The Purpose of Revalidation
On the 3rd December 2012, the General Medical Council (GMC) introduced revalidation, a new system of regulating licensed doctors. The purpose of revalidation is to provide greater assurance to patients, the public, employers and other healthcare professionals that licensed doctors are (a) up-to-date with current knowledge and (b) fit to practice.
Every doctor who is fully registered with a license to practice will need to revalidate, usually every five years. In addition, for doctors in postgraduate training, you will also revalidate when you receive your Certificate of Completion of Training (CCT).
This will happen through a recommendation being made to the GMC by the Responsible Officer, normally a senior licensed doctor in the doctor’s organisation or designated body.
Revalidation is directly linked to the annual appraisal process and for trainees this will take place at the Annual Review of Competence Progression (ARCP).
Revalidation for Doctors in Training
For trainee doctors, the five year revalidation cycle will start at the point of full registration with a license to practice, which usually occurs at the start of Foundation Year Two (F2).
The GMC have set revalidation dates for approximately 60 days after expected CCT date. For those whose training programme lasts less than five years, as in General Practice, their first revalidation will take place at CCT.
The designated body for trainees will be the Local Education and Training Board (LETB), and the Responsible Officer (RO) will be the Postgraduate Dean, or an appointed deputy. As a trainee in the East of England, your designated body is Health Education England working across the East of England (formerly EoE Deanery) and your Responsible Officer is Professor Bill Irish, Postgraduate Dean, for the purpose of revalidation.
The Postgraduate Deans, acting as Responsible Officers, will base their recommendations for revalidation on information supplied for the Annual Review of Competence Progression (ARCP).
Changes to the ARCP Process for Revalidation
In order to incorporate revalidation, the Annual Review of Competence Progression (ARCP) has been enhanced by developing the existing documents. The Form R part B, Educational Supervisor's report and ARCP Outcome form now include sections relevant to revalidation.
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. This will happen annually, although revalidation itself is on a five-year cycle.
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.
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.
Health Education England, working across the East of England will continue to provide you with regular updates and other information.
Revalidation for Nurses
Please note this is not carried out by the GMC or HEE EoE. For queries and information regarding revalidation for nurses, please see the Nursing & Midwifery Council Revalidation website.