1. Revalidation and Professionalism 2014

2. REVALIDATION BASICS 2

3. Revalidation is here ‘All licensed doctors will need to demonstrate to the GMC, on a regular basis, that they remain up to date and fit to practise. This process is called revalidation, and all licensed doctors will need to participate as a condition of keeping their licence to practise’. GMC, 2012 3

4. Process 4

5. Three RO Recommendations Positive recommendation: a doctor revalidates Request for deferral : a doctor’s revalidation date is pushed back Notification for non-engagement: launch of administrative process that ends in removal of licence. 5

6. Appraisal Core of revalidation process Based on the principles of Good Medical Practice Summative and formative Whole practice appraisal 6

7. Appraisal Model 7

8. Appraisal Sign Off Statement ‘No information has been presented or discussed in the appraisal that raises a concern about the doctor’s fitness to practise’. 8

9. REVALIDATION: SUPPORTING INFORMATION 9

10. GMC Standards for Revalidation One generic set of standards for all doctors “The Good Medical Practice Framework for Revalidation and Appraisal” 10

11. General info Personal details Scope of work Record of annual appraisal Personal development plans Probity Health 1.Continuing Professional Development 2.Quality Improvement Activity 3.Significant Events 4.Feedback from Colleagues 5.Feedback from Patients (where applicable) 6.Review of Complaints and Compliments Supporting Information 11

12. Summary of supporting information EvidenceFrequency Continuing Professional Development50 hours per year Quality Improvement Activity (outcomes and audit) annual where available Quality Improvement Activity (case review discussion) regular participation in M&M and MDT meetings Significant Events2 per year Colleague and Patient Feedback1 every 5 years Complaints and Complimentsannual 12

13. REVALIDATION: COLLEGE SUPPORT 13

14. College tools College ResourceAvailable through Revalidation guide for surgery College website on: http://www.rcseng.ac.uk/surgeons/sur gical-standards/revalidation/guidance Revalidation checklist Guidance on supporting information for surgery Guidance on CPD and reflection Guidance on outcomes measures Surgeon’s Portfolio Example appraisal portfolios 14

15. online portfolio store CPD and supporting information Includes log book free for College members helpdesk@surgeonsportfolio.org Surgeons’ Portfolio 15

16. Revalidation Advice and Support Joint Committee on Revalidation Revalidation Helpdesk o revalidation@rcseng.ac.uk revalidation@rcseng.ac.uk DPA role o Signposting to College resources o Reference to Revalidation helpdesk 16

17. Helpdesk Activity 17

18. REVALIDATION: WHERE ARE WE NOW? 18

19. Revalidation Timeline 19 Dec 2012Revalidation Launch Mar 2013 (year 0)ROs revalidated Mar 2014 (year 1)20% of doctors revalidated Mar 2016 (year 3) All remaining doctors revalidated (40% p.a. for years 2 and 3) Mar 2018 (year 5)End of the first revalidation cycle

20. Emerging Areas of Concern Locums and SAS doctors o Low appraisal rates Retired doctors o Medico-legal work o Examining Whole practice appraisal o Lack of collaboration between Trusts 20

21. PROFESSIONALISM 21

22. Good Surgical Practice Good Surgical Practice: Sets standards for surgeons. Complements Good Medical Practice. Applies to all surgeons of all grades in NHS or private practice. Directed to surgeons, patients, and those who assess performance. 22

23. Drivers for Change GMC’s Good Medical Practice Launch of revalidation Francis Inquiry Changes in practice Wider College work on patient safety 23

24. Broad Vision for New Edition Professionalism in action Online, interactive and multi-layered drawing from a wide pool of guidance and resource material Support learning and personal development 24

25. Scope of Change Thematic changes – taking into account the four domains of Good Medical Practice Content changes – new duties Changes in the format, style and presentation of the document 25

26. Review Process Led by Miss Clare Marx Short-life working group Wide consultation including DPAs Scheduled launch in September 2014 26

27. Contact us Revalidation Helpdesk revalidation@rcseng.ac.uk Professional Standards psd@rcseng.ac.uk Web http://www.rcseng.ac.uk/surgeons/working 27