Get ready for revalidationAGM 2012, London Olympia22 November 2012
Get ready for revalidation• Revalidation: towards implementationJon Billings, General Medical Council• Doctors’ experiences of revalidationDr Anita Donley, NHS Revalidation SupportTeam• Preparing for revalidation: informationand supportDr Ian Starke, Royal College of Physicians• Your questions2
Revalidation: towardsimplementationJon 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 PracticeRevalidation 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 4
Statutory framework RO regs – since Jan 2011 Revalidation regs – from Dec 20125
How revalidation works: the process For doctors in training • Trainee • Panel Regular ARCP/RITA6
Requirements for doctors(not trainees) Pursuit of excellence Recognising human factors • Knowledge, skills and performance • Safety and qualityOpenness Seeking comparators • Communication, partnership and teamwork Disclosure Reflection • Maintaining trust Learning Valuing peers Commitment to improving Showing insight
Doctors’ experiences ofrevalidationDr 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 Teamwww.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 designatedbodies• 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 inMAG takes nine hours. This is no longer than previous systems.• Public and patient involvement : Patients felt proposed model would meettheir needs, expectations and concerns. Many assumed system similar torevalidation already existed.• Doctors in training pilot : Trainees found modified ARCP process piloted wasfair, efficient and took very little extra time. However, employers found completion ofexit reports for each trainee time-consuming and resource intensive.• Colleague and patient feedback study : Doctors most positive whenappraiser discusses colleague and patient feedback with them. They strongly prefera known and trusted colleague to deliver feedback.
Medical appraisal Inputs Outputs Scope of PDP workSupporting Appraisal Portfolio Confidential Summary ofinformation sign off review discussion discussion Last PDP& appraisal summary Appraiser statement Other
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.