Revalidation

Remediation

The DH steering group on remediation has published its report and it is available on the DH website. The report sets out the following recommendations:

performance problems, including clinical competence and capability issues, should normally be managed locally wherever possible;
local processes need to be strengthened to avoid performance problems whenever possible, and to reduce their severity at the point of identification;
the capacity of staff within organisations to deal with performance concerns needs to be increased with access to necessary external expertise as required;
a single organisation is required to advise and, when necessary, to co-ordinate the remediation process and case management so as to improve consistency across the service;
the medical royal colleges should produce guidance and also provide assessment and specialist input into remediation programmes;
postgraduate deaneries and all those involved in training and assessment need to assure their assessment processes so that any problems arising during training are fully addressed.

Although the issue of funding fell outwith the remit of the group, a range of options were developed on the assumption that there was unlikely to be any additional money in the system:

doctor meets all or part of the costs of their own remediation
employer funds remediation
doctor joins an insurance scheme/extension of indemnity provided by a medical defence organisation
linking remediation to clinical negligence schemes
mutuals or subscription clubs.

The BMA’s view is that remediation must be fully funded to ensure equality across the different branches of practice, and we will continue to lobby the Department of Health for this to occur.

Appraisal

As stated in November GPC News, we have heard reports of some PCTs using the planned introduction of revalidation to justify implementing more stringent appraisal frameworks. Revalidation is currently due to be introduced from late 2012 and the evidence requirements have not yet been confirmed or agreed. PCTs therefore should not be implementing new appraisal frameworks on this basis.

Our practical guide to revalidation remains on our website but many bits are out dated now. We are planning to put an updated version of this once the situation is more clear. Meanwhile both the RCGP and the GMC revalidation websites are quite useful.

RCGP Revalidation

GMC revalidation

Revalidation - A Practical Guide

The Appraisal Process

Multi-source Feedback (MSF)

Patient Surveys

Complaints

Significant Event Audit

Clinical Audit

Probity and Health

Evidence of Extended Practice

Submission of Evidence

Evidence Required

The Four Domains

Revalidation and Practice Quality - further information

FS Feb 10

Revalidation

Remediation

Appraisal

Education, training and performance articles

Cervical Cytology - Keeping up to date

Training Requirements for Fitting Contraceptive Implants -update

GP Educators and Seniority

Students in General Practice

Revalidation Pilot Report

South Central Revalidation Pilot Newsletters

BMA Appraisal Toolkit