Trainee Revalidation

Confirmation of trainee revalidation principles. Introduction to the trainee revalidation logo. The logo purpose; to assist in highlighting the guidance and information applicable to the trainee revalidation process.

Trainee Revalidation The Deanery and Local Education Providers are working together to ensure the process is streamlined. For the most up to date information please visit the Northern Deanery website

Session Aims The aims of this presentation are; To inform stakeholders about the principles of revalidation. To provide an overview of the trainee revalidation process.

The Key Messages It is what trainees are already doing. It is minimal additional paperwork. It is to enhance patient safety.

Acronyms used in Revalidation

GMC Revalidation definition The GMC defines revalidation as; “Our new way of regulating licenced Doctors that will give extra confidence to patients that their Doctors are up to date and fit to practice”

Revalidation start date The start date for national revalidation was; 3 rd December RO’s (Responsible Officers) were revalidated first, this will have taken place between the 3 rd December 2012 and the 31 st March 2013.

GMC Process overview

Recommendation options *Fitness to practice concerns must be raised in real time

Revalidation domains for Doctors Knowledge, Skills and Performance. Safety and Quality. Communication, partnership and team work. Maintaining Trust.

Supporting documentation This supporting documentation is to be gathered by all Licensed Doctors.

Trainee Revalidation is different…. Why is Trainee Revalidation Different? There is already a robust ARCP process in place.

Is additional evidence required? Trainees gather NO additional evidence. Trainees must continue to collect evidence, as is usual practice, for their ARCP portfolio. Requirement is to demonstrate competencies required by Curriculum (currently).

How does the Revalidation process work for trainees? There are two processes to consider: 1. Educational Process 2. Revalidation Process These processes run in parallel and compliment each other.

ARCP Panel and Chair role in process Process 1 - the Educational process: The Chair and Panel review the ARCP evidence and award an outcome – as is current practice.

ARCP Panel and Chair in process Process 2 - the Revalidation process: Once the ARCP Chair and Panel have awarded an outcome, the Chair will then review the clinical governance information (3 key documents) prior to completing the Enhanced ARCP Outcome Form. The Chair and Panel then complete 2 additional questions, explained in more detail shortly.

Process 2 – Revalidation: documentation The documentation is completed as follows: Exit Report – For completion by the LEP. Enhanced Form R - For completion by the trainee. The Educational Supervisor Annual ARCP Report (2 additional questions) - For completion by the Educational/Clinical Supervisor. Enhanced Outcome Form (2 additional questions) – For completion by the ARCP Panel Chair. These documents are subject to change as the process progresses however, they are currently active

1. Exit Report - LEP This documentation is completed by the LEP (Local Education Provider). It is then submitted to the PSU at the end of the each rotation. The PSU then support this process. Trainee ForenameTrainee SurnameGMC Number Employer / Host Training Organisation SpecialtyGradeDates of Employment Involved in conduct, capability or Formal Serious Untoward Incidents/ Significant Event Investigation or named in complaints (Please state YES or NO) Start DateEnd Date Of the trainees listed above, I confirm that I have included an Exception Exit Report for each of the trainees involved in conduct, capability or formal Serious Untoward Incidents/ Significant Event Investigation or named in complaints whilst employed with us, either as a trainee doctor or as a locum, on the dates specified. Signature Date Full name Job Title Name of the Organisation Name of the Medical Director (If the signatory is not the MD) (To be completed by the Employer/ Host Training Organisation. In the case of GP trainees in a primary care placement this would be completed by the PCT/ Organisation responsible for maintaining the local GP Performance List.)

1. Exit Report - LEP The Exit Report consists of two parts: 1.The Collective Exit Report - Completed bi-annually or when the trainee leaves the LEP. 2. The Exception Exit Report - This is a more detailed report which is only completed if the trainee has been involved in an investigation (closed or open) by the LEP.

2. Enhanced Form R - Trainee This is a self declaration covering; Full scope of practice. Involvements in any SUIs/Significant events (closed or still under investigation). Compliments and complaints. Probity. Health.

2. Enhanced Form R – Trainee The trainees complete a Form R when they register with the Deanery, and again if their details change. As of Dec 3 rd 2012 all trainees must complete the Enhanced Form R annually The form will be sent to the trainee at least 6 weeks prior to the ARCP panel. It must be returned by the trainee to their SPC at least 2 weeks prior to the ARCP.

2. Enhanced Form R - Trainee Enhanced Form R includes Scope of Practice. This section enables you to list all locum and non-NHS work as a doctor (even if with your current employer) completed over the past year. Self Declaration to be completed by Trainee Scope of Practice – Since your last ARCP or if no ARCP since GMC full registration, please list, any past and present employers/HTO placements/ time out of programme/ advisory/ voluntary roles or any other activity undertaken in your capacity as a registered medical practitioner including all locum and non NHS work even if these are with current employer/HTO. (Please add more rows if required). Type of Work (OOP/clinical/non-clinical etc.) Start DateEnd dateDetails of Employing/ Hosting Organisation/GP Practice Significant Events - 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 incidents which did not cause harm but could have done, or where the event should have been prevented. All doctors as part of revalidation are required to record and reflect on Significant events in their work with the focus on what you have learnt as a result of the event/s. Please note that you do not need to list any significant events that were not investigated.

3. The Educational Supervisor Annual ARCP Report The Educational Supervisor annual ARCP report is an important part of both the ARCP and the Revalidation process. It is completed by the Educational Supervisor prior to a trainees ARCP panel. Depending upon the specialty, some Clinical Supervisors may be responsible for completing this report.

3. The Educational Supervisor Annual ARCP Report A meeting is held to complete this report with the Educational Supervisor and the trainee. The aims of this meeting are; To review the portfolio of evidence. Generate discussion e.g. Successes; SUI; Incidents; Concerns; Reflection (declared on the Enhanced Form R). Facilitate the joint completion of the report.

The aims of the Annual Report are to; Summarise and document any discussions. Signpost the evidence in the ARCP portfolio. Document any strengths, concerns including; Successes; SUIS; Incidents; concerns. Review reflection on the above. Recommend areas for development. 3. The Educational Supervisor Annual ARCP Report

There are 2 additional questions in the Educational Supervisor Annual ARCP Report: Most development areas will be picked up in the current Educational process. The trigger point in answering ‘Yes’ or ‘No’ to the question below is ‘if the trainee has been involved in a Trust level investigation’. 3. The Educational Supervisor Annual ARCP Report Details of concerns/investigations: Are you aware if this trainee has been involved in any conduct, capability or Serious Untoward Incidents/ Significant Event Investigation or named in any complaint? Yes/ No If so are you aware if it has/ these have been resolved satisfactorily with no unresolved concerns about a trainee’s fitness to practice or conduct? Yes/No Comments, if any: The section below is only applicable for the Clinical/Educational Supervisor of a GP trainee in a primary care placement: If there is an unresolved concern or conduct, capability/ SUI investigation or a complaint for this trainee please complete the Exception Exit Report and notify the Deanery

Process 2 - Triangulation of Evidence at the ARCP Panel ARCP Panel Chair 1. Exit Report 2. Enhanced Form R 3. Educational Supervisor Annual ARCP Report

Process 2 – Reaching an outcome Educational Supervisors Report Enhanced Form R LEP Exit Report Enhanced Outcome Form No concern Yes concern Any concerns will be monitored by the PSU

4. ARCP Panel Chair – Process 2 The ARCP panel chair completes the enhanced part of the outcome form from the documentation provided. Trainee Forename:Trainee Surname:GMC No: Expected CCT / CESR (CP): Specialty Training Programme: NTN/DRN: GMC Training Prog Approval No: Date of previous Revalidation (if applicable): Date of expected Revalidation: Members of the Panel & appt (Lay, TPD, External, Academic etc) Date of Review: Period covered: From: To: Year of Training1, 2, 3, 4, 5, 6, 7, 8 Grade of training programme reviewed ACF / ACL /CL / CT / ST / FTSTA LAT  or Other (Please State)…………………………………………………..

Trainee Revalidation Relies upon the following key aspects; The current ARCP processes being undertaken proficiently throughout the year. The timely completion and return of the Enhanced Form R. The timely return of LEP Exit Reports.

When does the Revalidation process begin? For most trainees this will be at the beginning of FY2. For trainees in Locum Appointment for Service (LAS) posts the process will begin in FY1. Non UK trainees may enter the programme later so their process will begin: Once they are fully registered.

What are the timescales? From the 1 st of April 2013 trainees will revalidate on a 5 year cycle or at CCT date, whichever is sooner.

Standard 5 year cycle FY 2 Full Registration – process begins ARCP Evidence & Clinical Governance Year 2 ARCP Evidence & Clinical Governance Year 3 ARCP Evidence & Clinical Governance Year 4 ARCP Evidence & Clinical Governance Year 5 ARCP evidence & Clinical Governance - Revalidation Year 1 NEW 5 year cycle begins

3 year cycle FY2 Full Registration – process begins ARCP evidence & Clinical Governance Year 2 ARCP evidence & Clinical Governance Year 3 ARCP evidence & Clinical Governance Year 4 ARCP evidence & Clinical Governance - Revalidate at CCT Year 1 5 year Cycle begins

7 year cycle FY2 Full Registration – Process begins - ARCP Evidence & Clinical governance Year 2 ARCP Evidence & Clinical Governance Year 3 ARCP Evidence & Clinical Governance Year 4 ARCP Evidence & Clinical Governance Year 5 ARCP Evidence & Clinical Governance – Revalidation Year 1 ARCP evidence & Clinical Governance Year 2 ARCP Evidence & Clinical Governance – Revalidate at CCT Year 1 5 year cycle begins

Key messages It is what trainees are already doing It is minimal additional paperwork It is to enhance patient safety Remember If you are unsure, please ask

Further information can be found via Northern Deanery website /deans-office/revalidationwww.northerndeanery.nhs.uk/NorthernDeanery /deans-office/revalidation The GMC website Deanery Revalidation Lead: Aliy Brown Telephone: (0191)