Revalidation will it make us better doctors

1
Revalidation will it make us better doctors?
2
The givens

• Revalidation recertification plus relicensing
• Revalidation must be very straight-forward for
  good doctors
• It has to be as fair and proportionate
• It has to be feasible for all GPs including
  locums, rural or prison doctors etc

3
The Main Players

• The DH must legislate, including for Responsible
  Officers, and must resource it
• Trusts must appoint ROs, strengthen appraisals
  and improve Clinical Governance
• Colleges (the AoMRC) must set the standards
• BMA needs to secure resources and ensure that it
  is fit for purpose
• The GMC has to sign the whole thing off

4
The Main RCGP Tasks are to

• Work with key partners to
• Define the general standards against which
  revalidation will be assessed
• Define the specific criteria, standards and
  evidence to be used in revalidation
• Describe a system for revalidation
• Undertake pilots
• Gain GMC approval and launch in 2010/11

5
The First RCGP Task

• Define the general standards against which
  revalidation will be assessed
• Consultation undertaken
• Published July 2008 as Good Medical Practice for
  General Practitioners (Second Edition) by RCGP
  and the GPC
• www.rcgp.org.uk

6
The Second RCGP Task

• Define the specific criteria, standards and
  evidence to be used in revalidation
• Mapped to GMC Framework
• Consultation in December 2008
• 300 responses, mostly positive

7

• www.rcgp.org.uk

8
The Second RCGP Task

• Thirteen items of evidence
• Description of roles
• Exceptional Circumstances statement
• Participation in five annual appraisals
• PDP for each year agreed with the appraiser
• Review of each previous years PDP (4)

9
The Second RCGP Task

• Thirteen items of evidence
• Self-accreditation of a minimum of 250 learning
  credits over the 5 years
• Two multi-source feedbacks from colleagues
• Two patient surveys
• Review of any formal complaint
• Five significant event audits

10
The Second RCGP Task

• Thirteen items of evidence
• Audits of care in at least two significant
  clinical areas
• Statements of probity, health and appropriate use
  of health care
• additional evidence if teacher or trainer,
  extended clinical role (such as GPwSI),
  appraiser, researcher etc

11
The Third RCGP Task

• Describe a system for revalidation
• Included in our consultation
• Discussed with the GMC

12
The Third RCGP Task

• Describe a system for revalidation
• ePortfolio extension of the Appraisal portfolio
• Submission to RO
• RO does initial assessment into 3 categories
• RO, RCGP Assessor and Lay Assessor meet
• Recommendation to GMC for revalidation OR
  referral to RCGP centrally
• RCGP sampling for quality assurance

13
The Main RCGP Remaining Tasks are to

• Consult and listen
• Evolve the full revalidation guidance
• Undertake pilots
• Gain GMC approval and launch in 2010/11

14
So to the main question

• Will it make us better doctors?
• Will it protect patients?
• Will it command the respect of the public, the
  DH, and the profession?

15
Revalidation will it make us better doctors?