Meeting our revalidation requirements: overarching principles
- We expect you to collect and reflect on and discuss supporting information generated from your whole UK practice. Revalidation assures patients and the public that doctors, AAs and PAs remain up to date and fit to practise, in line with the standards of practice required in the UK. Responsible officers, suitable persons and AA/PA recommenders may decide to accept supporting information drawn from overseas practice if they are satisfied it meets the same standards as those expected in the UK and gives assurance about your continued fitness to practise. It is important that you speak to your responsible officer, suitable person, or AA/PA recommender as soon as you know you intend to practise overseas while holding a UK licence to practise.
- Only in exceptional circumstances will it be possible to maintain a licence to practise for doctors, or registration for AAs and PAs, where supporting information is drawn wholly or significantly from overseas practice5
Annual, learning focused, appraisal
- You must participate in appraisal, which will normally take place each year. If there are clear and reasonable circumstances that prevent you from participating in an annual appraisal, you should discuss and agree this with your responsible officer, suitable person, or AA/PA recommender. You do not have to ‘catch up’ on approved missed appraisals, or always complete five appraisals to revalidate.
- Your appraisal discussion should focus on what you have learned. You must discuss with your appraiser:
- The changes you have made or plan to make to your practice, and any areas of good practice you intend to maintain or build on, because of your reflections.
- The learning needs and opportunities you have identified.
- You must agree how to incorporate this into your personal development plan and CPD activities for the following year.
Whole scope of practice:
- You must declare, and collect supporting information covering, all the places you have worked and the roles you have carried out as a doctor, AA or PA since your last appraisal including:
- clinical roles
- non-clinical roles such as educational, research, academic, managerial or leadership roles
- NHS, independent sector, voluntary and private work.
Quality not quantity:
- It is important that your supporting information is of sufficient quality to support your learning and development and to help you identify strengths and areas for improvement in your practice. We do not set a minimum or maximum quantity of supporting information you must collect. We advise against collecting multiple examples that demonstrate reflection and learning of the same skills.
- You do not need to submit all available evidence for each type of supporting information. Choose clear examples within each supporting information category in line with the requirements in this guidance. Focus on examples that will generate meaningful reflection and discussion during your appraisal meetings. You must be able to explain why you have chosen the evidence and be able to provide evidence of your participation in the activity, if requested by your appraiser.
- Ongoing reflection is central to revalidation and must form part of the preparation for your appraisal. You will not meet our requirements by simply collecting the required information. It’s important to reflect on what your supporting information shows about your practice. This includes reflecting on both positive and negative experiences. Doing this is important for your wellbeing and development.
- Reflection will help you to improve the quality of care you give your patients, and the services you provide as a doctor, AA or PA. Your reflective notes should not capture the full details of an experience. They should focus on the learning identified and any planned actions arising from your reflections. The reflective practitioner includes guidance on approaches to reflection, demonstrating reflection and anonymising information.
- Your appraiser can facilitate further reflection as needed, but it is your responsibility to demonstrate examples of your reflective practice.
Further advice and support
- If you are concerned you can’t meet our requirements, it is your responsibility to seek advice and agree any appropriate variations with your responsible officer, suitable person or AA/PA recommender.
- Responsible officers, suitable persons, AA/PA recommenders and their teams, and employing or contracting organisations can advise you on local processes in place to support you to collect your supporting information.
- Your appraiser can offer advice on how you can meet revalidation requirements and signpost appropriate resources to help you but remember it is your responsible officer, suitable person or AA/PA recommender who makes the recommendation about your revalidation. Most organisations have local appraisal guidance which will provide additional help on meeting our requirements.
- The Academy of Medical Royal Colleges, individual colleges, faculties and specialty-specific organisations provide advice about appraisal and revalidation for doctors, AAs and PAs working in different specialties. Their guidance can help you to understand how you can satisfy our requirements in relation to your professional practice.
5 For example, a legislative requirement to hold a UK licence in a country outside of the UK, such as in Gibraltar