1. Revalidation: Implications for ARCP processes David Eadington, Deputy Postgraduate Dean Emma Morris, Revalidation Officer

2. Objectives Current planning What do trainees know ? Timelines for LEP reporting Using the information from LEPs in the ARCP; role of the panel chair Differences between the ARCP outcome and the revalidation recommendation Inform your TPDs and panel members

4. The Dean as RO The Postgraduate Dean is only responsible for Trainees in GMC approved Deanery training programs and posts. This will include LATs and trainees who are currently out of programme. The Postgraduate Dean is NOT responsible for any locums including LASs, Trust grade jobs, staff grade posts and other non-training grade posts.

9. Trainee’s Revalidation  Every 5 years  LTFT regardless of % is still 5 Years  Concerns raised over conduct  Concerns raised over performance  Concerns raised over health  IF any of these would affect Fitness to Practice ARCP and Revalidation

10. Trainee Requirements  Complete a Form R, sent to them by the Deanery  Self-Declarations which will be cross- referenced.

11. FORM R ‣ Includes all work including locums ‣ Investigations relating to conduct ‣ Complaints/compliments/probity ‣ Significant events ‣ Health – only that which impacts on work ‣ Will be done prior to ARCP

13. Employer Collective Exit Reports ‣ Provided by Employing Trust (site, not Lead Employer) ‣ Twice yearly Collective (intended): most trainees will be signed off as ‘no issues’ in a list format ‣ Continual Exception reporting whenever there are on- going concerns – single reporting point ‣ Pre-CCT enquiry letter – ‘pull’ ‣ ‘Failure of Employer to produce adequate information SHOULD not be detrimental to the trainee’

14. What is a Significant Event? The GMC state that a significant event (also known as an untoward or critical incident) is any unintended or unexpected event, which could or did lead to harm of one or more patients. This includes one which did not cause harm but could have done, or where the event should have been prevented, which is significant enough to be investigated by the employing organisation. Level 2 (RCA) and Level 3 (SUI)

15. Significant Event or Complaint  Whether investigated or not, discussed with ES and reflected on the outcome in their portfolio  Only need to record this information on their form R if any formal investigations have not been completed and resolved, or if they have not been included in their portfolio.  THE EMPLOYER -will be asked to provide a brief summary (the Exception report).  Has this been resolved satisfactorily with no unresolved concerns about their fitness to practice?  If there are unresolved concerns, the employer will be asked to give a brief summary and the anticipated date of the outcome of any investigation

16. Health?  Only a Concern to the Deanery if it affects Progression in Training  Only a concern for Revalidation if it affects fitness to Practice e.g. Psychiatric Illnesses(some)

17. ARCP Outcomes ‣ Normal process for educational progression ‣ Issues that may require GMC discussion or affect revalidation to be documented and discussed with local APD/DD ‣ Audit trail for RO to RO transfer ‣ NO DECISIONS ON REVALIDATION, only information to Dean as RO to decide on recommendations

18. ARCP Outcomes and Concerns

24. Anaesthetics66 Emergency Medicine10 GP213 Medicine133 Obstetrics and Gynaecology34 Ophthalmology11 Paediatrics59 Pathology12 Psychiatry43 Radiology22 Surgery75 678 CCTs April 2013/14 CCTs Dec ‘12 to March ‘13 allows testing of forms and process

25. The new “Lost Tribe”? Revalidation for Junior Doctors in Non-Training Posts