Medical Revalidation in Wales

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Medical Revalidation in Wales
Dr Jane Wilkinson Chairman of WRDB Deputy Chief
Medical Officer
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Medical Revalidation

• Revalidation is a mechanism to allow health
  professionals demonstrate they remain up-to-date
  fit to practice
• It is a 5 year process not a 5th year process

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Wales Revalidation Delivery Group (WRDG)

• The purpose of this group is to ensure that the
  processes are in place to support revalidation
  for all doctors in Wales.
• Work of the group feeds into UK Revalidation
  Programme Board
• Reports and makes recommendations to Director
  General HSS, CMO, Director of workforce
  organisational development.

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Reporting structures
DH (E)

• Set Standards for re-licensure
• Agree Standards for recertification
• Assure quality of local processes

• Set policy

WAG HSS-DG
GMC

• Strategic plan for implementation

UK Revalidation Programme Board

• Ensure delivery of revalidation across all
  specialties and all 4 countries

• Share knowledge Harmonise process interact with
  GMC Interact with NCAS

WRDB
LHBs etc
Private Sector

• Set standards for recertification, subject to GMC
  agreement
• Assure quality of processes

Health Inspectorate Wales
AoMRC Wales
Post Graduate Deanery
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WRDB Membership

• Dr Jane Wilkinson (chair)
• Employers - NHS independent sector
• BMA
• Academy of Medical Royal College
• GMC
• MD rep from LHBs
• WAG - MD of NHS , HR
• CHCs
• HIW
• Deanery
• NHS Employers Unit

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Wales Revalidation Delivery Group (WRDG)

• Responsibility for assessing the readiness of
  local systems of clinical governance rests with
  Delivery Boards
• Revalidation should be a by-product of effective
  clinical governance systems operating locally
• Criteria for assessing readiness have been agreed

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Criteria for assessing readiness

• All necessary legislation is in place
• Doctors have a licence to practice
• Responsible officers in place
• Effective system of clinical governance in place
• Effective system of appraisal based on GMP
  Framework is in operation

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Criteria for assessing readiness

• Specialist standards embedded in local appraisal
  processes
• Local processes ready to deliver necessary
  recommendations with appropriate QA arrangements
  in place
• Multisource feedback tools based on professional
  standards are available for use by doctors locally

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Key work streams

• Appraisal
• Information Management
• Responsible Officers
• Remediation and Rehabilitation

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Appraisal

• Aim to have similar systems for all doctors
• Revalidation in General Practice in Wales
  GMC/Deanery joint project complete
• Pilot in secondary care Hywel Dda
• Pilot in Independent Sector to be run
• Training for Appraisers and Appraisees being
  developed and tested in pilots.

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Information Management

• Close links with the Appraisal work stream
• Intention is to seek an information system which
  can be used by all doctors, appraisers and ROs
  in Wales.
• Important that any systems are compatible with
  NHS systems

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Responsible Officer

• ROs will usually be Medical Directors already
  in place in new LHBs
• Guidance for ROs, appraisers, appraisees and
  employers is being developed.
• UK consultation ends October 25th
• Wales to make own directions will be drafted
  following analysis of consultation reports
• Legislative timetable being determined but
  intention will be to have in place by October
  2010

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Remediation and Rehabilitation

• Scoping of locals systems to take place
• Needs analysis will follow
• Local model will be developed and piloted
• Target date for completion to this stage
  December 2010

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Resources

• analysis of costs of implementing revalidation
  systems will be undertaken
• recommendations made to Minister and NHS
  Delivery Group as to how these will be met and
  revalidation supported.

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Conclusion

• Focus on Quality Assurance patient safety
• Co-operation and joint working essential
• No system will be put in place without testing
• Wales is on track will be ready for
  implementation when rollout begins.

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Diolch yn fawr Thank you very much
Jane.wilkinson_at_wales.gsi.gov.uk