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:
You will need to have an account with GMC online to manage your revalidation and registration details.
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.
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:
Continuing professional development (CPD)
Quality improvement activity
Feedback from colleagues
Feedback from patients
Review of complaints and compliments
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.
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.
If you receive a positive recommendation from the RO you will receive a letter from Medical Resources informing you of this.
A deferral is a neutral act and can be used for two reasons:
The doctor is subject to an on-going process
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.