News Releases (19th October 2012)

BBC - New era of five-yearly doctor checks starts - click here for more information.
GMC - Regular checks for all doctors - click here for more information.
BMA - In depth: Revalidation - click here for more information.
Department of Health - Medical revalidation of doctors to start in December- click here for more information.

Revalidation – Where do we stand at the moment (April 2012)? 

Revalidation is now 9 months away and the GMC has just asked GPs to confirm who their "designated body" is, which will be the organisation that performs your appraisal (see this link to the GMC here).

The latest Guidance from the RCGP about revalidation is given here.

Below is a brief summary of what I believe the current state of affairs is with Revalidation. 

The timescale for Revalidation is planned for later this year or early in 2013. The scope for Revalidation has been simplified, and currently where there were 13 areas these have now been simplified into 4. These 4 areas are:

General Information
Feedback on Practice
Quality of Practice
Education

The deliverables from these 4 areas now comprise, (in addition to statements on your personal details and the scope of your practice, and the results of your annual appraisals):-

Patient Survey Questionnaire,
1 Multisource Feedback (colleague survey),
1 audit,
10 Significant event audits,
250 Learning Credits.

Area 1. General Information

You will need to supply personal details and a description of your practice. You need to have participated in annual appraisal and will have to produce and show an active effort in completing your PDP (currently showing that 2/3 are completed). There will be statements on probity and health.

Area 2. Feedback on Practice 

You will have to complete a colleague and a patient survey , one of each every 3 years.
There will have to be a Review of Complaints and Compliments

Area 3. Quality of Practice 

Significant Event Analysis is required (10 per 5 year cycle) which Clinical Audit is required (One per cycle).

Area 4. Education 250

Learning Credits per cycle are required which should be collected at a rate of 50 per year (unless exceptional circumstances ). These are claimed by the doctor and verified at appraisal. In the credit based system 1 hour of learning activity is equal to 1 credit.  Credits can be doubled if impact can be demonstrated on your patients, yourself( a new skill), on your service or on others( if you teach).
These credits are Self assessed and verified at appraisal.

There should be a variety of learning activities, which should encompass personal study, lectures and interactive learning. Subjects should be relevant to general practice and should cover the broad workload that a GP performs. Credits should be a mixture of time-based activities and impact-generated credits. The RCGP doesn’t advocate the collecting of certificates, but there should be a record of any activity and the activities performed so that they can be claimed.

Accumulating Credits

There are many ways to obtain Credits. It is important to record reflection time with any learning activity, as well as the actual time spent conducting the learning in the first place. It is a good idea to fill out contemporaneous reflection notes whenever a learning activity is conducted and to note the time taken.

Details 10 ways to accumulate credits

1. Distance or online learning. When participating in online learning it is important to record actual time spent on the activity.
2. Meetings and lectures – need details, relevance and learning points, not just certificates of attendance. Reflection templates are important.
3. Structured Learning – any activity that leads to a qualification, so long as it is relevant.
4. Practical Skills. New skills that you can use to the benefit of your patients, and which can be verified with the results of an audit are a good source of credits. Joint injection techniques or a newly learnt examination technique are examples.
5. Practice Developments are a useful addition to any credit portfolio. This type of credit encourages the learning of new skills that can help your service provision.
6. Audit is a learning activity that should attract impact as well as time-based credits. You can claim for time spent in planning, preparation, discussion with partners, writing up and reflection, but NOT for time spent in data collection. Usually it is a good idea to develop the theme of an audit from some learning activity you have been involved in, especially as a well directed learning activity can allow you to find out something that is new to you.
7. PUNS and DENS – these are essentially incidents that provoke a learning action. You might use these to provide the basis for researching a subject.
8. Reading – this is limited to 10 credits a year and can either be structured (researching a topic) or unstructured.
9. Significant Events – these are credits of an essentially reflective nature, but they can attract impact if change is demonstrated.
10. Surveys – these are reflective in nature again. you can claim time spent reflecting on them, but not on actually collating them. Again – impact can be awarded if demonstrated.

Dr Gary Rogers
Medical Director
CPD Films