How revalidation will affect you

GP magazine distils the essentials from guidance on revalidation from the RCGP, GMC and other organisations.

Who will be revalidated and when?
  • If you hold a licence to practise, you will need to be revalidated.
  • GPs who are no longer in active clinical general practice, but who are active as doctors, will be revalidated for what they do.
  • GPs will be revalidated once every five years. All doctors will receive notice of the date they are due to be revalidated by April 2013.
  • 20% of doctors will be revalidated in 2013, 40% in 2014 and 40% in 2015.
What do I need to do?
  • Find out who your responsible officer (RO) is – this person will recommend doctors in your area for revalidation. If you are on a performers list, you should be told who this is. If not, contact the GMC.
  • Ensure your annual appraisal covers all of your medical practice, and that at least one appraisal before your revalidation date is based on the GMC’s guide Good Medical Practice.
  • Use an electronic CPD folder to gather evidence for appraisal and revalidation, for example, the CPD organiser at GPonline.com.
  • Start collecting supporting information.
What information do I need?
  • Demonstrate that you have collected and reflected on CPD, quality improvement activity, significant events, feedback from colleagues and patients, and a review of complaints and compliments.
  • The RCGP recommends fifty CPD credits a year – a total of 250 in a five-year cycle. One hour’s CPD is worth one credit, but its value is doubled if you can show that it changed your patient care.
  • Two significant event audits for the 12-month period before your last appraisal prior to your revalidation date.
  • At least one full-cycle clinical audit within the five-year cycle.
  • One multisource feedback questionnaire sent to colleagues and one distributed to patients within the five-year cycle.
What is multisource feedback?
  • Often called 360-degree appraisal, it is feedback gathered from your colleagues and patients.
  • You will need feedback from about 15 colleagues and 35 patients.
  • Colleagues include other GPs, nurses, receptionists and other non-clinical colleagues, including pharmacists.
  • Questionnaires can be obtained free from the GMC, or from companies that charge to send out and collate questionnaires.
What if I’m a non-standard GP?
  • Don’t work in isolation. Join a sessional GP group or locum chambers.
  • If you’re a locum, ensure that your practice managers give you a unique username and password for IT systems so that colleagues can identify your work.
  • Take a name badge or ID card to practices to ensure that patients can identify you and can provide feedback.
  • If a practice does not ask you back, find out why and learn
    from the feedback.
What if I’m a non-standard GP?
  • Don’t work in isolation. Join a sessional GP group or locum chambers.
  • If you’re a locum, ensure that your practice managers give you a unique username and password for IT systems so that colleagues can identify your work.
  • Take a name badge or ID card to practices to ensure that patients can identify you and can provide feedback.
  • If a practice does not ask you back, find out why and learn
    from the feedback.
What if I fail?
  • Technically, it is impossible to fail, but if serious concerns are raised during revalidation or appraisals, a GP’s revalidation will be put on hold and concerns will be processed through the usual fitness-to-practise channels.
  • ROs can request that a GP’s recommendation is deferred. This may happen if the doctor has taken a break from their practice (for example, maternity or sick leave).
  • Remediation is the process of addressing performance concerns not serious enough to warrant a fitness-to-practise case.
  • Criteria to determine who will receive DH funding for remediation are yet to be determined.

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