Exclusive: DoH refuses to fund revalidation

The DoH has confirmed it will not fund the annual cost of revalidation, heightening concerns the profession will have to pay.

Dr Laurence Buckman

A DoH spokeswoman told GP newspaper the annual cost of revalidation would be broadly similar to the current appraisal process, so no extra funding would be required.

Currently, GMS partners receive 26p per patient in their global sum to reimburse them for the time and costs of appraising themselves and their salaried GPs. Locums receive various amounts depending on their primary care organisation (PCO).

But GPC chairman Dr Laurence Buckman told GP he is prepared to fight for a higher fee should revalidation's annual ‘enhanced appraisal' be more burdensome.

GPs at June's LMC conference demanded that revalidation is ‘fully funded and resourced' by the DoH.

Additional work towards enhanced appraisal will include surveys of patients and colleagues and earning learning credits.

Dr Buckman's biggest concern is how the ‘remediation' of doctors identified as struggling during revalidation would be paid for, which the RCGP expects to be the mostly costly aspect of revalidation.

 ‘Who pays for a doctor to be remediated?' said Dr Buckman. ‘The state, the profession, or the individual?

If individual GPs are left to pay, it could cause an exodus from the profession, he said.

Charging the whole profession, through the GMC, would mean ‘GPs dipping in their own pockets to pay for others,' said Dr Buckman.  

PCOs have enough in their allocations to pay for revalidation, but not remediation, he said.

A DoH spokeswoman said there had been no decision on who would pay for remediation but work was ongoing at a ‘local level'. 

A GMC spokeswoman said it was unlikely to be heavily involved in remediation.

‘Revalidation is a by-product of strong appraisal and clinical governance,' she said. ‘If there are concerns about a doctor the GMC isn't necessarily going to be called in.'

An NHS Employers' spokesman said: ‘Revalidation is fundamentally about applying more rigour to existing processes and so should not cost more.' 


Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Just published

Clinical Update Podcast

Save time and be greener with the Clinical Update podcast

The first episode of the new Clinical Update podcast from MIMS Learning tells you...

Home Office building

BMA calls on Home Office to address IMG visa problems by summer

The BMA has called on the Home Office to put in place a solution to the visa problems...

Talking General Practice: Should assisted dying be legalised?

Special podcast: Should assisted dying be legalised?

This year the Scottish parliament will debate a bill that could legalise assisted...

COVID-19 vaccination

Vaccination halves risk of developing long COVID, study finds

COVID-19 vaccinations halve the risk of a person developing long COVID, according...

Junior doctors on strike earlier this month

Junior doctors to stage four-day walkout in April

Junior doctors in England will strike for an unprecedented 96 hours from 6:59am on...

Health and social care secretary Steve Barclay

Private provider takes over at-risk practice in health secretary's constituency

A GP practice in health and social care secretary Steve Barclay's constituency has...