/every professional lifetime

6. Revalidation model Portfolio of Supporting Information Five x yearly appraisals Responsible Officer Query Cannot recommend revalidation Recommend revalidation RCoAadviser and/or GMC ELA review and support General Medical Council

7. Revalidation….is coming to us all In 2012 provided: • Responsible Officers appointed • Effective clinical governance systems in place • Effective annual medical appraisal • Agreed core supporting information • Agreed strategy for remediation

8. Revalidation for Doctors: Health Committee • Must ensure: • Implemented by 2012 • Consistency of appraisal • Administrative burden placed on doctors not excessive • Patient and colleague feedback is embedded HC 557 8th February 2011

9. Appraisal • Discussion/constructive dialogue at the heart of appraisal • Key appraiser skills • Support, guide, challenge (constructively) • Based on supporting information • Balance • Assessment (Revalidation) • Support (Personal development) • Recognise/respond to patient safety concerns

10. Appraisal Current best practice • Clinical and non-clinical aspects mapped to GMP • CPD reviewed against • Core topics • Job plan • Matching of job plan to Trust needs • Increased use of MSF • PDP taking account of the above

11. Appraisal Current best practice • Clinical and non-clinical aspects mapped to GMP • CPD reviewed against • Core topics • Job plan • Match job plan to Trust needs • Increased use of MSF • PDP taking account of the above Appraisal for revalidation • ‘Whole practice’ referenced to four domains of GMP • Judgements on: • Adequacy of supporting informationincluding: • CPD • Quality of practice • Learning from complaints • MSF • Clinical risks/safety • Progress towards revalidation • Match job plan to Trust needs • PDP taking account of the above

12. GMC Good Medical Practice Framework www.gmc-uk.org/GMP_framework_for_appraisal_and_revalidation.pdf_41326960.pdf

13. Good Medical Practice Framework • Must be used by individual doctors to: • Reflect on practice/approach to medicine • Reflect on Supporting Information and what it demonstrates • Identify areas for improvement/further development • Demonstrate they are ‘up to date and fit to practise’

14. Supporting information www.gmc-uk.org/Supporting_information__2_.pdf_39974163.pdf

15. Core supporting information • Information that all doctors should provide

16. Core supporting information • Information that all doctors should provide • General information • Providing context about your ‘whole’ practice • Keeping up to date • Maintaining/enhancing quality of professional work • Review of practice • Evaluating the quality of your practice • Feedback on professional practice • How quality of professional practice is perceived by others

17. Core supporting information • Information that all doctors should provide • General information • Providing context about your ‘whole’ practice • Keeping up to date • Maintaining/enhancing quality of professional work • Review of practice • Evaluating the quality of your practice • Feedback on professional practice • How quality of professional practice is perceived by others Specialty specific advice added

18. Specialty specific supporting information

19. Supporting Information:Feedback on professional practice www.gmc-uk.org/Colleague_and_patient_questionnaires.pdf_41683779.pdf

20. Specialty feedback on professional practice www.rcoa.ac.uk/docs/peer_patFeedback2011.pdf

21. Supporting Information: CPD www.rcoa.ac.uk/docs/CPD_2010.pdf

22. CPD Matrix (Clinical) • Three levels: • Level One • Restricted area of essential knowledge • Level Two (Knowledge and skills) • Directly related to on-call activity • Level Three(Knowledge and skills) • Directly related to special interest clinical activity www.rcoa.ac.uk/docs/CPD_2010.pdf

23. (New) CPD Matrix: level one (L1) Level 1 covers the core knowledge areas expected of all those who have trained as anaesthetists. The CPD evidence for this level will be largely ‘internal’ and may be obtained from reviews/reflection of personal clinical practice utilising records of clinical activity, e-learning material, reading and local hospital departmental meetings.

24. (New) CPD Matrix: level one (L1)

25. (New) CPD Matrix: level two (L2) Level 2 CPD topics should reflect the whole of the individual’s clinical practice including on-call responsibilities in non-specialist centres. The CPD evidence for this level may be provided, in part, by updates from local experts but it will also include the need for more ‘external’ CPD activity through attendance at courses and meetings.

26. (New) CPD Matrix: level two (L2)

27. CPD credits and activities • Minimum of 50 credits per year with some flexibility • Internal • Minimum 20 credits • Minimum of 10 from local clinical governance meetings • External • Minimum 20 credits • RCoA encourages wide range of activities

28. Revalidation: What should I be doing now?

29. Revalidation: What should I be doing now? Ask the following of your Trust • Is there a robust appraisal process? • Sufficient “Trained” appraisers • A hospital-wide appraisal development process?

30. Revalidation: What should I be doing now? Ask the following of your Trust • Is there a robust appraisal process? • Sufficient “Trained” appraisers • A hospital-wide appraisal development process? • Is there robust Clinical Governance?

31. Revalidation: What should I be doing now? Ask the following for yourself • Am I: • collating/organising relevant supporting information? • developing a CPD portfolio mapped to professional guidance? • How am I involved in Quality Assurance and Improvement?

32. Further advice or guidance? andy.tomlinson@doctors.org.uk Or dliu@rcoa.ac.uk