Embed Size (px)
Citation preview
Outcomes/Effectiveness of revalidation in the UKIAMRA Revalidation Symposium29 October 2015
Una LaneDirectorRegistration and Revalidation
The register tells you:
Name Date of Qualification Date of entry to specialist register
Holding registration with a licence to practise will move from being an historical record of educational achievement to a contemporary affirmation of competence
What are we trying to achieve?
What are we trying to achieve?
Bring all doctors into a clinical governed system Help to identify problems earlier Encourage self reflection Contribute to safer and higher quality care for patients
Revalidation – the process
This is a five year process – NOT a fifth year process
Revalidation: requirements for doctors
4 domains of GMP
Where are we now? The numbers
Doctors subject to revalidation in the UK: 228,609
GMC figures, as at 31 August 2015
recommendations received by the GMC: 144,777
number of doctors revalidated: 118,448
number of deferrals: 26,061
number of notifications of non-engagement: 268
Revalidate
Deferral
Non-en-gagement
Not yet received recommendation
Early evidence of impact? 94% of licensed doctor in the UK now connected to a
designated organisation/Responsible Officer
Appraisal rates for all doctors have increased significantly e.g. from 64% (2011) to 87% (2015) for NHS
consultants
Anecdotal claims of earlier identification of concerns – strong support among Responsible Officers
24,795 doctors have chosen to give up their licence to practise
Suspended approval of recommendations in three organisations
Removed 1,890 licences due to failure to engage with the process as a whole (e.g. providing no information to GMC)
What Responsible Officers say
“Revalidation for me is central to the quality agenda that I am pushing in this hospital”
“….allowed me to develop a far better understanding of what my doctors are actually doing in the hospital and elsewhere - I feel more assured”
“….there is clearly a move towards better sharing of information around doctors’ whole scope of practice …. this is a direct result of revalidation”
“In short, fewer bolt holes for doctors with unaddressed concerns to disappear into.”
What Responsible Officers say
What others say 86% of doctors who had been revalidated believed
they were treated fairly throughout the revalidation process
34% of doctors who had been revalidated indicated that they were reflecting more on their work than a year ago
73% of employers said they felt that doctors were reflecting more on their practice compared to 12 months ago and
59% of employers said they felt that doctors were more aware of how to apply the principles in Good medical practice compared to a year ago.
Over 2 million patients have provided feedback to their doctors
How will we know it’s working?
Bring all doctors into a clinical governed system Help to identify problems earlier Encourage self reflection Contribute to safer and higher quality care for patients
Evaluation UK Medical Revalidation Evaluation Collaboration
(UMbRELLA)
The future of revalidation
Revalidation the next phase? More integrated with team performance More objective data More linked to specialist expectations Easier to complete
Safety and quality increasingly recognised as critical everywhere
Data drives patients, professionals and providers to different behaviours
Various systems for re-certification, re-licensure around the world.
