An overview of supporting information revalidation requirements:

 

Requirement

Frequency

CPD

  • Needs based
  • Cover whole   scope of practice
  • Focused on   reflection, learning and outcomes

Every year

 Review of Complaints and Compliments
  • About the care   of patients where a doctor can be expected to have had influence or   responsibility
  • Focused on   reflection, learning and outcomes

Every year

 Significant Events / Critical Event Analysis
  • Any unintended   or unexpected incident which did or could have led to harm of one or more   patients
  • Focused on   reflection, learning and outcomes

Every year

 Quality Improvement Activity
  • Relevant to   doctors work
  • Include an   element of evaluation and action
  • Focused on   reflection, learning and outcomes

At least once in a revalidation cycle

 Patient Feedback
  • Reflect whole   scope of practice
  • Focused on   reflection, learning and outcomes

At least once in a revalidation cycle   (if doctor sees patients)

 Colleague Feedback
  • Reflect whole   scope of practice
  • Focused on   reflection, learning and outcomes

At least once in a revalidation cycle

 

Further detailed guidance regarding the supporting information can be found here:

http://www.gmc-uk.org/static/documents/content/RT___Supporting_information_for_appraisal_and_revalidation___DC5485.pdf_55024594.pdf

 http://www.aomrc.org.uk/revalidation/speciality-frameworks-and-speciality-guidance.html

The supporting information that the GMC describe will need to be discussed at the appraisal interview, with 3 possible outcomes: -

• Information not presented (in some areas of supporting information this is acceptable for a number of years within a revalidation cycle e.g. Patient and colleague feedback is only required once in 5 years)

• Needs further work (again acceptable early in the revalidation cycle e.g. an audit that has completed the first data collection and there is a subsequent plan to recollect after changes instigated)

• Acceptable for revalidation

Quality Improvement Activity (QIA)

The revalidation requirement is one QIA at least once in a cycle period. A QIA must be relevant to doctor’s work, include an element of evaluation and action and it should focus on reflection, learning and outcomes.

For GPs if the requirement of QIA is incomplete at the final appraisal of the revalidation cycle your appraiser would normally highlight this.

From the 1st November 2014 if this is the case a GP can complete the activity and apply for assessment from the Revalidation Support Unit (RSU) using the following Form (click here). There is a £100 administration charge for the assessment of QIAs. Payment in advance is required by making a cheque payable to Cardiff University and sending to:

RSU Administrator (GP Appraisal)

8th Floor Neuadd Meirionnydd

Cardiff University

Heath Park

Cardiff

CF14 4YS

 

Significant Event Analysis (SEA) / Critical Incident Analysis

The GMC advise that:- "You should discuss significant events involving you at appraisal with a particular emphasis on those that have led to a specific change in practice or demonstrate learning. You may not have logged any events regarding you or your team in a given appraisal period. The numbers of significant events may vary across different specialities and it is the content and what you learnt, rather than the number, that should be the focus in appraisal."

Significant event processes should be discussed at every appraisal, even if the doctor has failed to mention them in their supporting information. It is acceptable to validate 'significant events' if the doctor hasn't submitted a significant event in their appraisal folder, provided a full discussion of the practice's significant events' system has taken place, demonstrating a process is indeed in place and SEA discussion is carried out as a team. It is also acceptable to have similar discussions with GP locums relating to how they would manage a significant event in their practice, again an SEA process should be demonstrated to the appraisers satisfaction. 

The appraiser may advise the doctor to submit a personal significant event, or a significant event that has had an impact on their practice/team in next year's appraisal meeting, and include a PDP objective to this effect. The appraiser may choose to remind the doctor that new cancer diagnoses, patient deaths or indeed positive outcomes of an intervention can be used as significant events. It should be noted that in subsequent appraisals this particular item of supporting information will not normally be validated until the PDP objective, which is transferrable to subsequent years in the Revalidation cycle, has been fulfilled. 

For GPs if the annual requirement of SEAs is incomplete at the final appraisal of the revalidation cycle your appraiser would normally highlight this.

From the 1st November 2014if this is the case a GP can complete the activity and apply for assessment from the Revalidation Support Unit (RSU) using the following Form (click here). There is a £100 administration charge for the assessment of SEAs. Payment in advance is required by making a cheque payable to Cardiff University and sending to:

RSU Administrator (GP Appraisal)

8th Floor Neuadd Meirionnydd

Cardiff University

Heath Park

Cardiff

CF14 4YS

 

Role of Appraisee

Your appraiser should have been trained in the evaluation of supporting evidence and should be able to guide you through the process as the cycle evolves.

The good appraisee should: -

• Ensure all personal and professional information is accurate and up to date at least 2 weeks before the appraisal date

• Ensure that their full range of professional activities are listed

• Ensure that roles outside the mainstream (e.g. management, private work, educational etc.) are listed and that performance management or appraisal in those roles is highlighted

• Provide sufficient material to allow for a meaningful appraisal

• Reflect on progress (or lack of) against each PDP item

• Be aware of the requirements of revalidation and ensure at least the minimum supporting information is present

• Reflect on development focussing on outcomes (so what does it mean for me, my patients, my practice, the NHS etc.)

• Be aware of areas of practice where development is needed

• Work with the appraiser to plan development in the context of individual interests and revalidation requirements covering the whole of professional practice

• Seek to come to agreement with the appraiser regarding the appropriateness, quality and completeness of supporting information for revalidation

• Read and agree (subject to any changes needed) the appraisal summary within 28 days of the appraisal date

Please follow the links below for further information on: