Revalidation and Assessment

The revalidation process is carried out via the ARCP process, with a little additional information from employers about clinical governance, and information from trainers about scope of practice.

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Assessment

From August 2007 a new postgraduate specialty training structure was introduced.

Specialist registrars appointed prior to August 2007 may continue to train using the curriculum to which they were appointed.  'The Orange Guide' (A Guide to Specialist Registrar Training) will continue to be applicable to those who remain on the old curriculum.

Doctors entering the new specialty training programmes from August 2007 should follow 'The Gold Guide' (A Reference Guide for Postgraduate Specialty Training in the UK) Fifth Edition.

 

Record of In-Training Assessment (RITA) - Specialist Registrars (SpRs)

The Record of In-Training Assessment provides a record of the annual review and therefore of the Specialist Registrar's (SpR) progress through his/her training programme and the Grade.

The Orange Guide can be downloaded here.

 

Annual Review of Competence Progression (ARCP)

What is the Purpose of the Annual Review of Competence Progression (ARCP)?

The ARCP provides a formal process which uses the evidence gathered by the trainee, relating to his/her progress in the training programme. It should normally be undertaken on at least an annual basis for all trainees undertaking specialty training and will enable the trainee, the Postgraduate Dean and employers to document that the competences required are being gained at an appropriate rate and through appropriate experience. The process may be conducted more frequently if there is a need to deal with performance and progression issues outside the annual review. It is not in itself a means or tool of assessment.

The ARCP fulfils the following functions:

  • provide an effective mechanism for reviewing and recording the evidence related to a trainee’s performance within the training programme or in a recognised training post (fixed term specialty training appointment FTSTA and locum appointment for training LAT),
  • provide a means whereby the evidence of the outcome of formal assessments, through a variety of GMC approved workplace assessment tools and other assessment strategies, including examinations which are part of the assessment system are coordinated and recorded to provide a coherent record of a trainee’s progress,
  • provide a mechanism for the overview of out of programme experience and record its contribution, where approved, to progress,
  • provided adequate documentation has been presented, to make judgements about the competences acquired by a specialty trainee and their suitability to progress to the next stage of training if they are in a training programme, provided adequate documentation has been presented, to make a judgement about the competences acquired by a trainee in a fixed term specialty training appointment or LAT and to document these accordingly,
  • provide advice to the RO about Revalidation of the trainee to enable the RO to make a recommendation to the GMC when required,
  • provide a final statement of the trainee's successful attainment of the curricular competences including fulfilment of GMP for the specialty and thereby the completion of the training programme. This will enable the Postgraduate Dean to present evidence to the relevant College or Faculty so that it can recommend the trainee to the GMC for award of the CCT or CESR/CEGPR(CP).

The ARCP process is applicable to:

  • all specialty trainees (including general practice trainees, those in core training, less than full-time training and trainees in academic programmes) whose performance through a specialty training programme must be assessed to evaluate progression.
  • trainees in combined academic/clinical programmes, e.g. those in Academic Clinical Fellowships, Clinical Lectureships, Clinician Scientist appointments.
  • trainees who are out of programme with the agreement of the Postgraduate Dean.
  • trainees in Fixed Term Specialty Training Appointments (FTSTAs).
  • trainees in Locum Appointments for Training (LATs).

The Gold Guide can be downloaded by clicking the link.

 

Annual Trainee Reviews

Annual Reviews

Annual reviews are designed to support you and protect patients by determining whether you are competent to progress. The ARCP and RITA processes have been revised nationally to include revalidation. The annual assessment will consider your training progress and your fitness to practise. 

It is important to understand that your fitness to practise will be considered at every ARCP/RITA and not just at your revalidation date. This applies whether you are a Core Trainee, LAT or hold a National Training Number. Annual reviews are necessary to maintain patient safety and ensure that you are generating information towards revalidation to meet the requirements of your curriculum and training programme.

Evidence is key to this, whether paper based or electronic, and must be gathered throughout the training year. You will be required to submit evidence 6 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 and RITA outcomes are available from A Guide to Specialist Registrar Training 1998.

ARCP and  RITA outcomes are considered to be "satisfactory" or "unsatisfactory"; whilst these outcomes will continue to be used they are not necessarily an indicator of your recommendation for revalidation.

ARCP or RITA?

If you started training before 1 August 2007, it is likely that you will be covered by the Record of In Training Assessment (RITA) process. Full details on the RITA process can be found in the publication A Guide to Specialist Registrar Training (The Orange Book).

If you are a Specialty Registrar who started on or after 1 August 2007, then you will be covered by the Annual Review of Competence Progression (ARCP). Full details on the ARCP can be found in the publication A Reference Guide for Postgraduate Specialty Training in the UK (The Gold Guide). 

ARCP Outcomes

ARCP and RITA

LETBs review the progress of all doctors in specialist (including GP and core) training on at least an annual basis using one of two processes, depending on when the doctor began their training programme:

1. Trainees who started before 1 August 2007 are generally covered by RITA, details of which can be found in A Guide to Specialist Registrar Training (’The Orange Guide’).

2. Trainees who started on or after 1 August 2007 are covered by ARCP, details of which can be found in A Reference Guide for Postgraduate Specialty Training in the UK (’The Gold Guide’).

HEEoE panels conduct reviews and issue each trainee with an ARCP/RITA outcome (see table below). The panel may meet with the trainee in person or conduct a paper/e-portfolio review.

In both cases, the objective is to determine the extent of the trainee’s progress against the competences described in a GMC approved specialty curriculum. This involves reviewing the evidence that trainees submit about their training, which may include:

• workplace based assessments

• a report from the trainee’s educational supervisor

• team observation summaries

• royal college or faculty professional exam results (this list is not exhaustive). 

Table of ARCP and RITA Outcomes

Type

Outcome

Reporting classification

Description

ARCP

1

Satisfactory

Satisfactory progress. Competences achieved as expected.

2

Unsatisfactory

May progress but requires specific / targeted training to achieve certain competences

3

Unsatisfactory

Has not achieved competences required to progress, up to 12m (6m in Core and GP) additional training required

4

Unsatisfactory

Released from training programme with or without specified competences

5

Satisfactory

Incomplete evidence provided

6

Satisfactory

Recommendation for completion of training having gained all required competences.

7

Satisfactory

Fixed term specialty outcome - specific competences achieved

7.1

Satisfactory

Satisfactory progress in or completion of the 'Locum Appointment for Training (LAT) / Fixed Term Speciality Training Appointments (FTSTA) placement.

7.2

Unsatisfactory

Development of specific competences required – additional training time not required LAT/FTSTA placement

7.3

Unsatisfactory

Inadequate progress by the trainee – additional training time required LAT/FTSTA placement

7.4

Satisfactory

Incomplete evidence presented - LAT / FTSTA placement.

8

Satisfactory

Out of programme, time may or may not count towards training

RITA

C

Satisfactory

Satisfactory progress. Competences achieved as expected.

D

Unsatisfactory

May progress but requires specific/targeted training to achieve certain competences

E

Unsatisfactory

Has not achieved competences required to progress, up to 12m (6m in Core and GP) additional training required

F

Satisfactory

Out of programme, time may or may not count towards training

G

Satisfactory

Recommendation for completion of training having gained all required competencies.

The Relevance of ARCP and RITA Outcomes

During specialist training, a trainee progresses from a basic level through a programme of teaching and training to completion of training and entry onto the specialist or GP register.

The rate at which they progress is determined both by characteristics of the trainee themselves and the environment in which they are being trained. Therefore, in postgraduate training, outcomes other than standard progress are to be expected. Trainees who do not progress at the standard rate will usually undergo another ARCP or RITA meeting within six to 12 months.

The importance of the ARCP and RITA processes is to identify where a trainee is making progress and where they are not and to prescribe action to improve the progress where necessary. Therefore outcomes termed unsatisfactory are not necessarily undesirable. They may in fact reflect a supportive educational environment which proactively identifies issues and helps the trainees to correct them or identifies a deficiency in the educational environment that needs to be corrected for the trainee to be successful. Equally, a high proportion of satisfactory outcomes may reflect a less rigorous assessment process.

ARCP Appeals

Review of ARCP Outcome 2

Where a trainee has been given an outcome 2 at their ARCP panel, they have the right to request a review of the decision.  A request for a review must be made to the chair of the ARCP panel via emily.clemente@nhs.net within 10 working days of being notified of the decision.  The chair’s nominated deputy will arrange, as far as is practicable for all the original members of the ARCP panel to reconvene within 15 working days of the request for the review; this meeting can be held virtually.

Click here to see a management flowchart for the appeals policy for outcome 2 or RITA D.

Appeal against Outcome 3 or 4

In the case of an outcome 3 or 4 there is an appeals procedure which is outlined in the Gold Guide.  A request for an appeal must be made in writing to the Postgraduate Dean, via his nominated representative, emily.clemente@nhs.net within 10 working days of being notified of the panel’s decision and the grounds for appeal must be stated.

HEEoE will arrange a formal appeal hearing where practicable within 15 working days of the request for an appeal, or following completion of the review process.

An independent panel will be convened to form a judgement and will include:

  • Panel Chair – this will be the Postgraduate Dean or his nominated representative
  • College of Faculty Representative from an adjacent region
  • A Senior Doctor from the same region and specialty as the trainee
  • A Senior Doctor from the same region but a different specialty as the trainee
  • A Senior Trainee from the same region but a different specialty as the trainee
  • A Lay Representative

There will also be present but not form part of the panel:

  • HR advisory to the chair
  • Administrative support

Members of the original ARCP panel will not be a part of the appeals panel.  The decision of the appeals panel is final and there is no further right of appeal.

All reviews and appeals are recorded and a non-verbatim record will be taken by an administrator.

Click here to see a management flowchart for the appeals policy for Outcome 3/4 or RITA E Stage 2/3.

 

Revalidation

In the same way as your ARCP, the revalidation process for all doctors involves reviewing documented evidence to satisfy the Responsible Officer who will make a recommendation to the GMC.

It is the responsibility of the individual doctor to maintain and provide documentation in support of revalidation.

For the Responsible Officer to make a revalidation recommendation, they need to take into account the complete scope of doctor’s practice. Therefore for revalidation, trainees will be required to declare any extra work they may do outside of training in their capacity as a doctor, either as a locum, in private practice or in a voluntary role.

Documentation must be maintained throughout the 5 year revalidation cycle.

It is the responsibility of the individual doctor to ensure that they have collated sufficient documentation to cover the six areas assessed for revalidation. This documentation must be stored in the portfolio. It must be discussed at least once in each five year cycle and will determine if a doctor can revalidate.

  • Continuing Professional Development
  • Quality Improvement Activity
  • Significant Events
  • Feedback from Colleagues
  • Feedback from Patients (where applicable)
  • Review of Complaints and Compliments

Trainees already maintain much of the supporting information required for revalidation in an ARCP portfolio. For example, quality improvement activity is evidenced by participation in audit and feedback from colleagues through multi-source feedback requirements in training. Information and reflections on significant events, complaints and compliments should also be included in a trainee’s portfolio. You will also be required to provide a Form R (Part B) for all ARCPs.

Form R (Part B)

Included in the Form R (Part B) are questions about significant events, complaints, compliments, probity and health. In addition, there is a scope of practice section where trainees are required to list their past and present employers, host training organisation (HTO) placements, time out of programme, advisory or voluntary roles or any other activity undertaken since their last ARCP in their capacity as a registered medical practitioner (including all locum and non NHS work, even that done with their current employer/HTO).

Wider Scope of Practice

The Wider Scope of Practice Form is a new form developed in collaboration with Peninsula and should be completed for any work you undertake in your capacity as registered medical practitioner outside of your training for which you do not have an appraisal.

Out of Programme and Maternity Leave

While you are Out of Programme you will need to continue collecting evidence for your revalidation. The minimum you are expected to provide for your annual assessment while you are Out of Programme or on maternity leave is outlined on our Revalidation OOP and Mat Leave page, and ensures that your Responsible Officer has all the necessary information for your revalidation recommendation when the time comes.

Educational Supervisor’s Report

The Educational Supervisor’s report will include additional questions regarding concerns and investigations relating to conduct, capability, serious untoward incidents (SUIs), significant event investigations or complaints.

Employers’ Exit Reports

An exit report will be collected by the LETB from each host training organisation, and has two elements:

1. A Collective Exit Report showing whether or not a trainee has been involved in conduct, capability, formal serious untoward incidents, significant event investigations or complaints.

2. An Exception Exit Report for individuals for whom the answer to any the above questions was “Yes”, detailing the issue and stating whether or not the issue is resolved.

ARCP Outcome Form

The ARCP panel will determine whether or not there are any causes for concern, and the chair of the panel will relay this to the Responsible Officer via the ARCP Outcome Form.

RITA Forms

The RITA panel will determine whether or not there are causes for concern, and the chair of the panel will relay this to the Responsible Officer via the RITA forms C, D, E, F or G.

Revalidation OOP and Maternity

Revalidation

As a trainee in East of England your designated body is Health Education East of England and the current Responsible Officer is Professor John Howard, Postgraduate GP Dean and Deputy Postgraduate Dean, for the purposes of revalidation. Although you are currently Out of Programme or on maternity leave, your designated body and Responsible Officer remain the same.

While you are Out of Programme you will need to continue collecting evidence for your revalidation. This guide outlines the minimum you are expected to provide for your annual assessment while you are Out of Programme or on maternity leave, and ensures that your Responsible Officer has all the necessary information for your revalidation recommendation when the time comes.

OOPT – Out of Programme for Training

When you are taking time out of programme for approved clinical training (OOPT) you will need to:

  • Maintain Registration and Licence to Practise with the GMC
  • Participate in the Annual Review process including:
    • Submit a completed Form R (Part B)
    • Submit appropriate evidence of acquisition of competencies required by the specialty curriculum to the LETB’s annual review panel including Educational/Clinical Supervisor’s report
    • Submit a Wider Scope of Practice form for any work undertaken in your capacity as a registered medical practitioner outside of your OOPT

OOPE – Out of Programme for Experience

When you are taking time out of programme for clinical experience (OOPE) you will need to:

  • Maintain Registration and Licence to Practise with the GMC
  • Participate in the Annual Review process including:
    • Submit a completed Form R (Part B)
    • Submit evidence of participation in the appraisal or review process in your host organisation (NB: you will need to collect supporting information for this)
    • Submit a Wider Scope of Practice form for any work undertaken in your capacity as a registered medical practitioner outside of your OOPE

OOPR – Out of Programme for Research

When you are taking time out of programme for research (OOPR) which contributes to your CCT you will need to:

  • Maintain Registration and Licence to Practise with the GMC
  • Participate in the Annual Review process including:
    • Submit a completed Form R (Part B)
    • Submit formal assessment documentation to the annual review panel including Academic Supervisor’s and Educational Supervisor’s reports
    • Submit a Wider Scope of Practice form for any work undertaken in your capacity as a registered medical practitioner outside of your OOPR
    • Adhere to the GMC’s guidance on Good Practice in Research

When you are taking time out of programme for research (OOPR) which does not contribute to your CCT you will need to:

  • Maintain Registration and Licence to Practise with the GMC
  • Participate in the Annual Review process including:
    • Submit a completed Form R (Part B)
    • Submit evidence of participation in the appraisal or review process in your host organisation (NB: you will need to collect supporting information for this)
    • Submit a Wider Scope of Practice form for any work undertaken in your capacity as a registered medical practitioner outside of your OOPR
    • Adhere to the GMC’s guidance on Good Practice in Research

OOPC – Out of Programme – Career Break

While you are taking time out of programme for a career break (OOPC) you will need to:

  • Maintain Registration and Licence to Practise with the GMC
  • Participate in the Annual Review process including:
    • Submit a completed Form R (Part B)
  • In addition, in the unlikely event that you undertake any activity in your capacity as a registered medical practitioner, you will need to:
    • Submit evidence of participation in the appraisal or review process in your host organisation (NB: you will need to collect supporting information for this)
    • Submit a Wider Scope of Practice form for any work undertaken in your capacity as a registered medical practitioner during your OOPC

Maternity Leave

While you are on Maternity leave you will need to:

  • Maintain Registration and Licence to Practise with the GMC
Attachment Size
PDF iconWider Scope of Practice Form 258.64 KB
Revalidation Contacts and Links

Contact Details

The Revalidation Team in Health Education East of England is comprised of the following:

Responsible Officer

Revalidation Officer

Revalidation Administrator

Revalidation Team email

Prof John Howard, Postgraduate GP Dean and Deputy Postgraduate Dean

Nikolett Müller

Richard Morgan

revalidation.eoe@hee.nhs.uk

Useful Links

What is a Form R?

All trainees are required to submit a Form R.  This comes in two parts, which will be requested from you at different times of the year.

Form R (Part A)

This part is the trainee registration form, in which you must confirm your contact details and information about your post.  This is to ensure that we have up-to-date information about you.

Form R Part A

Form R (Part B)

This part is a self-declaration form, which is used for revalidation purposes for doctors in training.  This form will be requested prior to your ARCP/RITA.  

On your Form R (Part B) you must declare any fitness to practice concerns - that is any significant events, complaints or other investigations you have been named in, and/or any GMC conditions, warnings or undertakings placed on you.

Form R Part B

 

Contact details

Susan Woodroffe

Revalidation Assessment & Performance Manager

Tel: 01223 597749

Email: susan.woodroffe@hee.nhs.uk

Assessment Team

Email: assessment.eoe@hee.nhs.uk 

Isabelle Edwards, Ext: 36916, isabelle.edwards@hee.nhs.uk 

Specialty: 

Adult & Old Age Psychiatry, Cardiothoracic Surgery, Chemical Pathology, Child & Adolescent Psychiatry, Clinical/ Biochemistry, Core Psychiatry, Diagnostic Neuropathology, Forensic Psychiatry, Histopathology, Medical Microbiology, Oral Maxillo Facial Surgery, Orthodontics, Psychiatry of Learning, Disability, Trauma & Orthopaedics and Virology.

Megan Woodley, Ext:  36890, megan.woodley@hee.nhs.uk 

Specialty: 

Clinical Radiology, Community Sexual & Reproductive Health, ENT (Otolaryngology), General Surgery, Medical Opthalmology, Neurosurgery, Obstetrics & Gynaecology, Opthalmology, Paediatric Surgery, Paediatrics, Plastic Surgery and Urology.

Victoria Theobald, Ext:  368967, victoria.theobald@hee.nhs.uk 

Specialty:

Acute Medicine, Allergy, Cardiology, Clinical Oncology, Clinical Pharmacology & Therapeutics, Dental Public Health, Gastroenterology, Genito-urinary Medicine (GUM), Geriatric Medicine, Nephrology, Neurology, Occupational Health, Public Health, Rehabilitation Medicine, Respiratory Medicine, Sport & Exercise Medicine and Stroke Medicine. 

Danielle Gordon, Ext:  36987, danielle.gordon@hee.nhs.uk 

Specialty: 

ACCS, Core Medical Training (CMT), Clinical Immunology, Clinical Genetics, Clinical Neurophysiology, Dermatology, Emergency Medicine, Endocrinology & Diabetes, General Internal Medicine (GIM), Haematology, Infectious Diseases, Medical Oncology, Metabolic Medicine and Palliative Medicine. 

Anna Stockburn 

Assessment and Appeals Officer,  Ext:  36921,  Email: anna.stockburn@hee.nhs.uk

 

Revalidation Team

Email: revalidation.eoe@hee.nhs.uk 

 

Kimberly Smith

Revalidation Officer,  Ext:  37745,  Email: kimberly.smith@hee.nhs.uk

Hayley Foskett

Revalidation Administrator,  Ext:  36911,  Email: hayley.foskett@hee.nhs.uk

 

 

Other Useful Email Addresses

Recruitment

Email: recruitment.eoe@hee.nhs.uk

IT

Email: it.eoe@hee.nhs.uk

Less Than Full Time

Email: ltft.eoe@hee.nhs.uk

OOP

Email: oop.eoe@hee.nhs.uk

Inter Deanery Transfer

Email: idt.eoe@hee.nhs.uk

Professional Support Unit

Email: psu.eoe@hee.nhs.uk

Relocation Expenses

Email: relocation.eoe@hee.nhs.uk

Edit

Email: edit.eoe@hee.nhs.uk

 

Address

Health Education East of England

2-4 Victoria House, Capital Park, Fulbourn, Cambridge, CB21 5XB

Main Reception: 01223 597500

Ida Darwin (Block 3): 0844 894 0179

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