Transcript An Update on Revalidation

An Update on Revalidation:
A FDSRCS Perspective
Karl Bishop
Consultant in Restorative Dentistry
GMC March 2010
What is Medical Revalidation?
Revalidation
Registration
Relicensing
Recertification
Revalidation
RCS Role
1.
QAs process
2.
Contributes to
setting standards
3. Supports clinicians
• Independent practitioners will need to link with
an LRO and appraisal process
• For small specialties LRO may be from designated
organisations e.g. RC Faculties – Occ Med
• CCST curricular and ARCP for trainees will need
to ensure it is consistent with revalidation
• Patient questionnaires and MSF an integral part
of process and must be accredited by GMC
• These components may not have to be
implemented annually
• Pathway pilots being instigated by DoH –
recognising that all components e.g. appraisal
may not be equally mature in all areas
Development Role of RCS (Eng)
• Standards setting: The College and specialty associations have developed
standards and requirements for supporting information.
• Proposing a system: The College has listened to the proposals for systems
being discussed and has developed its own position which has been
recommended to the GMC.
• External scrutiny: The College needs to check the system is working, that
it is fair and that it is upholding surgical standards. A rigorous system is
being developed.
• The College has/will:
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–
–
–
Put the standards out to consultation
Pilot the standards and review them as required.
Critique proposals emerging from the GMC and Department of Health.
Tell the GMC and other decision makers how revalidation should take place for
surgeons.
What are the GDC Doing ?
What are the GDC Doing ? - RWG
• Revalidation WG re-established early 2010 from GDC
members
• The election process was completed on 11 January
2010:
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–
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Denis Toppin (Chair) (GDP)
Alan MacDonald (Lay member – solicitor)
David Smith (Dental Techncian)
Carol Varlaam (Lay member -Trustee on the St. George’s Hospital Charity)
• Will co-opt
• First meeting was the 2nd Feb 2010 and work to start
on specialist RV 2010
S1 Pilots
• Looked at feasibility of S1
– ~ 300 dentists
– Ability to collect current proposed evidence
• Denplan
• Scotland
• S. Yorkshire
• Reported to GDC in December 2009
What are the GDC Doing ? - S1 Pilots
Initial feedback suggests dentists
– happy with concept of revalidation
– want clear and unambiguous guidelines of what is
required and when
– feel patient feedback has little value
• GDC feels that has value providing its not related to clinical
competence - communication, management etc
– ‘Practice vs Personal’ evidence
clarification on the management and leadership
domain since participants thought that this was only
relevant to those managing a practice.
• ? Good practice hides poor practitioner and vice versa
What are the GDC Doing ? – Public View
•
Assessment of public view (Ipsos MORI)
reported to GDC Dec 2009
– highlighted the expectation that the process should
not simply be a self – declaration
Work should be checked !
– this may mean changing the balance of Stage 1 so
that there is an actual judgement of the quality of
particular pieces of evidence .
As a result Stages 1 and 2 may become more unified.
What are the GDC Doing ? – Other Bodies
• Engaged with existing ‘inspection’ groups to
ensure consistent with standards required for
revalidation:
– DRO services
– HIW
– CQC
Timeline for 2010
•
Develop and implement feasibility study for Stages
2 & 3 early 2010
•
Formal consultation mid 2010
•
Economic evaluation of proposed revalidation
system
Timeline for 2010
• Development of a revalidation audit tool dependent on clarification of the requirements
for stage 1.
• Develop revalidation baseline measurement –
early 2010;
Timeline for 2010
• Development of the E-portfolio requirements for stage 1,
this can only begin when there is more clarity around
stage 1.
• Start working with stakeholders to ‘map and gap’ early
2010
– Who’s doing what at present
– Keen to see groups working together
• Begin work on development of a quality assurance
system for third party providers – late 2010.
Implementation
• Role out as new 5 year CPD cycle commencing 20112012
• Likely to be 5 year cycle since this can probably be
managed simply with minor modifications to current
‘CPD’ legislation
• 5 year cycle likely to allow ‘breaks’ e.g maternity leave
– longer breaks ? summative assessment
• Evidence needs to be throughout 5 years
What are we doing ?
What should/could we be doing ?
What are we doing ?
• Initiated regular informal contacts with GDC
– what are the GDC’s intentions (‘tickbox’ ?)
– GDC have expertise for specialists ?
– encouraging cooption onto RWG
– meet with new chair of RWG
• On agenda of next Senate of Dental Specialties
Meeting
– Colleges
– Specialty Associations
What are we doing ?
• MyCPD established
What are we doing ?
• MyCPD established
• Set up E-portfolio working group
– Discussions with RCS on their E-portfolio
(filing cabinet)
What should/could we be doing ?
• Decide role
– Support
– Delivery
• For who ?
Currently GDC open to suggestions
– particularly S2 and S3
Future Role of FDS ?
• Defining the relevant specialty standards.
• Develop/validate specialty tools for the evaluation of
dentists practice.
• Describing the types of supporting information that
will be needed to provide to meet the relevant
specialty standards.
• Providing specialty guidance for appraisees,
appraisers for those in HDS (and LROs) & QA process
• Provide appraisal process and report to GDC
• Work with FGDP and Deaneries for nonspecialists/non HDS dentists
Support ?
• Develop and agree standards
• GDC state that only 1 standard for revalidation
• GDC looking whether BDS is adequate or whether preReg necessary
• BDS ?
• Pre- registration (MJDF/ORE?) ?
• MRD (specialists) ?
• ICSFE (consultants) ?
• Application of ‘Standards for Dental Professionals’ to
registrants actual practise
Support ?
• Develop and agree standards
• Develop portfolio components e.g.
– Standardised audits/tools/guidelines
– MSF/Pt questionnaires
– CPD
• Provide courses and events
• Sign posting
• Event and course accreditation
• Develop/Identify E-Portfolio
• filing cabinet or
• interactive e.g. Cf current online appraisal tools
Support ?
• Advice/support/mentoring particularly S2
• Expand role to include non specialists/trainees
• Remediation (with Deaneries/professional
societies)
Local Support ?
- Develop and QA existing NHS Appraisal
System for HDS
- Expand to non HDS members/specialists/DwSis/GDS
- Use existing FDS/Deanery local structures
- New local support structure for surgeons e.g.
Professional Affairs Boards
- Each board comprises of a college appointed DPA and nine specialty
association appointed RSPAs
- Currently seven in place
- Plans for five more in 2010
College Role
1.
QAs process
2.
Contributes to setting
standards
3. Supports clinicians
Supporting Role of FDS ?
• GDC
• Faculties
• CQC/HIW
GDC
h
Delivery Role for FDS
(HDS)
• GDC
• Faculties
• CQC/HIW
FDS
h
FDS Role
GDC
Delivery Role for FDS
(HDS)
• GDC
• Faculties
• CQC/HIW
FDS
GDC
FDS Role
What should/could we be doing ?
• For who ?
– Specialists
• HDS – modify medical model based on appraisal
• Independent/private practice
– Non-specialists
• HDS
• Independent/private practice
• NHS GDP
Delivery Role for FDS
(HDS & PC Specialists)
• GDC
• Faculties
• CQC/HIW
FDS
GDC
FDS Role
Delivery Role for
RCs/Deaneries
• GDC
• Faculties
• CQC/HIW
(All Professionals)
FDS
GDC
Deans/FGDP
FDS Role
BUT WE ARE NOT ALONE !
Non Specialists
• HDS – NHS/modified appraisal system
• Independent/private practice (non specialist)
– HIW/CQC probably responsible for private practice statutory
inspection
– 3rd parties – Denplan, BDA
– Standards
• Specialist Societies ?
• Faculty of Dental Surgery/FGDP
• Other 3rd parties ?
• NHS GDP
– NHS inspection frameworks
– 3rd parties – Denplan, BDA
– Standards
• FGDP/Faculty of Dental Surgery ?
• Other 3rd parties ?
How serious are the GDC ?
How serious are the RCs?
Thank-you