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Introduction to Medical Revalidation and Appraisal

Appraisal

All Consultants, SAS doctors and Career Grade doctors employed by NHSGGC must undertake an enhanced Appraisal once during the period 1st April to 31st March in any given year.  Annual Appraisal is a contractual obligation for all Consultants and SAS doctors employed by NHS Boards in Scotland.  It is also a statutory responsibility for all Consultants, SAS doctors and Career Grade doctors, who wish to retain a Licence to Practise, to regularly undertake Appraisals in accordance with The General Medical Council (Licence to Practise and Revalidation) Regulations Order of Council 2012.

The Appraisal should focus in the main on information gathered during the preceding year using the GMC's Good Medical Practice Framework as its focus.  If this is a doctor's first Appraisal as a newly qualified Consultant/SAS Grade/Career Grade they should bring along a copy of their Certificate of Completion of Training (CCT), their Annual Review of Competence Progression (ARCP) and any evidence of patient/colleague feedback gathered in the previous 5 years.  If a doctor has been previously employed as a Consultant/SAS Grade/Career Grade and has undertaken a valid Appraisal for the preceding year they should bring along a copy of their signed Form 4 to their first Appraisal meeting.

Appraisals should be completed online using the Scottish Online Appraisal Resource (SOAR). This will assist greatly in record keeping and ensure that through audit the process can be quality assured.  To register with SOAR please access the website http://www.appraisal.nes.scot.nhs.uk/.

In accordance with the NHSGGC Consultant and SAS doctor Appraisal procedure, a doctor's Clinical Director/Lead Clinician is formally responsible for appointing their Appraiser.  Every doctor should be appraised by at least 2 separate Appraisers during their 5 year revalidation cycle.  It is not permissible for an Appraisee to self-select an Appraiser, but a doctor will be entitled to request one alternate choice of Appraiser if they are not satisfied with their allocated Appraiser.  If a doctor has a legitimate reason not to accept the second Appraiser then Professor Paul Knight, Secondary Care Appraisal Lead, will appoint another trained Appraiser.  This decision is final.

Revalidation

Revalidation is the process by which doctors are required to demonstrate on a regular basis that they are up to date and fit to practice.  Doctors will revalidate, usually every five years, based on a recommendation made to the GMC by the Board Medical Director, as Responsible Officer (RO).  The RO will base their recommendation on a doctor's Appraisals over a five year period (i.e. the revalidation cycle), together with information drawn from the local clinical governance systems.  The RO will be required to make a revalidation recommendation in accordance with the doctor's due date which has been prescribed by the GMC.  Each doctor will be notified directly of their revalidation due date by the GMC.

The RO can make one of three recommendations:

  • Recommendation to revalidate;
  • Recommendation to defer; or
  • Recommendation of non-engagement.

On the basis of the RO's recommendation, the GMC will decide whether the doctor's licence to practise should continue to be revalidated for a further 5 years.  For further information on revalidation please access the the following GMC website: http://www.gmc-uk.org/doctors/revalidation.asp.

Should you have any queries in relation to the above please email: [email protected].