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Revalidation Update

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Revalidation Update Teresa Dorman APA Linkman Meeting 18th November 2013 APA education and training committee Some documents have been updated in 2013 but the front ... – PowerPoint PPT presentation

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Title: Revalidation Update


1
Revalidation Update
  • Teresa Dorman
  • APA Linkman Meeting
  • 18th November 2013

APA education and training committee
2
The roll out of revalidation
  • Year Zero 2012/13
  • (December 3rd 2012,Secretary of State sign off,
    Legislation, Responsible Officers revalidate by
    31st March 2013.
  • Year 1 2013/14
  • Year 2 2014/15
  • Year 3 2015/16
  • The starting gun has sounded

3
Who does what in revalidation
  • Appraisers appraise
  • Responsible officers make recommendations
  • Revalidate
  • Defer
  • Failing to engage
  • The GMC revalidates

4
Whos who
  • GMC
  • Revalidation Support Team
  • (RST)
  • revalidation support team (RST)
  • the purpose of the RST is to work in partnership
    with the DH, GMC and designated bodies to deliver
    an effective system of revalidation for doctors
    in England

5
Whats what?
  • ORSA

organisational readiness (OR) the purpose of the
OR project is to prepare healthcare systems and
designated bodies in England for their role in
delivering revalidation for doctors through
appropriate training, guidance and tool.
6
Whats what?
  • MAG

7
Whats what?
  • MAG Form v3

8
Docs to read
9
Docs to read
10
Revalidation
  • It is not a point in time assessment of
    knowledge and skills .It is a five year process
    not a fifth year event.
  • A Tomlinson VP
    RCoA 2010

11
Revalidation
Portfolio of Supporting Information
Five x annual appraisals
Responsible Officer
Query
Cannot recommend revalidation
Recommend revalidation
RCoA advisor and/or GMC affiliate review and
support
General Medical Council
12
Recommendations
  • RO can make one of 3 recommendations
  • Recommendation to revalidate
  • Deferral
  • Notification of failure to engage

13
Recommendations
  • Deferral
  • Insufficient supporting information
  • Information gaps
  • Participation in a local or national process
  • HR investigation
  • Performance or remediation
  • New date must be within 12 months
  • this does not affect the license to practice

  • (Responsible Officer Protocol GMC)

14
Recommendations
  • Notification of failure to engage
  • Confirms responsible officer cannot make informed
    recommendation as the doctor hasnt engaged
  • Related to insufficient information in support of
    revalidation
  • But notification of failure to engage
  • Is not a mechanism for addressing concerns about
    fitness to practice
  • It concerns doctors who have had sufficient
    opportunity and support to engage in revalidation
    but have failed to do so
  • Is where there are no reasonable grounds for
    failure to engage.

15
GMP
  • Updated March 2013
  • Effective 22nd April 2013
  • 4 Domains
  • Matches the framework for appraisal and
    revalidation

16
GMP whats new?
  • Mentoring
  • Structured support activities (10)
  • Mentoring role for more junior colleagues (42)
  • Clinical Records (19-21)
  • Respond to risks to safety (24-27)
  • Continuity and coordination of care (44-45)
  • Communicating information (68-71)

17
GMC framework
  • Based on four domains
  • Knowledge, skills and performance,
  • Safety and quality,
  • Communication, partnership and teamwork
  • Maintaining trust.

18
Framework

Last updated 16 March 2011 1
19
Whats new about appraisal
  • Doctors are appraised on the whole of their scope
    of work
  • Clinical governance information and information
    arising from appraisal will be combined to enable
    the responsible officer to make a recommendation
    about revalidation to the GMC
  • The doctor will have to sign off statements about
    significant events, complaints, probity, health,
    the appraisal portfolio, and GMC requirements
  • The appraiser will have to sign off statements
    about engagement with appraisal, progress with
    the previous PDP and the appropriateness of the
    new PDP and GMC requirements

20
Appraisal statements
  • An appraisal has taken place that reflects the
    whole of the doctors scope of work and addresses
    the principles and values set out in Good Medical
    Practice
  • Appropriate supporting information has been
    presented in accordance with the Good Medical
    Practice Framework for appraisal and revalidation
    and this reflects the nature and scope of the
    doctors work
  • A review that demonstrates progress against last
    years personal development plan has taken place
  • An agreement has been reached with the doctor
    about a new personal development plan and any
    associated actions for the coming year.
  • no information has been presented or discussed in
    the appraisal that raises a concern about the
    doctors fitness to practise.

21
Appraisal process
  • I N P U T S

Personal information
Scope and nature of work
Supporting information
Confidential appraisal discussion
Post-appraisal sign-off by doctor and appraiser
Developmental
Review of last years personal development plan
Achievements, challenges and aspirations
Medical Appraisal Guide, RST
22
MAG form v3
  • Developed by RST
  • Meets GMC requirements for information
  • Electronic
  • Series of PDFs write and save
  • Stores appraisal history

23
Supporting Information
  • There are six types of supporting information
  • 1. Continuing professional development
  • 2. Quality improvement activity
  • 3. Significant events
  • 4. Feedback from colleagues
  • 5. Feedback from patients (where applicable)
  • 6. Review of complaints and compliments

24
Supporting information
  • General information about you and your
    professional work
  • Keeping up to date
  • Review of practice quality improvement
    activity, significant events
  • Feedback on professional practice colleague
    feedback, patient and carer feedback, complaints
    and compliments
  • http//www.rcoa.ac.uk/node/1951

25
(No Transcript)
26
CPD
  • Minimum of 50 credits p.a.
  • (250 credits in 5 years)
  • internal - min 20
  • At least 10 from clinical governance meetings
  • External - min 20
  • Mix of regional, national meetings

27
CPD matrix
  • Guide
  • Not mandatory
  • Not all inclusive / exclusive
  • Broad range of topics

28
RCoA On line CPD
  • Personal online space to record CPD activity and
    associated credits and to reflect on CPD activity
  • Keeps a running total of CPD credits annually and
    5 yearly for revalidation
  • Reporting summaries of CPD activity for
    appraisal
  • Link to all CPD activities against the RCoA
    matrix, helps identify any gaps

29
Online CPD
  • Can record absences e.g. maternity leave in a 5
    year cycle
  • The yearly CPD cycle will be set when the user
    logs in to the system for the 1st time. The day
    and month can then be selected to start the cycle
    from.
  • All data backed up automatically
  • Consultants can register online on the RCoA
    website.
  •  

30
AAGBI
  • learn_at_AAGBI
  • Personal CPD
  • Record
  • Reflection
  • Certificate

31
30. It is your responsibility to do enough
appropriate CPD to remain up to date and fit to
practice in your work. This applies whether you
are full time or part time
Most medical royal colleges and faculties have
developed CPD systems or guidance to support
doctors ....... participating in these schemes to
obtain a specific number of CPD credits over 5
years.
We dont require you to be a member of a college
or faculty CPD scheme to undertake a specific
number of hours of CPD each year or acquire a
particular number of CPD credits. However you may
find that participating in such a scheme is
helpful........
32
GMC - Reflection
  • 16 Reflection drives change in performance and is
    key to effective CPD. GMP requires you to reflect
    regularly on your standards of medical practice
  • 18 You must also reflect on what you have learnt
    from your CPD activity......record whether your
    CPD has had any impact....on your performance and
    practice

33
Reflection
  • CPD Reflective Note Guidance and Template
  • www.aomrc.org.uk/component/docman/doc_download/933
    5-
  • reflective-practice-template.html?Itemid33

34
AoMRC
35
Quality improvement activity
  • Audit cycle
  • Audit recipe book RCoA
  • Review of clinical outcomes
  • National standards
  • Individual and team practice
  • Case review or discussion
  • 2 per year
  • Reflect against national standards or guidelines
  • Evidence of discussion with peers/presentation at
    audit

36
Quality Improvement Activity
  • Can be done!

37
Significant events
  • Clinical incidents
  • SUI
  • Details based on data logged on local systems or
    national reporting systems
  • Up to 2 incidents per year
  • All SUIs or root cause analyses involved in

38
Feedback
  • Colleague
  • Patient / carer
  • On practice e.g. teaching

39
Feedback on practice
  • Clinical supervision, teaching and training
  • Evidence of performance as clinical supervisor at
    least once in cycle
  • Evidence that you meet the minimum training
    requirements of the GMC
  • ( accreditation of trainers)
  • Feedback on any formal teaching done
  • Deanery QA process

40
Feedback on practice
  • Formal complaints
  • All complaints
  • All areas of work not just patient complaints
  • Summary of issues raised AND reflection
  • Reflection will be the focus
  • Self declaration if none
  • Compliments and thanks!

41
Feedback
  • Patient and /or carers feedback
  • comply with GMC requirements
  • can take a while
  • can use departmental information e.g.
    satisfaction survey
  • Colleague feedback
  • Min 1 in 5 year cycle
  • Year 2

Can take a while
42
RCoA feedback
  • Piloting in 4 sites
  • Adults and children
  • User guide
  • Logistics guide
  • Facility for departments to collate feedback

43
Revalidation
  • 6 months check designated body information is
    correct
  • 4 months formal notice that GMC requires a
    recommendation by your revalidation date
  • 10 days if the GMC havent got a recommendation
    they tell you
  • Let you know the decision
  • Next date 5yrs minus one day from date the
    decision is made

44
The First Cycle
45
The first cycle
  • Revalidation date
  • If you havent
  • Register for GMC online account
  • Find you designated body RO
  • Contact the GMC

46
The first cycle
  • You should be
  • be participating in an annual appraisal process
  • have completed at least one appraisal with Good
    medical practice as its focus
  • have collected and reflected on all six types of
    supporting information.
  • minimum

47
Read relevant documents
  • GMC Good Medical Practice Framework for
    Revalidation and Appraisal
  • GMC Supporting Information
  • RST Medical Appraisal Guide v3
  • MAG form v3
  • RCoA Supporting Information
  • RCoA Continuing Professional Development

48
The First Cycle
  • READ!!

49
Dont Leave it to the last minute!
  • It is not a point in time assessment of
    knowledge and skills .It is a five year process
    not a fifth year event.

50
  • Any questions?
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