The annual assessment of competences in training is continuing in much the same way as previous years. You will be required to submit evidence six weeks before your assessment panel, who will review it in line with the specialty curriculum and local guidance. The full list of ARCP outcomes is available from The Gold Guide' (A Reference Guide for Postgraduate Specialty Training in the UK).
ARCPs have outcomes which are considered to be "satisfactory" or "unsatisfactory". These outcomes are not necessarily an indicator of your recommendation for revalidation.
Annual Review of Competence Progress (ARCP) Outcomes
- Outcome 1: Satisfactory Progress – achieving progress and competences at the expected rate
- Outcome 2: Development of specific competences required – additional training time not required
- Outcome 3: Inadequate progress by the trainee – additional training time required
- Outcome 4: Released from training programme with or without specified competences
- Outcome 5: Incomplete evidence presented – additional training time may be required
- Outcome 6: Gained all required competences for the programme - will be recommended as having completed the training programme and for award of a CCT or CESR/CEGPR in Higher Specialty Training.
Outcomes for trainees in FTSTAs, LATs, OOP, or undertaking “top-up” training within a training programme:
- Outcome 7: Fixed-term Specialty Trainee (FTSTAs) or LATs
- Outcome 7.1: Satisfactory progress in or completion of the LAT / FTSTA placement
- Outcome 7.2: Development of specific competences required – additional training time not required
- Outcome 7.3: Inadequate progress by the trainee
- Outcome 7.4: Incomplete evidence presented
- Outcome 8: Out of programme for research, approved clinical training or a career break (OOPR/OOPT/OOPC)
- Outcome 9: doctors undertaking top-up training in a training post
Outcome for trainees who were not assessed:
- N: Trainee did not have an ARCP - for example if a trainee is on parental leave they will not be assessed until they have returned to training
ARCP Outcomes and Revalidation Recommendations
The RO has three options in making a recommendation. These are, in summary:
- Recommendation to revalidate
- Deferral request
- Notification of non-engagement
Outside of the revalidation process, doctors about whom an RO or medical director has serious concerns regarding their fitness to practice will be referred to the GMC at any time using regular fitness to practice channels.
This decision should be made when the need arises and not wait until the next revalidation recommendation is due. A GMC team of Employer Liaison Advisers is available to provide advice and support on such cases.
Please note that the ARCP and revalidation processes are interlinked, but they are not co-dependent.
- A trainee achieving outcome 6 at ARCP for completion of training would do so based upon their achievement and demonstration of all required competencies in the curriculum. Providing there are no ongoing clinical governance concerns the Responsible Officer will be able to make a positive revalidation recommendation. However if the trainee had, for example, an ongoing GMC fitness to practice investigation for drink-driving, but had achieved all the necessary competencies in line with their curriculum they can gain their CCT and move out of training but their revalidation recommendation will need to be deferred until the conclusion of the GMC investigation.
- A trainee has received outcome 4 at ARCP and been released from programme due to repeated exam failure. Whilst this is considered "unsatisfactory", provided there are no concerns about the doctor's Fitness to Practice it should not, in itself, impede revalidation in the future or prevent the Responsible Officer from making a positive revalidation recommendation.