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Table 1 Revalidation core model: responsibilities of doctors, organisations and the GMC [1, 28]

From: The implementation of medical revalidation: an assessment using normalisation process theory

Doctors Organisations/ Designated body GMC
Licensed doctors who are not trainees must:
- Have a connection to one organisation (known as a designated body).
- Take part in regular appraisal
- Collect supporting information for appraisal: 6 types
 • CPD (annually)
 • significant events (annually)
 • review of complaints and complements (as occur)
 • quality improvement activity
 • feedback from colleagues
 • feedback from patients
- Reflect on supporting information
All trainees must:
- Have a connection to either a Local Education Training Board or Deanery
- Supporting information and discussion of progress and learning needs as generated for curriculum and training programme.
Organisations are required by the GMC to provide:
- a RO new role, responsible for the revalidation recommendation)
- an up to date appraisal system and ensure every licensed doctor has a regular appraisal
- a sufficient number of trained appraisers
- clinical governance systems that can provide supporting information
- policies and systems for identifying and responding to concerns about doctors
- link with other organisations where doctors work, so information about their practice can be shared
RO makes one of three possible revalidation recommendation to the GMC:
- Revalidation
- Deferral (request for GMC to provide more time for revalidation decision). Does not affect licence to practise.
- Non-engagement (can lose licence)
As the regulator the GMC is responsible for:
- setting guidelines
- Making the final revalidation decision based on RO’s recommendation (to revalidate; how much time to provide for deferral and whether to refer to a Fitness to Practise Panel)
- Provide an Employer Liaison Service to help responsible officers with revalidation and the management of concerns about doctors