Regulating through Revalidation: Initial Impacts in Medical Regulation
This presentation outlines the background, aims, process, and initial impacts of revalidation in medical regulation. Introduced in December 2012, revalidation is a significant change aimed at ensuring doctors meet professional standards and providing improved patient care. The process involves annual appraisals and whole practice appraisals based on Good Medical Practice. Routes to revalidate include Responsible Officer recommendations and assessments. Overall, revalidation aims to bring doctors into a clinical governed system, identify problems early, and instill confidence in patients regarding regular checks on doctors' capabilities.
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Regulating through Revalidation: Initial Impacts Judith Chrystie, Assistant Director, Policy & Regulatory Development, Planning Performance & Change
Presentation Outline Background Aims Process Revalidation Initial Impact Current Statistics Commitment to review Independent research & review Internal improvement work Future
Revalidation - background Introduced in December 2012 Most significant change in medical regulation in 150 years Innovative and one of the most ambitious schemes in the world Normally every 5 years, doctors demonstrate up to date, fit to practise and providing good care
Revalidation: Aims Licence: indicator that doctor meets professional standards Bring all doctors into clinical governed system Doctors reflect on changes and improvements Help identify problems earlier Extra confidence to patients doctors are regularly checked Improved, safer patient care
Revalidation: Process Annual appraisal
Revalidation: Process Whole practice appraisal based on Good Medical Practice (GMP) Discuss practice and performance against four domains and related attributes Use and reflect on supporting information Show meet standards and values of GMP
Revalidation: Routes to revalidate Responsible Officer (RO) - licensed Dr Legislation lists DBs and RO responsibilities Make revalidation recommendations to GMC Designa ted Body Approved by GMC against published criteria. Licensed Dr with sufficient link to revalidating Dr Make revalidation recommendations to GMC Suitable Person No prescribed connection no DB or SP Send GMC annual returns (including appraisals) Sit revalidation assessment knowledge test GMC use material to make revalidation decision NPC
Current Statistics - 02/12/12 to 31/01/16 Doctors subject to revalidation 225,234 Revalidation recommendations approved 173,282 Doctors to be revalidated 51,952
Recommendations - Current Statistics 381 31571 Revalidation Deferral Non-engagement 141330
Appraisal Rates in England Appraisal Rates -comparison of NHS England audit data 2011 - 2015 90% 80% 70% 60% Appraisal Rates - comparison of NHS England audit data 2011 - 2015 50% 83.80% 40% 63% 30% 20% 10% 0% Before Now
Appraisal Rates in Scotland Appraisal Rates - Healthcare Improvement Scotland National Report 2014-2015 94% 93% 92% Appraisal Rates - Healthcare Improvement Scotland National Report 2014-2015 91% 93.00% 90% 89% 90% 88% 2014 2015
Appraisal Rates in Wales Appraisal Rates -Wales 90% 80% 70% 60% 50% Appraisal Rates - 40% 77.00% 30% 53% 20% 10% 0% 2012-2013 2013-2014
Appraisal Rates Positive impact of revalidation Shows commitment to clinical governance Increase in doctors now reflecting and given opportunity to improve practice and delivery of patient care
Evaluating Revalidation Committed to reviewing and evaluating revalidation and seeking to make improvements to the efficiency and effectiveness of the processes
Evaluating Revalidation Internal Improvement Projects Independent Work External Input
Evaluating Revalidation - RAB Revalidation Advisory Board was established in March 2013 Advises GMC how effectively revalidation is operating through members perspectives/experiences 4 countries health administrations; ROs, patients; doctors
Taking Revalidation Forward Sir Keith Pearson leading a review of how we can take revalidation forward in the future Review will draw on evidence of the operation and impact of revalidation since it was launched Offer recommendations by end 2016 about to improve revalidation
Thank you jchrystie@gmc-uk.org www.gmc-uk.org/revalidation
