Una Lane's presentation at the 2015 IAMRA Revalidation Symposium

1. Outcomes/Effectiveness of
revalidation in the UK
IAMRA Revalidation Symposium
29 October 2015
Una Lane
Director
Registration and Revalidation

2. The register tells you:
 Name
 Date of Qualification
 Date of entry to
specialist register
Holding registration with a licence to practise will move from being an
historical record of educational achievement to a contemporary
affirmation of competence
What are we trying to achieve?

3. What are we trying to achieve?
 Bring all doctors into a clinical governed system
 Help to identify problems earlier
 Encourage self reflection
 Contribute to safer and higher quality care for patients

4. Revalidation – the process
This is a five year process – NOT a fifth year process

5. Revalidation: requirements for doctors
4 domains of GMP

6. Where are we now? The numbers
 Doctors subject to revalidation in
the UK: 228,609
GMC figures, as at 31 August 2015
 recommendations received by
the GMC: 144,777
 number of doctors revalidated:
118,448
 number of deferrals: 26,061
 number of notifications of non-
engagement: 268
Revalidate
Deferral
Non-engagement
Not yet received
recommendation

7. Early evidence of impact?
 94% of licensed doctor in the UK now connected to a designated
organisation/Responsible Officer
 Appraisal rates for all doctors have increased significantly
 e.g. from 64% (2011) to 87% (2015) for NHS consultants
 Anecdotal claims of earlier identification of concerns – strong
support among Responsible Officers
 24,795 doctors have chosen to give up their licence to practise
 Suspended approval of recommendations in three organisations
 Removed 1,890 licences due to failure to engage with the process
as a whole (e.g. providing no information to GMC)

8. What Responsible Officers say
 “Revalidation for me is central to the quality agenda
that I am pushing in this hospital”
 “….allowed me to develop a far better understanding
of what my doctors are actually doing in the hospital
and elsewhere - I feel more assured”
 “….there is clearly a move towards better sharing of
information around doctors’ whole scope of practice
…. this is a direct result of revalidation”
 “In short, fewer bolt holes for doctors with
unaddressed concerns to disappear into.”

9. What Responsible Officers say

10. What others say
 86% of doctors who had been revalidated believed they
were treated fairly throughout the revalidation process
 34% of doctors who had been revalidated indicated that
they were reflecting more on their work than a year ago
 73% of employers said they felt that doctors were reflecting
more on their practice compared to 12 months ago and
 59% of employers said they felt that doctors were more
aware of how to apply the principles in Good medical
practice compared to a year ago.
 Over 2 million patients have provided feedback to their
doctors

11. How will we know it’s working?
 Bring all doctors into a clinical governed system
 Help to identify problems earlier
 Encourage self reflection
 Contribute to safer and higher quality care for patients
Evaluation
 UK Medical Revalidation Evaluation Collaboration (UMbRELLA)

12. The future of revalidation
Revalidation the next phase?
 More integrated with team performance
 More objective data
 More linked to specialist expectations
 Easier to complete
 Safety and quality increasingly recognised as critical everywhere
 Data drives patients, professionals and providers to different
behaviours
 Various systems for re-certification, re-licensure around the
world.

13. Thank you
ulane@gmc-uk.org
www.gmc-uk.org/revalidation