Trainee Revalidation

1. Trainee Revalidation

2. Confirmation of trainee revalidation principles. • Introduction to the trainee revalidation logo. • The logo purpose; to assist in highlighting the • guidance and information applicable to the • trainee revalidation process.

3. Trainee Revalidation • The Deanery and Local Education Providers are working together to ensure the process is streamlined. • For the most up to date information please visit the Northern Deanery website www.northerndeanery.nhs.uk

4. Session Aims The aims of this presentation are; • To inform stakeholders about the principles of revalidation. • To provide an overview of the trainee revalidation process.

5. The Key Messages • It is what trainees are already doing. • It is minimal additional paperwork. • It is to enhance patient safety.

6. Acronyms used in Revalidation

7. GMC Revalidation definition The GMC defines revalidation as; “Our new way of regulating licenced Doctors that will give extra confidence to patients that their Doctors are up to date and fit to practice”

8. Revalidation start date The start date for national revalidation was; 3rd December 2012. RO’s (Responsible Officers) were revalidated first, this will have taken place between the 3rdDecember 2012 and the 31stMarch 2013.

9. GMC Process overview

10. Recommendation options *Fitness to practice concerns must be raised in real time

11. Revalidation domains for Doctors • Knowledge, Skills and Performance. • Safety and Quality. • Communication, partnership and team work. • Maintaining Trust.

12. Supporting documentation This supporting documentation is to be gathered by all Licensed Doctors.

13. Trainee Revalidation is different…. Why is Trainee Revalidation Different? There is already a robust ARCP process in place.

14. Is additional evidence required? • Trainees gather NO additionalevidence. • Trainees must continue to collect evidence, as is usual practice, for their ARCP portfolio. • Requirement is to demonstrate competencies required by Curriculum (currently).

15. How does the Revalidation process work for trainees? There are two processes to consider: 1. Educational Process 2. Revalidation Process These processes run in parallel and compliment each other.

16. ARCP Panel and Chair role in process Process 1 - the Educational process: The Chair and Panel review the ARCP evidence and award an outcome – as is current practice.

17. ARCP Panel and Chair in process Process 2 - the Revalidation process: Once the ARCP Chair and Panel have awarded an outcome, the Chair will then review the clinical governance information (3 key documents) prior to completing the Enhanced ARCP Outcome Form. The Chair and Panel then complete 2 additional questions, explained in more detail shortly.

18. Process 2 – Revalidation: documentation The documentation is completed as follows: • Exit Report – For completion by the LEP. • Enhanced Form R - For completion by the trainee. • The Educational Supervisor Annual ARCP Report (2 additional questions) - For completion by the Educational/Clinical Supervisor. • Enhanced Outcome Form (2 additional questions) – For completion by the ARCP Panel Chair. These documents are subject to change as the process progresses however, they are currently active

19. 1. Exit Report - LEP • This documentation is completed by the LEP (Local Education Provider). • It is then submitted to the PSU at the end of the each rotation. The PSU then support this process. (To be completed by the Employer/ Host Training Organisation. In the case of GP trainees in a primary care placement this would be completed by the PCT/ Organisation responsible for maintaining the local GP Performance List.)

20. 1. Exit Report - LEP The Exit Report consists of two parts: • The Collective Exit Report - Completed bi-annually or when the trainee leaves the LEP. 2. The Exception Exit Report - This is a more detailed report which is only completed if the trainee has been involved in an investigation (closed or open) by the LEP.

21. 2. Enhanced Form R - Trainee This is a self declaration covering; • Full scope of practice. • Involvements in any SUIs/Significant events (closed or still under investigation). • Compliments and complaints. • Probity. • Health.

22. 2. Enhanced Form R – Trainee The trainees complete a Form R when they register with the Deanery, and again if their details change. As of Dec 3rd 2012 all trainees must complete the Enhanced Form R annually • The form will be sent to the trainee at least 6 weeks prior to the ARCP panel. • It must be returned by the trainee to their SPC at least 2 weeks prior to the ARCP.

23. 2. Enhanced Form R - Trainee • Enhanced Form R includes Scope of Practice. • This section enables you to list all locum and non-NHS work as a doctor (even if with your current employer) completed over the past year.

24. 3. The Educational Supervisor Annual ARCP Report • The Educational Supervisor annual ARCP report is an important part of both the ARCP and the Revalidation process. • It is completed by the Educational Supervisor prior to a trainees ARCP panel. • Depending upon the specialty, some Clinical Supervisors may be responsible for completing this report.

25. 3. The Educational Supervisor Annual ARCP Report A meeting is held to complete this report with the Educational Supervisor and the trainee. The aims of this meeting are; • To review the portfolio of evidence. • Generate discussion e.g. Successes; SUI; Incidents; Concerns; Reflection (declared on the Enhanced Form R). • Facilitate the joint completion of the report.

26. 3. The Educational Supervisor Annual ARCP Report The aims of the Annual Report are to; • Summarise and document any discussions. • Signpost the evidence in the ARCP portfolio. • Document any strengths, concerns including; Successes; SUIS; Incidents; concerns. • Review reflection on the above. • Recommend areas for development.

27. 3. The Educational Supervisor Annual ARCP Report There are 2 additional questions in the Educational Supervisor Annual ARCP Report: • Most development areas will be picked up in the current Educational process. • The trigger point in answering ‘Yes’ or ‘No’ to the question below is ‘if the trainee has been involved in a Trust level investigation’.

28. Process 2 - Triangulation of Evidence at the ARCP Panel

29. Process 2 – Reaching an outcome Any concerns will be monitored by the PSU

30. 4. ARCP Panel Chair – Process 2 The ARCP panel chair completes the enhanced part of the outcome form from the documentation provided.

31. Trainee Revalidation Relies upon the following key aspects; • The current ARCP processes being undertaken proficiently throughout the year. • The timely completion and return of the Enhanced Form R. • The timely return of LEP Exit Reports.

32. When does the Revalidation process begin? • For most trainees this will be at the beginning of FY2. • For trainees in Locum Appointment for Service (LAS) posts the process will begin in FY1. • Non UK trainees may enter the programme later so their process will begin: Once they are fully registered.

33. What are the timescales? From the 1st of April 2013 trainees will revalidate on a 5 year cycle or at CCT date, whichever is sooner.

34. Standard 5 year cycle

35. 3 year cycle

36. 7 year cycle

37. Key messages • It is what trainees are already doing • It is minimal additional paperwork • It is to enhance patient safety Remember If you are unsure, please ask

38. Further information can be found via Northern Deanery website http://www.northerndeanery.nhs.uk/NorthernDeanery/deans-office/revalidation The GMC website http://www.gmc-uk.org/doctors/revalidation.asp Deanery Revalidation Lead: Aliy Brown Northerndeanery.traineerevalidation@nhs.net Telephone: (0191) 275 4710