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Doctors Revalidation

Revalidation for Doctors at MEHT 

Revalidation is the process by which all doctors who hold a licence to practise will have to demonstrate to the General Medical Council (GMC) that they are up to date, fit to practise and complying with the relevant professional standards. The legislation for revalidation was implemented with effect from 2012.   

Licensed doctors have to revalidate usually every five years, by having annual appraisal based on GMC core guidance for doctors, Good medical practice. 

The purpose of revalidation is to provide assurance for patients and the public, employers and other healthcare professionals that licensed doctors are up to date and fit to practice.

 

Preparing for revalidation 

The following elements are essential to preparing for revalidation:

 

GMC online 

You will need to have an account with GMC online to manage your revalidation and registration details.

 

Designated body 

Through the GMC you will need to identify your ‘designated body’, i.e. the organisation responsible for supporting your revalidation, and you will need to know who your Responsible Officer (RO) is. 

If your main employment is at MEHT and you are not a doctor in a recognised training programme this will be your designated body. 

For more information on designated bodies please see the GMC website.

 

Supporting information 

All doctors will need to maintain a portfolio of supporting information about their practice and about how they are keeping up to date. This will form the basis of the annual appraisal discussion. The RO has the absolute right to review all portfolio information. 

Six types of supporting information are required for your appraisal for revalidation: 

  1. Continuing professional development (CPD)

  2. Quality improvement activity

  3. Significant events

  4. Feedback from colleagues

  5. Feedback from patients

  6. Review of complaints and compliments

 

Annual appraisals 

You will need to have a regular annual appraisal based on the GMC core guidance on good medical practice. The annual appraisal should consider the whole of your scope of work including private practice, locum work and voluntary work where relevant. 

Click for specialty specific guidance via the AoRMC website.

 

Trust Email 

This is how your RO, appraiser and medical resources will contact you so you must check your Trust email account on a regular basis.

 

How revalidation works 

The responsible officer will rely on the outcome of the appraisal process (appraisal summary), combined with information drawn from clinical governance systems and other relevant information to make a recommendation to the GMC regarding the individual doctor’s revalidation. 

The recommendation will fall into one of the following three categories: 

  • A positive recommendation that the doctor is up to date and fit to practice

  • A request to defer the date of your recommendation

  • A notification of the doctor’s non-engagement in the appraisal process

 

After the RO’s recommendation has been submitted, the GMC will make a decision about your revalidation based on this recommendation. The RO is not responsible for, or able to make a decision about a doctor’s revalidation. This can only be made by the GMC. 

Once the GMC makes a positive decision about a doctor’s revalidation, the next revalidation cycle begins. The GMC will then confirm when you are next due to revalidate.

 

Positive recommendation 

If you receive a positive recommendation from the RO you will receive a letter from Medical Resources informing you of this.

 

Deferral 

A deferral is a neutral act and can be used for two reasons: 

  1. The doctor is subject to an on-going process

  2. Insufficient evidence for a recommendation to revalidate 

If you receive a recommendation for deferral you will receive a letter from the RO explaining why you have been deferred and what you need to do to allow a positive recommendation by the deferral date.

 

Failure to Engage 

This only occurs when a RO is unable to make a recommendation because the doctor has failed to engage with any of the local systems or processes (such as appraisal) that support revalidation. 

For more information please see the GMC website

 

The revalidation cycle 

Once doctors have completed their initial revalidation, the typical length of a revalidation cycle will be five years. The GMC then proposes the following periods of notice: 

  • Six months before the submission date, the GMC invites the doctor to confirm their revalidation details (including the identity of their RO and designated body) via GMC online.

  • Four months before the submission date the GMC issues notice to the doctor, informing them of the date by which they expect to receive a recommendation about revalidation. The GMC informs the RO that notice has been issued.

  • The RO submits their recommendation to the GMC on or before the submission date.

  • After receiving an RO’s recommendation, the GMC will consider the recommendation and make a decision about the doctor’s revalidation. The GMC notifies the RO and the doctor when a decision is made.

 

Doctors in Training 

Every doctor who is fully registered with a licence to practise needs to participate in revalidation. This includes doctors who are in training. 

Doctors in training are those who: 

  • Are in foundation year two

  • Are in a GMC approved LETB/deanery training programme or post

  • Have a fixed term specialty training appointment (FTSTA)

  • Have a locum appointment for training (LAT).

 

Postgraduate medical education organisations are responsible for doctors in training. In England, this is the responsibility of the local education and training boards (LETB).

 

For doctors who have just completed specialist training: 

You should have revalidated after your final ARCP and a new date set for you in five years’ time. If this has not happened and you don’t know why, you should contact the Responsible Officer at your Local Education and Training Board (LETB). 

When you complete your training, you’ll need to update your connection because your LETB or Deanery will no longer be your designated body.

 

Further Guidance on Revalidation 

Further help and guidance can be found on the GMC website here.


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Contacts

Medical Resources Department:

Head of Medical Resources:

Kay Gammage kay.gammage@meht.nhs.uk

 

Lead for Appraisal:

Dr. Rebecca Martin rebecca.martin@meht.nhs.uk