Evaluating Revalidation

The UMbRELLA evaluation of the first cycle of medical revalidation in the UK aims to gather information about revalidation mechanisms at all levels of the process. To do this, we are using a mixed methods approach.

Core aim: To evaluate the regulatory impacts of medical revalidation as a complex intervention in UK healthcare.

 

Revalidation is intended to support the GMC’s statutory purpose ‘to protect, promote and maintain the health and safety of the public’ by ensuring standards in the practice of medicine are met. Specifically, the research seeks to establish how consistently revalidation is fulfilling six key regulatory aims which it is intended to meet, which are to:

  1. Bring all doctors into a governed system that evaluates their fitness to practise on a regular basis
  2. Require doctors to collect and reflect on evidence about their whole practice through appraisal
  3. Focus doctors on Good Medical Practice to promote professionalism by increasing awareness and adoption of its values and principles
  4. Facilitate identifying and addressing potential concerns earlier – and before they become safety issues or fitness-to-practise referrals
  5. Support ROs to fulfil their statutory function of advising the GMC about the fitness to practise of their doctors.
  6. Including effective and equitable patient and public involvement in revalidation.

 

 

 

The study seeks to answer 30 research questions derived from these six regulatory aims as developed by CAMERA in the evaluative framework. The questions focus on establishing what is happening in each sphere of activity, whether policy and protocols are being applied, how these are functioning and whether they are shaping professional behaviour. The mixed methods research will be delivered via seven work packages, organised by methodological activity:

  1. Literature reviews
  2. Secondary analysis of existing data
  3. National and strategic surveys
  4. Appraisal capture
  5. Interviews with stakeholders
  6. Documentary analysis
  7. Root cause analysis of documentation when FTP referral has happened
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