Dr Vicky Banks Consultant t in OPMH RO and dlead df for Revalidation Southern Health FT

The process by which h doctors will demonstrate t to the GMC that they are Up to date and fit to practice Comply with the relevant professional standards d Satisfactory t appraisals over 5 years RO recommends revalidation to the GMC 9 months notice from GMC Regulations covering fitness to practice Regulations covering lack of participation ip

The Process Collect portfolio of supporting information (SI) Evidence showing GMP/GPP standards d are met Reviewed at annual enhanced appraisal Decision i whether SI is sufficient i made at appraisal Identify yg gaps/ weaknesses in portfolio Action through h PDP PDP considered each year Responsible Officer makes recommendation to GMC regarding g revalidation at end of 5 cycle 4 4

Be a focus for us to maintain & improve our practice Facilitate t organisations to support us in keeping up to date Encourage patients & public to provide feedback Contribute t to improved patient t care 5

Role of Responsible Officer New role - Health & Social Care Act 2008 All doctors will relate to a Responsible Officer. They must be a doctor - usually be MD (not always) Responsible Officer will make revalidation recommendation to GMC Responsible for organisation to be prepared p for implementation ti of revalidation Responsible for local remediation systems Royal College of Psychiatrists, Education & Training Centre, April 2010

Medical lappraisal Guide Portfolio of Supporting Information Inputs Outputs Personal Development Plan Reflection Appraisal Discussion Challenge Summary of Appraisal Discussion Appraiser statements Appraiser No Patient t Assessment Safety of Portfolio Concerns

Quality assurance by: Medical Royal Colleges System Regulators (e.g. CQC) GMC SI including: Colleague/patient questionnaires i CPD Clinical i l audit Appraisal x5 Recommendation RO on GMC Revalidation Advice from colleges/faculties lti if required From 8 Revalidation: Medical Royal Colleges/Faculty lt input including: Defining Standards, SI & providing speciality guidance for appraisers, appraisees & ROs Providing speciality support & advice where queries about speciality practice are raised Quality assurancea

Doctors Responsible officers Organisations / designated d bodies 9

Appraisal processes Appraisers Clinical i l governance Management of clinical i l outcomes, complaints, SUIs, patient t safety issues and quality data Process for assuring fitness to practice of doctors Process for identifying and taking action on medical underperformance Process for receiving i information i on all new doctors from previous RO Exit reports for locums Arrangements for collection of peer and patient t feedback Description of support to help doctors keep up to date 10

Pathfinder Pilots ROs and Training i Possible Timeline Year 2010/11 2011/12 2012/13 2013/14 2014/5 2015/6 etc Quarter 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Testing, Piloting, New Guidance SoS SA Assessment of SA SA SA Readiness Go Live Decision? First RO Recommendations?? First full year Phased Implementation SA = Self assessment

General Information Keeping up to date Continuing i gp professional development Review of your practice Quality improvement activity it Significant ifi events Feedback on your practice Feedback from colleagues Feedback from patients t Review of compliments and complaints

GMC 4 Domains and 12 Attributes t Domain 1 Domain 2 Knowledge, Skills and Safety and Quality Performance Domain 3 Domain 4 Communication, Partnership Maintaining Trust and dt Teamwork Royal College of Psychiatrists, Education & Training Centre, April 2010

Type of Information Minimum i Required in 5 Comment Years 1 Case based discussion 10 Minimum 2 per year 2 Review of, and reflection on complaints and All serious untoward incidents 3 Audit Complete 2 audits of significant ifi clinical areas of practice over a 5 Year cycle. Undertake at least 1 audit of record keeping in each 5 Year cycle 4 Patient feedback survey and review 1 To be presented no later than Year 3 5 Colleague feedback survey and review 1 To be presented no later than Year 3 6 New PDP and review of previous Year s PDP 5 Annually 7 CPD requirements 5 Annually 8 Clinical Governance and other information 5 Annually (including outcomes) produced by the organisation and doctor 9 Information supporting non-clinical work, eg 5 Annually if part of role teaching, research, management

Review and assess all Supporting Information (SI). Identify any gaps in appraisees accumulating gportfolio of SI or practice. Ensure that t there is a developmental l approach hto the process Highlight ght any area of concern ce to RO. Complete pe e the revalidation statements t e ts 15

Assessing Supporting Information. Validity Is this assessing what it says it is? Reliability Is result or are results sound? The more assessments and assessors the better Utility Enough assessment Sample across range test until you can see what s going on Educational Impact What difference does or has the assessment made Reflection Commentary 16 Change!

Providing context t about what you do in all aspects of your work. Essential data Comprehensive e e Descriptive e account all roles Not just one line Probity statement t t Health statement PDP review e and reflection ecto

NHS clinical i l roles Section 12 work Non clinical i l roles Legal work Education and training i Private practice Management Management Off site doctor Research Locum work Charity work DOLS TA Air ambulance College National bodies

Maintaining i i and enhancing the quality of your professional work Peer group activity it Form E or equivalent Certificate t of good standing from college Reflection on learning from CPD Mandatory training i

Evaluating the quality of your professional work-what what ever your role Quality improvement activity it 5 year plan Your own practice not your trainees Reflection on QI activity it Significant ifi events statement t t Reflection on SUIs

Clinical i l Audit Review of clinical i l outcomes Case review or discussion Audit and monitor Evaluate the impact of legislation or service change

Audit Assessing service change Memantine use for aggression Managing g Anti Lithium monitoring i psychotics in service dementia-nursing Driving gguidelines home interventions ti Capacity and consent to Impact of introducing i treatmentt t OPMH AOT on Alcohol assessment admissions i Training i Introducing reflection CBD groups on wards to review MHA activity and

Peer groups 10 in 5 years Different settings Lead assessor Discussion i reflection Learning points Concerns? Clinical i l Supervision- i is QI

How others perceive the quality of your professional work 360 appraisal every 5 years but by year 3 Colleagues Patients t Reflection of complaints and compliments Appraisal of other roles

To be signed SUIs Complaints Probity statement Health statement GMC concerns

Appraisal and Appraiser training i Appraiser network Revalidation policy Data sets for doctors Web site with Documentation ti ORSAs now Implementation ti plan Managing g concerns strategy t and group Quality assuring appraisal panel pilot Workshops on audit, perfect portfolio, reflection 360 contract + electronic portfolio

Good Medical Practice GMP Framework for Appraisal & Revalidation Supporting Information for Appraisal & Revalidation Speciality Guidance - RCPSych Medical Appraisal Guide AOMRC documents RST 27 27

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