REVALIDATION: THE BASICS

REVALIDATION:THE BASICS March 2013

What is revalidation? • Revalidation is not an FPH process • Revalidation is the process whereby you will: • a) maintain your GMC licence to practice or • b) maintain your place on the UK Public Health Specialist Register

Process • Based on annual appraisal • Annual appraisal to discuss entire scope of practice • Recommendation is made to the regulator once every five years

The ‘RO’ system - GMC • ‘Prescribed connection’ to ‘designated body’ is set in law (i.e. no choice) • RO of your designated body makes a recommendation to the GMC • GMC sets revalidation date

Who is my RO? • Connection to the RO is prescribed. There is no choice • Usually via your employer (or PHE for LA employees) • If in training: your Deanery • You only have one RO, who will make a recommendation to the GMC about the totality of your work

REQUIRES UPDATING

The ‘RO’ system - UKPHR • ‘Prescribed connection’ to ‘designated body’ is same as GMC (i.e. no choice) • RO of your designated body makes a recommendation to the UKPHR • UKPHR sets revalidation date

Evidence-based Appraisal • Information about ENTIRE SCOPE of your work • Keep up to date • CPD and reflection • Review your practise • Quality improvement • Significant events • Compliments and complaints • Get feedback • Colleagues • Patients and carers

Portfolio of evidence • Electronic portfolio recommended • Your responsibility to keep records for the entire cycle – including when you move jobs • RO will decide what system to use

Who is my appraiser? • Appointed by your RO • Must be properly trained in the new system of appraisal • May or may not be a doctor • May or may not be public health

RO recommendations There are three types of recommendations an RO can make: • Positive recommendation • Deferral request • Notification of non-engagement

Dual specialties • One session per week of GP (on a 'performers list') trumps a further nine sessions in public health • Appraisal will focus on entire scope of practice – your responsibility to include evidence from all roles • Talk to your appraiser about your CPD requirements

Academic appraisal • The current guidance remains unchanged: Follett principles to be followed • Joint appraisal acceptable • If you hold an honorary contract with an NHS Trust or health Board, you will revalidate through them • If not, it will be PHE

Crown Dependencies • Jersey, Guernsey and the Isle of Man are all due to have organisations granted ‘designated body’ status

Working overseas • Key issue: • Do you need a license TO PRACTICE IN THE UK?

FPH role • ‘Specialty specific guidance’ • To Fellows and Members • to ROs and appraisers in other designated bodies • Vice president is RO for Fellows and Members with no other ‘prescribed connection’

What if I can’t be bothered? Failure to engage Fitness to practise

Fitness to practise Issues that will impact on fitness to practise include: • Patient safety concerns • Failure to engage in revalidation • Undermine confidence in the profession • Conduct (including fraud and dishonesty among many other factors) • Performance • Health

Remediation • Remediation will commence if someone fails to provide sufficient satisfactory evidence • A locally driven process with full compliance as the most likely outcome • Indications of impaired Fitness to Practise in the view of the RO will be referred to the regulator • FPH will not fund remediation

Further information • http://www.gmc-uk.org/doctors/revalidation.asp • http://www.publichealthregister.org.uk/revalidation • http://www.revalidationsupport.nhs.uk/ • http://www.fph.org.uk/revalidation • revalidation@fph.org.uk

REVALIDATION: THE BASICS