Issues with revalidation and fitness to practise mar overall good performance by GMC – House of Commons Select Committee – Health – 2 April 2014

Posted on April 3, 2014. Filed under: Health Professions, Medicine | Tags: , |

Issues with revalidation and fitness to practise mar overall good performance by GMC – House of Commons Select Committee – Health – 2 April 2014

“The Health Committee’s annual review of the General Medical Council (GMC) has found that the GMC is making steady progress in protecting patients. The Committee’s report, which follows the regulator’s accountability hearing, warns, however, that more can be done to build confidence in the professional regulation of doctors.”

“The Committee found that:

The GMC’s fitness to practise successfully produce outcomes that protect patients from sub-standard doctors but failures to communicate the reasons for decisions and poor investigative practices have undermined a small number on investigations.
The system of ongoing revalidation of doctors has been launched smoothly but the Committee has serious concerns regarding the ability of responsible officers to oversee revalidation.
The Government’s legislative programme is likely to further delay reforms that would allow the GMC to appeal fitness to practice tribunal decisions.”

2013 accountability hearing with the General Medical Council [UK] – Commons Health Committee – Health Report – 25 March 2014

 

 

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Revalidation: The early experiences and views of responsible officers from London – The King’s Fund – 15 October 2013

Posted on October 16, 2013. Filed under: Allied Health, Medicine, Nursing, Workforce | Tags: , , |

Revalidation: The early experiences and views of responsible officers from London – The King’s Fund – 15 October 2013

“This paper summarises the results of a small research study designed to capture the experiences of and reflections on revalidation of responsible officers (ROs) in London. Fifty-three responsible officers took part in an online survey and twenty of these ROs took part in in-depth interviews.

The results provide a snapshot of what the implementation of revalidation has meant for the new ROs six months in. The paper also draws some conclusions on what is currently aiding successful implementation, which can be drawn on by ROs, doctors, boards and senior leaders across the country to prepare for the second year of revalidation.”

… continues on the site

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The College of Social Work publishes new CPD resource for Approved Mental Health Professionals [UK] – 23 September 2013

Posted on September 27, 2013. Filed under: Educ for Hlth Professions, Mental Health Psychi Psychol, Social Work | Tags: , , , |

The College of Social Work publishes new CPD resource for Approved Mental Health Professionals [UK] – 23 September 2013

“The College of Social Work has published a new mapping tool to demonstrate how competencies required by social workers working as Approved Mental Health Professionals (AMHPs) meet professional development requirements for regulatory registration.

The tool is designed to enable social worker AMHPs to map their continuing professional development (CPD) targets within The College’s Professional Capabilities Framework (PCF) to the standards of proficiency they need to meet for registration with the Health and Care Professions Council (HCPC).

The PCF mapping document was devised by members of the AMHP leads network together with TCSW and its own AMHP community of interest.”

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Improving SAS appraisal: a guide for employers [specialty and associate specialist] – NHS Employers – June 2013

Posted on June 19, 2013. Filed under: Medicine, Surgery | Tags: , |

Improving SAS appraisal: a guide for employers [specialty and associate specialist] – NHS Employers – June 2013

Extract from the Introduction

“Effective annual appraisal is the cornerstone of medical revalidation. Doctors need to be able to discuss and reflect on their practice and performance during their appraisal to demonstrate that they are keeping up to date and are fit to practise. This is key for patient safety-improved appraisal makes good doctors better, and leads to improved patient care.

The England Organisational Readiness Self Assessment (ORSA) return in March 2012 indicated that only 53.5 per cent of specialty and associate specialist (SAS) and staff grade doctors had been appraised in 2011 – 2012. This was an improvement from the March 2011 ORSA return, which indicated that only 35.6 per cent of this group of doctors had been appraised in 2010 – 2011. Appraisal rates for trust doctors are similarly low.

These results suggested that there may have been unidentified barriers to appraisal for SAS and trust doctors.”

… continues on the site

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Effective governance to support medical revalidation – General Medical Council [UK] – 1 March 2013

Posted on March 5, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Medicine, Patient Safety, Workforce | Tags: , , , , |

Effective governance to support medical revalidation – General Medical Council [UK] – 1 March 2013

A new guide to help Boards check their organisations are placing quality and safety at the heart of their services for patients is published today.

‘Effective governance to support medical revalidation’ is a handbook for Boards and governing bodies to help them assess if their organisations have strong enough systems in place to support quality patient care and revalidation.

The General Medical Council (GMC) developed the handbook in partnership with England’s Care Quality Commission, Monitor, Healthcare Improvement Scotland, Healthcare Inspectorate Wales, Northern Ireland’s Regulation and Quality Improvement Authority as well as the Government Procurement Service.

Revalidation – which this handbook is designed to support – is a new system of checks on doctors and was launched by the GMC in December 2012 to provide patients with greater confidence that UK doctors are keeping up to date and fit to practise.

Doctors need access to a regular appraisal focusing on the GMC’s professional standards and their organisation’s clinical governance systems to complete their revalidation. Organisations need these same systems to be working effectively to deliver safe and high quality care to patients.”

… continues

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Hospital Episode Statistics and Revalidation: Creating the evidence to support revalidation – Royal College of Surgeons of England, funded by the Academy of Medical Royal Colleges – 9 January 2013

Posted on January 15, 2013. Filed under: Surgery, Workforce | Tags: , , , |

Hospital Episode Statistics and Revalidation: Creating the evidence to support revalidation – Royal College of Surgeons of England, funded by the Academy of Medical Royal Colleges – 9 January 2013

Extract:

“Background
This report outlines the results of a project which started in September 2009. The project’s aim was to assess the strengths and weaknesses of using administrative data for revalidation in the areas of ischaemic heart disease, urological malignancies, and peripheral vascular disease. We distinguished between procedure-specific indicators and disease-specific indicators as well as between hospital-specific and consultant-specific outcomes.”

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Medical Revalidation – Costs and Benefits. Analysis of the costs and benefits of medical revalidation in England – November 2012

Posted on November 21, 2012. Filed under: Medicine | Tags: , |

Medical Revalidation – Costs and Benefits. Analysis of the costs and benefits of medical revalidation in England – November 2012

“This report presents the evidence underpinning the development of the policy and considers the impact and value for money of implementing the planned system. The analysis concludes that revalidation, when undertaken according to the recommended appraisal model, carries benefits which are shown to outweigh the costs. Overall, revalidation is shown to be a proportionate and cost-effective means of delivering the policy objectives.”

Medical Revalidation – Equality Analysis. Equality analysis on the potential impact on doctors completing revalidation – November 2012

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Cost benefit and equality analysis for medical revalidation published – Dept of Health [England] – 6 November 2012

Posted on November 12, 2012. Filed under: Educ for Hlth Professions, Medicine | Tags: , |

Cost benefit and equality analysis for medical revalidation published – Dept of Health [England] – 6 November 2012

“The Department of Health’s analysis of the anticipated costs and benefits of medical revalidation and the equality impacts is published.

On 19 October 2012, the Secretary of State for health announced that medical revalidation will be introduced to strengthen the regulation of licensed doctors in the UK. Revalidation will be a five-yearly process, giving doctors a clear framework to reflect on and improve their quality of care, as well as providing assurance to patients and the public that doctors are keeping up to date and remain fit to practise.”

… continues

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Supporting information for appraisal and revalidation: guidance for physicians – Royal College of Physicians – 28 June 2012

Posted on July 3, 2012. Filed under: Medicine, Workforce | Tags: , |

Supporting information for appraisal and revalidation: guidance for physicians – Royal College of Physicians – 28 June 2012

“In readiness for the launch of revalidation at the end of 2012, the RCP has produced guidance for physicians on the supporting information required for appraisal and revalidation.

The guidance has been designed to offer practical examples of the types of supporting information that doctors might present at their annual appraisal and include in their revalidation portfolio, upon which their responsible officer will recommend to the General Medical Council (GMC) that they remain fit to practise. It has been widely consulted upon, with input from all physician specialties, and is applicable across the many areas of physician practice.

The GMC has set out the requirements for revalidation for all doctors in their Good Medical Practice framework for revalidation and their guidance on supporting information. The RCP guidance builds upon the GMC guidance to offer clear and practical examples, relevant to practising physicians.

The GMC recommends that doctors in specialist practice should consult the supporting information guidance provided by their college or faculty. This guidance expands on the headings provided by the GMC, by providing additional detail about the GMC requirements and what each college or faculty expects relating to this, based on their specialty expertise.  These expectations are laid out under ‘Requirements’.”

Media release
http://www.rcplondon.ac.uk/node/5669

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Core Guidance on Supporting Information for Revalidation – Academy of Medical Royal Colleges – June 2012

Posted on July 3, 2012. Filed under: Medicine, Workforce | Tags: , |

Core Guidance on Supporting Information for Revalidation  – Academy of Medical Royal Colleges – June 2012

“The final version of the core guidance framework is available to download below. The guidance has been devised to simplify the appraisal process and the supporting information doctors need in order to revalidate. Following extensive work and consultation coordinated by the Academy, the specialty guidance frameworks have been produced based on the Academy’s core framework (agreed by all member Colleges and Faculties) to ensure commonality in appraisal for revalidation regardless of a doctor’s specialty.

Each of the specialty guidance frameworks has been developed by the relevant medical Royal Colleges and Faculties who are responsible for setting the standards of care within their own specialty, and for providing specialty advice and guidance on the supporting information required of doctors to demonstrate that professional standards have been met in line with the GMC requirements. ”

… continues on the site

covers Specialty Guidance for:

Supporting information for appraisal and revalidation: guidance for doctors in anaesthesia, intensive care and pain medicine

Guidance on Supporting Information for Revalidation: College of Emergency Medicine

Guidance on Supporting Information for Revalidation for General Practitioners

Supporting Information for Appraisal and Revalidation: Guidance for Obstetrics and Gynaecology and/or Sexual and Reproductive Healthcare

Supporting Information for Appraisal and Revalidation: Guidance for Occupational Medicine

Supporting Information for Appraisal and Revalidation: Guidance for Ophthalmology

Guidance on Supporting Information for Revalidation for Paediatrics and Child Health

Guidance on Supporting Information for Revalidation for Pathology

Supporting Information for Appraisal and Revalidation: Guidance for Pharmaceutical Medicine

… continues

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Hospital Episode Statistics as a source of information on safety and quality in gynaecology to support revalidation – Royal College of Obstetricians and Gynaecologists – 24 May 2012

Posted on May 28, 2012. Filed under: Medicine, Workforce | Tags: , |

Hospital Episode Statistics as a source of information on safety and quality in gynaecology to support revalidation – Royal College of Obstetricians and Gynaecologists – 24 May 2012

“The General Medical Council (GMC) is introducing revalidation in the UK. This will change the way doctors are regulated. Doctors will need to demonstrate that they are keeping up-to-date and that they are participating in activities which evaluate the quality of their work. The project presented in this report was funded by the Academy of Medical Royal Colleges as part of the development of performance indicators that can be used for revalidation.

The aims of this project were two-fold:

to assess whether routinely collected administrative data could be used as part of the evaluation of gynaecologists’ practice
to compare measures of activity and outcome derived from administrative data with measures derived from data in two specialist societies’ clinical databases.

The source of administrative data used by the project was the Hospital Episode Statistics (HES) database, which captures information on all admissions to English NHS trusts.

The project had two major components:

a literature review of studies that used HES data to assess the performance of inpatient gynaecological practice in the English NHS
an analysis of performance measures derived from HES data and the clinical databases maintained by the British Society of Urogynaecology (BSUG) and the British Society of Gynaecological Endoscopy (BSGE).

The comparison of the HES database with the clinical databases demonstrated that:

the HES database can be used to study the treatments and outcomes of women with incontinence or recto-vaginal endometriosis
HES can only be used to produce generic performance indicators (e.g. readmission, return to theatre and length of stay)
the clinical databases contain more detailed data on the nature and severity of the women’s symptoms, the underlying clinical condition, the clinical procedures, and the outcomes. However, their low case ascertainment and level of missing data, especially with respect to outcomes, are a current concern.

These results are not unexpected. The ICD-10 and OPCS4 coding systems used in HES lack clinical detail and also do not allow the coding of more recently introduced procedures. On the other hand, the clinical databases are designed by clinical experts who aimed to collect detailed information about the patients they treat and the outcomes they achieve. However, participation in the clinical databases is currently voluntary, which explains the problems with case ascertainment and data completeness.

The report is available to download as a PDF by clicking on the link below

Hospital Episode Statistics as a source of information on safety and quality in gynaecology to support revalidation

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The Good Medical Practice Framework for appraisal and revalidation – [UK] General Medical Council – April 2011

Posted on April 19, 2011. Filed under: Health Professions, Medicine | Tags: , |

The Good Medical Practice Framework for appraisal and revalidation – [UK] General Medical Council – April 2011

Press release 7 April 2011

“The GMC has launched new appraisal guidance for revalidation that is designed to make the process simple and straightforward.

We hope that our guidance will introduce greater consistency and ensure that what we are asking doctors to do is realistic and straightforward. We want appraisals to be rewarding and useful, not time-consuming or difficult.

Niall Dickson, the Chief Executive of the GMC
It sets out how doctors can show that they are meeting the professional standards on which good practice is founded. It also outlines the core information that all doctors will need to bring to their annual appraisal, regardless of where they work in the UK or their area of practice.

The guidance is intended to help doctors and employers prepare for the launch of revalidation at the end of 2012.  Employers are being asked to make sure that every doctor can access the supporting information outlined in the guidance.”  … continues in the press release

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RCGP revalidation pilots: England & Wales

Posted on July 12, 2010. Filed under: Clinical Education, Educ for Hlth Professions, General Practice | Tags: , |

RCGP revalidation pilots: England & Wales

“Revalidation for UK doctors is due to be introduced in April 2010. This report is the result of a feasibility study in relation to collecting supporting information required for strengthened medical appraisal and a GP revalidation ePortfolio. Recommendations are made towards further training and support to allow GPs, GP appraisers and responsible officers to engage effectively in the revalidation process.”
NHS Revalidation Support Team – publications 
Revalidation processes for sessional GPs: a feasibility study to pilot current proposals 

This study set out to explore the potential problems that locum, salaried and remote GPs might encounter with the proposed supporting information required for appraisal as part of the revalidation process. The study makes recommendations towards cultural changes in order to provide the necessary support for sessional GPs in completing their revalidation.
NHS Revalidation Support Team – publications

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