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Revalidation of the Dental Profession. Brian Grieveson Postgraduate Dental Dean (Mersey-N.West SHA). Context. GDC – a 21 ST Century regulator? Kennedy report 2001 Shipman Enquiry “Trust ,Assurance and Safety-the regulation of Health Professionals in the 21 st century” –White Paper
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Revalidation of the Dental Profession Brian Grieveson Postgraduate Dental Dean (Mersey-N.West SHA)
Context • GDC – a 21ST Century regulator? • Kennedy report 2001 • Shipman Enquiry • “Trust ,Assurance and Safety-the regulation of Health Professionals in the 21st century” –White Paper • “Good Doctors –Safer Patients” • “Medical Revalidation –Principles and next steps” July 2008
Focus • Fitness for registration = safety to practice • Competence in current performance should be assessed in the field of practice in which registrant performs • System should identify those unfit for registration to protect patients • Should not impose unnecessary burden to comply
Main Domains • COMMUNICATION • PROFESSIONALISM • CLINICAL • MANAGEMENT and LEADERSHIP
Methods of assessment • FGDP(UK) Key Skills • Work based assessments • Appraisal and MSF/PAQ’s • Audit and peer review • Clinical Governance procedures-3rd party validation • Record keeping-3rd party validation • CPD with mandatory topics • Professional Examinations and Training programmes • Quality Assurance systems –Independent Health care systems—CQC Implications 2011? • PDPs
Methodology • Each registrant will be required to complete a portfolio of evidence-Paper or e- version?—evidence is registrants responsibility! • First validation following period of provisional registration for all registrants? • Step one-sift of 10% registrants—maybe a points accrual process • Step two-assessment in practice setting and targeted assessments-validation or moves to-- • Step three—Robust in depth assessment –professional exam-ORE?–may lead to removal from register! • Repeated every five years?
Revalidated Stage 1 – a sift Non-responders to be erased Stage 2 Remediation Revalidated Erased Revalidated STAGE ONE Revalidation STAGE TWO STAGE THREE
Each group will be asked to discuss one of the four domains of revalidation Professionalism Communication Clinical Leadership and management Suggest in each domain how a GDP might produce the evidence required by the GDC