Revalidation – the first year

Dr D G Black FRCGP

Medical Director

NHS Nottinghamshire & Derbyshire Area Team

January 2014

• Statutory function of all NHS Designated Bodies

• Revalidation & Appraisal

• Fitness to Practice

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Responsible Officers

This means that

• To carry out their functions, responsible officers will need to

ensure:

• they maintain a list of doctors they are responsible for;

• there is an integrated system for monitoring doctors’ performance,

recognising good practice, encouraging and supporting

development and learning;

• effective systems and processes of appraisal are in place; and

• appropriate action is taken to remedy identified areas of poor

performance

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First Steps

• Register with GMC Online

• Ensure that you have a responsible officer

• Know your revalidation date

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Read the GMC Guidance

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Read the RCGP Guidance

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http://www.rcgp.org.uk/revalida

tion-and-cpd/new-revalidation-

guidance-for-gps.aspx

And the guidance says:• Ensure that your annual appraisals are conducted

properly with Good Medical Practice as their focus.

• Use an electronic portfolio or MAG form to collect your supporting information for appraisal and revalidation.

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and

• Record your CPD and PDP objectives and outcomes.

• If you haven’t participated in a Patient or Colleague Feedback survey in the past two years, plan to do one.

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And more

• Ensure that you are participating in annual quality improvement activity, providing SEAs or individual case reviews each year

• If you haven’t completed a full-cycle clinical audit or quality improvement project since April 2011, plan to do one.

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Requirements for a positive recommendation

• you have participated in an annual appraisal process that has covered your full scope of work, and that you and your appraiser have signed off appraisals that have had Good Medical Practice as their focus since the start of revalidation in December 2012

• you have brought to your appraisals appropriate supporting information

• there are no unresolved concerns about your performance as a doctor.

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Supporting information

• CPD

• Quality improvement activity

• Significant events

• Feedback from colleagues

• Feedback from patients

• Review of complaints and compliments.

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This means that • CPD – minimum 50 learning credits each year

• At least two quality improvement activities each year – can be significant event audits or individual case reviews

• All significant adverse events are to be included in the appraisal portfolio

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And it means• One clinical audit or quality improvement activity

per revalidation cycle

• Colleague & patient feedback – one of each in the five years before your revalidation date, each must be relevant to the scope of your work at the time of revalidation

• All complaints that have activated the practice’s complaints procedure and your response

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Medical Director

Doug Black

0.8wte

Assistant Director

(Clinical Strategy)

Tracy Madge

0.8wte

Assistant Director

(Revalidation)

Jackie Swann

Appraisal

Project Officer

Derbyshire

Lisa Perry

Medical Directorate

Senior Admin

Support

Tracy

Bircumshaw

Admin Assistant

Sandra Foster

Project Support

Claire Beecroft

0.66wte

Appraisal

Project Officer

Nottinghamshire

Angie Winfield

Fitness to practice

Programme

Manager

Derbyshire

Elaine Madden

Fitness to Practice

Programme

Manager

Nottinghamshire

Peter Bluff

Fitness to practice

Project Officer

Derbyshire

Angel

Mabhurukwa

Fitness to practice

Project Officer

Nottinghamshire

Dawn Jones

Project Support

Kath Anderson

Appraisal Team

Apprentice

Alex Elleston

Clinical Advisors

x 10

(4 GPs/3GDPs/

3 Optoms)

GP Appraisers

x 133

Deputy Medical

Director

Ian Matthews

0.5 wte

Associate

Director Fitness

to Practise

Dean Temple

0.25wte

GP Appraisal

Leads

Rashbal

Ghattoara and

Carl Egdell

0.2wte each

Appraisal Information

• 01.10.2012 - 30.09.2013 - 1430 GPs appraised

• 01.04.2013 – 31.12.2013 - 775 GPs appraised

• Projected achievement for 01.04.2013 - 31.03.2014

• 1592 (96.9%)

• 83 doctors not required to undergo an appraisal this year

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Revalidation recommendation options

• Positive recommendation

• Deferral

• Insufficient information

• In a process

• Non- engagement

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Revalidation Recommendations • Formulation of the Revalidation Adjudication

Panel – two primary functions:

• 1) Triage Revalidation Recommendations

• 2) Review disagreed appraisal outputs within the appraisal year.

• Membership – Lay Chair, Assistant Director of Revalidation, GP Appraisal Leads, Appraisal Project Officers.

• Meetings take place quarterly or more often if required.

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Revalidation Adjudication Panel contd….

Following review at the RAP possible actions:

• Green: Approved for revalidation and sign-off

• Amber: Recommend deferral with specific CPD recommendations or GP Tutor support

• Red: Refer to the Performers List Decision Panel with possible non-engagement recommendation

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Revalidation Figures

Total Year 0: - 12 positive, 3 deferrals

From Dec 2013 – end March 2013

Total Year 1: - 230 positive, 10 deferrals

From April 2013 – end December 2013

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Performance Screening Group Cases

• Active cases at end December 2013

• General Practitioners (GPs) = 29

• General Dental Practitioners (GDPs) = 23

• General Optical Practitioners (GOPs) = 2

• Pharmacy Practitioners (PH) =3

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Performance List Decision Panel Cases

• Active cases at end December 2013

• General Practitioners (GPs) = 27

• General Dental Practitioners (GDPs) = 8

• General Optical Practitioners (GOPs) = 0

• Pharmacy Practitioners (PH) = 2

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Any Questions?