REVALIDATION:THE BASICS

March 2013

What is revalidation?

• Revalidation is not an FPH process• Revalidation is the process whereby you

will:• a) maintain your GMC licence to

practiceor

• b) maintain your place on the UK Public Health Specialist Register

Process

• Based on annual appraisal• Annual appraisal to discuss entire scope

of practice • Recommendation is made to the

regulator once every five years

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

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

REQUIRES UPDATING

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

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

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

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

RO recommendations

There are three types of recommendations an RO can make:

1. Positive recommendation2. Deferral request3. Notification of non-engagement

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

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

Crown Dependencies

• Jersey, Guernsey and the Isle of Man are all due to have organisations granted ‘designated body’ status

Working overseas• Key issue:

• Do you need a license TO PRACTICE IN THE UK?

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’

What if I can’t be bothered?

Failure to engage

Fitness to practise

Fitness to practise

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

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

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