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PREPARING FOR REVALIDATION

PREPARING FOR REVALIDATION. Licences issued Revalidation pilots ongoing to test the whole process – completion March 2011 Responsible Officers – to be in place by October 2010 although legislation has not gone through Parliament yet. Responsible Officer.

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PREPARING FOR REVALIDATION

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  1. PREPARING FOR REVALIDATION

  2. Licences issued • Revalidation pilots ongoing to test the whole process – completion March 2011 • Responsible Officers – to be in place by October 2010 although legislation has not gone through Parliament yet

  3. Responsible Officer • Expected to be Medical Director but will need support • Business case to go to Board asap • At end of each 5 year Revalidation cycle will recommend to GMC that Doctor is fit for revalidation – will be based on 5 satisfactory appraisals

  4. RO contd • Will work with regional GMC Affiliates

  5. APPRAISERS • Senior Doctors – Consultants and SAS Drs • Interviewed - Job description and person specification - and trained – expected to do 10 appraisals each year • Attend regular training and support groups • Time in Job Plan • Have annual review by Appraisal Lead

  6. The Appraisal Process • Secure and Confidential • Medical Lead, Administrator and Steering group • Written guidance for Appraisers and Appraisees • System regularly reviewed as national guidance changes – annual self assessment and eventually external reviews every 3 years • System quality assured

  7. Preparing for Appraisal • Administrator contacts Appraisee 3 months before appraisal due – this should take place within 12 months of the last one • Appraiser allocated – can refuse x1 • Appraiser not necessarily from same speciality • Same Appraiser can be used up to 3 times • Appointment arranged preferably in SPA time – details given to administrator

  8. Preparation contd • Prior to the Appraisal Appraisee must meet with CD for a job plan review and completion of Form A ( This includes assessment of Royal College Standards and draft PDP) • Advice re documentation to be included in portfolio is available

  9. Document preparation • NHS Toolkit to be used preferably • All the Doctor’s practice should be included- • NHS and Private Clinical work • Educational roles – educational supervisors should include form recommended by NACT • Management roles • Research interests • Dr at Rugby club or races etc

  10. Documents to be included • Evidence to support the domains of Good Medical Practice and your speciality standards-map the evidence to the relevant standard – remember revalidation is a 5 year cycle – do not have to do it all in 1 year

  11. Other documents required • Include Form A – meeting with CD • Your report from Complaints dept – 4Cs • SUIs – not currently happening • 360 MSF – once during Revalidation cycle

  12. Documents mapped to GMP

  13. NEW DOMAINS OF GOOD MEDICAL PRACTICE FOR THE FUTURE

  14. Domain 1 – Knowledge Skills and Performance • Maintain Professional Performance • Apply knowledge and experience to practice • Keep clear, accurate and legible records

  15. Domain 2 – Communication, Partnership and Team work • Communicate effectively • Work constructively with colleagues and delegate effectively • Establish and maintain partnerships with patients

  16. Domain 3 – Safety and Quality • Put into effect systems to protect patients and improve care • Respond to risks to safety • Protect patients from any risk posed by your health

  17. Domain 4 – Maintaining Trust • Show respect for patients • Treat patients and colleagues fairly and without discrimination • Act with honesty and integrity

  18. Review of Portfolio • Should be given to Appraiser 2 weeks before meeting • If there is insufficient information for an assessment of fitness to practice to be made then further information is requested

  19. Appraisal Discussion • The Appraiser will clarify, challenge and encourage reflection • Progress towards Revalidation will be agreed

  20. Appraisers will make a judgement • At least 1 item of information relating to each attribute – shows good practice • As above but more required – no concern re patient safety • Information available demonstrates concern re patient safety • No information available

  21. Appraiser makes 4 statements • Presence or absence of immediate concerns re fitness to practice • Whether there is sufficient information to show satisfactory progress towards revalidation • Satisfactory progress with key elements of previous year’s PDP • Agreement with current PDP

  22. Evaluation of Appraisal • Form 4 to be completed – by Appraiser • Agreed with Appraisee • Appraisal signed off • Appraisee fills in Appraisee feedback form

  23. Also: • Reporting Form B still in use – evidence that Appraisal has taken place – can be used for other employers

  24. Form 4 stored anonymously – used for QA

  25. Return to work after a prolonged absence • Appraisal should occur within a month with a view to setting goals and producing a PDP – obviously a full portfolio will not be available here

  26. Information re Appraisal available at • LNC website • On Intranet – under Appraisal and Development Review – click on Medical Staff Appraisal

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