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Medical Revalidation in Wales

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Title: Medical Revalidation in Wales


1
Medical Revalidation in Wales
Dr Jane Wilkinson Chairman of WRDB Deputy Chief
Medical Officer
2
Medical Revalidation
  • Revalidation is a mechanism to allow health
    professionals demonstrate they remain up-to-date
    fit to practice
  • It is a 5 year process not a 5th year process

3
Wales Revalidation Delivery Group (WRDG)
  • The purpose of this group is to ensure that the
    processes are in place to support revalidation
    for all doctors in Wales.
  • Work of the group feeds into UK Revalidation
    Programme Board
  • Reports and makes recommendations to Director
    General HSS, CMO, Director of workforce
    organisational development.

4
Reporting structures
DH (E)
  • Set Standards for re-licensure
  • Agree Standards for recertification
  • Assure quality of local processes
  • Set policy

WAG HSS-DG
GMC
  • Strategic plan for implementation

UK Revalidation Programme Board
  • Ensure delivery of revalidation across all
    specialties and all 4 countries
  • Share knowledge Harmonise process interact with
    GMC Interact with NCAS

WRDB
LHBs etc
Private Sector
  • Set standards for recertification, subject to GMC
    agreement
  • Assure quality of processes

Health Inspectorate Wales
AoMRC Wales
Post Graduate Deanery
5
WRDB Membership
  • Dr Jane Wilkinson (chair)
  • Employers - NHS independent sector
  • BMA
  • Academy of Medical Royal College
  • GMC
  • MD rep from LHBs
  • WAG - MD of NHS , HR
  • CHCs
  • HIW
  • Deanery
  • NHS Employers Unit

6
Wales Revalidation Delivery Group (WRDG)
  • Responsibility for assessing the readiness of
    local systems of clinical governance rests with
    Delivery Boards
  • Revalidation should be a by-product of effective
    clinical governance systems operating locally
  • Criteria for assessing readiness have been agreed

7
Criteria for assessing readiness
  • All necessary legislation is in place
  • Doctors have a licence to practice
  • Responsible officers in place
  • Effective system of clinical governance in place
  • Effective system of appraisal based on GMP
    Framework is in operation

8
Criteria for assessing readiness
  • Specialist standards embedded in local appraisal
    processes
  • Local processes ready to deliver necessary
    recommendations with appropriate QA arrangements
    in place
  • Multisource feedback tools based on professional
    standards are available for use by doctors locally

9
Key work streams
  • Appraisal
  • Information Management
  • Responsible Officers
  • Remediation and Rehabilitation

10
Appraisal
  • Aim to have similar systems for all doctors
  • Revalidation in General Practice in Wales
    GMC/Deanery joint project complete
  • Pilot in secondary care Hywel Dda
  • Pilot in Independent Sector to be run
  • Training for Appraisers and Appraisees being
    developed and tested in pilots.

11
Information Management
  • Close links with the Appraisal work stream
  • Intention is to seek an information system which
    can be used by all doctors, appraisers and ROs
    in Wales.
  • Important that any systems are compatible with
    NHS systems

12
Responsible Officer
  • ROs will usually be Medical Directors already
    in place in new LHBs
  • Guidance for ROs, appraisers, appraisees and
    employers is being developed.
  • UK consultation ends October 25th
  • Wales to make own directions will be drafted
    following analysis of consultation reports
  • Legislative timetable being determined but
    intention will be to have in place by October
    2010

13
Remediation and Rehabilitation
  • Scoping of locals systems to take place
  • Needs analysis will follow
  • Local model will be developed and piloted
  • Target date for completion to this stage
    December 2010

14
Resources
  • analysis of costs of implementing revalidation
    systems will be undertaken
  • recommendations made to Minister and NHS
    Delivery Group as to how these will be met and
    revalidation supported.

15
Conclusion
  • Focus on Quality Assurance patient safety
  • Co-operation and joint working essential
  • No system will be put in place without testing
  • Wales is on track will be ready for
    implementation when rollout begins.

16
Diolch yn fawr Thank you very much
Jane.wilkinson_at_wales.gsi.gov.uk
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