Revalidation: Towards implementation

1. Revalidation: Towards implementation Jon BillingsAssistant Director, Continued Practice and Revalidation

2. Revalidation is… 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 2 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

3. Revalidation requirements… 3

4. The process… 4

5. Requirements for doctors… 5

6. Minimum requirements for readiness The doctor must be participating in an annual appraisal process which has Good Medical Practiceas its focus and which covers all of their medical practice The doctor must have completed at least one of these appraisals, which has been signed off by the doctor and their appraiser The doctor must have demonstrated, through appraisal, that they have collected and reflected on the information as outlined in the GMC’s guidance Supporting information for appraisal and revalidation

7. Implementation principles

8. Recommendation options… Concerns about Fitness to Practise must be raised when they arise 8

9. Positive recommendation • a doctor’s participation in appraisal or assessment • a doctor’s collection of supporting information • any other information used to inform your recommendation • a doctor’s compliance with any GMC conditions or undertakings • a doctor’s compliance with locally agreed conditions on their practice • any unaddressed concerns about a doctor’s fitness to practise.

10. Deferral requests… 10

11. Deferral • engaged in the systems and processes that support revalidation, but there is incomplete information on which to base a positive recommendation • participating in an ongoing local HR or disciplinary process, the outcome of which you will need to consider prior to making your recommendation A deferral request is not: • an RO’s request for the GMC to delay making a decision about a doctor’s revalidation after receiving a recommendation • a route to address concerns about a doctor’s fitness to practise with the GMC • an RO’s request to delay making a recommendation while a doctor is subject to an on-going GMC fitness to practise investigation

12. Non-engagement A doctor is not engaging in revalidation where, in the absence of reasonable circumstances, they: • do not participate in the local processes and systems that support revalidation on an ongoing basis • do not participate in the formal revalidation process.

13. Suitable person…

14. Upstream Midstream Downstream Quality for RO recommendations is like quality for clinical judgements System design Professional judgement Monitoring Training Decision support Evaluation Guidance Review

15. Elements of the quality system

16. Implementation…

17. GMC support

18. Contacts GMC website http://www.gmc-uk.org/doctors/revalidation/12385.asp GMC Revalidation inquiries team 0161 923 6277 revalidation@gmc-uk.org GMC Employment Liaison Advisors http://www.gmc-uk.org/doctors/revalidation/12402.asp NHS Revalidation Support Team 0207 972 5818 http://www.revalidationsupport.nhs.uk/index.php

19. The state of medical education and practice in the UK: 2012 Exploring the barriers and enablers to good medical practice

20. Thank you