revalidation the first year - nottinghamshirelmc.co.uk ·...
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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 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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