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Licensing, Revalidation and Registration Paul Philip – Deputy Chief Executive

Licensing, Revalidation and Registration Paul Philip – Deputy Chief Executive General Medical Council. The main reason a doctor remains on the medical register in the UK is because no-one makes a sufficiently serious complaint about them that is proved to impair their fitness to practise.

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Licensing, Revalidation and Registration Paul Philip – Deputy Chief Executive

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  1. Licensing, Revalidation and Registration Paul Philip – Deputy Chief Executive General Medical Council

  2. The main reason a doctor remains on the medical register in the UK is because no-one makes a sufficiently serious complaint about them that is proved to impair their fitness to practise.

  3. There is • No formal CPD • No regular formal assessment or competence or performance. But that is about to change…

  4. New Architecture • Registered Doctor. • Licensed Doctor. • What is the difference?

  5. Registered Doctor • No privileges to practise. • But keeps formal link with regulator. • May be involved in work affiliated to medicine (possibly sitting on tribunals or boards etc.) N.B. Not able to practise medicine as we presently understand the concept

  6. Licensed Practitioner • All privileges of present registered doctors. • But with added obligation of needing to provide evidence of being up to date and fit to practise. • Will need to undertake revalidation to maintain a licence. How will this be done?

  7. Relicensing • Revalidation is the process by which doctors will prove they are fit to be relicensed. • ‘This licence to practise will have to be renewed every five years…to bring objective assurance of continuing fitness to practise, the appraisal will include ‘summative’ elements which confirm that a doctor has objectively met the standards expected.’ • White Paper Chapter 2

  8. Relicensing • Agreed generic standards of practice set by the GMC • Revised system of appraisal with a judgement • 360 degree multi source feedback • Resolution of any known concerns • Positive affirmation of a doctor’s fitness to practise by a Responsible Officer

  9. Relicensing • The function of relicensing is to help drive quality improvements in the delivery of good care for patients • Appraisal: helping to identify developmental skills needs for delivering better care for patients • Linked to the needs of the service • Resources required to support quality improvements

  10. Licence to Practise • GMC to issue licences (as a first step towards re-licensing) ‘as soon as it is practicable to do so’. • Legislation will be in place by early 2009 to enable the GMC to introduce licensing – summer/autumn 2009 • All registered doctors will be entitled to a licence to practise but some may choose to maintain registration only • Only licensed doctors will be subject to revalidation • 240,000 registered doctors/150,000 in active practice

  11. Recertification • Standards will be drawn up for each area of specialist recertification by the RCs and specialist associations • Standards will be agreed by the GMC to ensure that they are sufficient to meet the requirements for remaining on the appropriate part of the medical register

  12. Recertification • ‘The evidence that provides the basis for specialist recertification will vary between specialties….Evidence may be drawn from a range of sources and activities, including employer appraisal, clinical audit, simulator tests, knowledge tests, patients’ feedback, continuing professional development or observation of practice’ • White Paper Paragraph 2.20

  13. Any Questions?

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