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REVALIDATION: THE BASICS March 2013
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What is revalidation? Revalidation is not an FPH process Revalidation is the process whereby you will: a) maintain your GMC licence to practice or b) maintain your place on the UK Public Health Specialist Register
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Process Based on annual appraisal Annual appraisal to discuss entire scope of practice Recommendation is made to the regulator once every five years
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The ‘RO’ system - GMC ‘Prescribed connection’ to ‘designated body’ is set in law (i.e. no choice) RO of your designated body makes a recommendation to the GMC GMC sets revalidation date
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Who is my RO? Connection to the RO is prescribed. There is no choice Usually via your employer (or PHE for LA employees) If in training: your Deanery You only have one RO, who will make a recommendation to the GMC about the totality of your work
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REQUIRES UPDATING
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The ‘RO’ system - UKPHR ‘Prescribed connection’ to ‘designated body’ is same as GMC (i.e. no choice) RO of your designated body makes a recommendation to the UKPHR UKPHR sets revalidation date
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Evidence-based Appraisal Information about ENTIRE SCOPE of your work Keep up to date CPD and reflection Review your practise Quality improvement Significant events Compliments and complaints Get feedback Colleagues Patients and carers
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Portfolio of evidence Electronic portfolio recommended Your responsibility to keep records for the entire cycle – including when you move jobs RO will decide what system to use
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Who is my appraiser? Appointed by your RO Must be properly trained in the new system of appraisal May or may not be a doctor May or may not be public health
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RO recommendations There are three types of recommendations an RO can make: 1.Positive recommendation 2.Deferral request 3.Notification of non-engagement
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Dual specialties One session per week of GP (on a 'performers list') trumps a further nine sessions in public health Appraisal will focus on entire scope of practice – your responsibility to include evidence from all roles Talk to your appraiser about your CPD requirements
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Academic appraisal The current guidance remains unchanged: Follett principles to be followed Joint appraisal acceptable If you hold an honorary contract with an NHS Trust or health Board, you will revalidate through them If not, it will be PHE
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Crown Dependencies Jersey, Guernsey and the Isle of Man are all due to have organisations granted ‘designated body’ status
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Working overseas Key issue: Do you need a license TO PRACTICE IN THE UK?
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FPH role ‘Specialty specific guidance’ –To Fellows and Members –to ROs and appraisers in other designated bodies Vice president is RO for Fellows and Members with no other ‘prescribed connection’
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What if I can’t be bothered? Failure to engage Fitness to practise
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Issues that will impact on fitness to practise include: Patient safety concerns Failure to engage in revalidation Undermine confidence in the profession Conduct (including fraud and dishonesty among many other factors) Performance Health
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Remediation Remediation will commence if someone fails to provide sufficient satisfactory evidence A locally driven process with full compliance as the most likely outcome Indications of impaired Fitness to Practise in the view of the RO will be referred to the regulator FPH will not fund remediation
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Further information http://www.gmc-uk.org/doctors/revalidation.asp http://www.publichealthregister.org.uk/revalidation http://www.revalidationsupport.nhs.uk/ http://www.fph.org.uk/revalidation revalidation@fph.org.uk
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