Revalidation the first year. Dr D G Black FRCGP Medical Director NHS Nottinghamshire & Derbyshire Area Team January 2014

Transcription

1 Revalidation the first year Dr D G Black FRCGP Medical Director NHS Nottinghamshire & Derbyshire Area Team January 2014

2 Responsible Officers Statutory function of all NHS Designated Bodies Revalidation & Appraisal Fitness to Practice 2

3 This means that To carry out their functions, responsible officers will need to ensure: they maintain a list of doctors they are responsible for; there is an integrated system for monitoring doctors performance, recognising good practice, encouraging and supporting development and learning; effective systems and processes of appraisal are in place; and appropriate action is taken to remedy identified areas of poor performance 3

4 First Steps Register with GMC Online Ensure that you have a responsible officer Know your revalidation date 4

5 5 Read the GMC Guidance

6 Read the RCGP Guidance tion-and-cpd/new-revalidationguidance-for-gps.aspx 6

7 And the guidance says: Ensure that your annual appraisals are conducted properly with Good Medical Practice as their focus. Use an electronic portfolio or MAG form to collect your supporting information for appraisal and revalidation. 7

8 and Record your CPD and PDP objectives and outcomes. If you haven t participated in a Patient or Colleague Feedback survey in the past two years, plan to do one. 8

9 And more Ensure that you are participating in annual quality improvement activity, providing SEAs or individual case reviews each year If you haven t completed a full-cycle clinical audit or quality improvement project since April 2011, plan to do one. 9

10 Requirements for a positive recommendation you have participated in an annual appraisal process that has covered your full scope of work, and that you and your appraiser have signed off appraisals that have had Good Medical Practice as their focus since the start of revalidation in December 2012 you have brought to your appraisals appropriate supporting information there are no unresolved concerns about your performance as a doctor. 10

11 Supporting information CPD Quality improvement activity Significant events Feedback from colleagues Feedback from patients Review of complaints and compliments. 11

12 This means that CPD minimum 50 learning credits each year At least two quality improvement activities each year can be significant event audits or individual case reviews All significant adverse events are to be included in the appraisal portfolio 12

13 And it means One clinical audit or quality improvement activity per revalidation cycle Colleague & patient feedback one of each in the five years before your revalidation date, each must be relevant to the scope of your work at the time of revalidation All complaints that have activated the practice s complaints procedure and your response 13

14 GP Appraisal Leads Rashbal Ghattoara and Carl Egdell 0.2wte each Senior Admin Support Tracy Bircumshaw Medical Director Doug Black 0.8wte Deputy Medical Director Ian Matthews 0.5 wte Associate Director Fitness to Practise Dean Temple 0.25wte Assistant Director (Clinical Strategy) Tracy Madge 0.8wte GP Appraisers x 133 Assistant Director (Revalidation) Jackie Swann Clinical Advisors x 10 (4 GPs/3GDPs/ 3 Optoms) Appraisal Project Officer Derbyshire Lisa Perry Appraisal Project Officer Nottinghamshire Angie Winfield Fitness to practice Programme Manager Derbyshire Elaine Madden Fitness to Practice Programme Manager Nottinghamshire Peter Bluff Project Support Claire Beecroft 0.66wte Project Support Kath Anderson Fitness to practice Project Officer Derbyshire Angel Mabhurukwa Fitness to practice Project Officer Nottinghamshire Dawn Jones Medical Directorate Appraisal Team Apprentice Alex Elleston Admin Assistant Sandra Foster

15 Appraisal Information GPs appraised GPs appraised Projected achievement for (96.9%) 83 doctors not required to undergo an appraisal this year 15

16 Revalidation recommendation options Positive recommendation Deferral Insufficient information In a process Non- engagement 16

17 Revalidation Recommendations Formulation of the Revalidation Adjudication Panel two primary functions: 1) Triage Revalidation Recommendations 2) Review disagreed appraisal outputs within the appraisal year. Membership Lay Chair, Assistant Director of Revalidation, GP Appraisal Leads, Appraisal Project Officers. Meetings take place quarterly or more often if required. 17

18 Revalidation Adjudication Panel contd. Following review at the RAP possible actions: Green: Approved for revalidation and sign-off Amber: Recommend deferral with specific CPD recommendations or GP Tutor support Red: Refer to the Performers List Decision Panel with possible non-engagement recommendation 18

19 Revalidation Figures Total Year 0: - 12 positive, 3 deferrals From Dec 2013 end March 2013 Total Year 1: positive, 10 deferrals From April 2013 end December

20 Performance Screening Group Cases Active cases at end December 2013 General Practitioners (GPs) = 29 General Dental Practitioners (GDPs) = 23 General Optical Practitioners (GOPs) = 2 Pharmacy Practitioners (PH) =3 20

21 Performance List Decision Panel Cases Active cases at end December 2013 General Practitioners (GPs) = 27 General Dental Practitioners (GDPs) = 8 General Optical Practitioners (GOPs) = 0 Pharmacy Practitioners (PH) = 2 21

22 22 Any Questions?