Foundation ARCP and Revalidation
update 2017
Alys Burns
John Saetta
Helen Johnson
Mark Bullock
ARCP Essentials
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Q. 1
What is the purpose of an ARCP?
Give up to three principles
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A. 1
What is the purpose of an ARCP?
Give up to three principles
1. reviewing and recording of progress
2. make a judgement of competences acquired by the trainee and
suitability to progress to the next stage
3. provide a final statement of the trainee’s successful attainment of
competences and thereby completion of the F1/F2 programme
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Q. 2
Which trainees should the ARCP process apply to?
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A. 2
Which trainees should the ARCP
process apply to?
All F1 & F2 Foundation trainees, including:
•
•
•
•
•
LTFT (annual basis, not pro rata)
Academic Foundation
OOPE/research
other leave eg. maternity
LATs
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Q. 3
What evidence is required to undertake an ARCP?
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A. 3
What evidence is required to undertake an ARCP?
Everything must have been shared with trainee
• structured end-of-year educational supervisor report
(collation of requirements for SLEs, attendance to structured
teaching, CS reports, sick leave, reflective log)
• Items on the checklist – subject to change eg SCRIPT
• academic supervisor’s report
• can have an additional report from FTPD which may be
helpful if concerns
• Form R – now the enhanced Form R
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Key Principles – ARCP Panels
• ARCP panel processes for making decisions on trainee educational progression
• The information reviewed by an ARCP panel is confined to the evidence
presented
• Information withheld by a trainee is a probity issue
• Referral to fitness to practise procedures can occur at anytime, according to
circumstances, not just at ARCP
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Q. 4
Is it a requirement for the trainee to attend
an ARCP panel?
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A. 4
Is it a requirement for the trainee to attend an ARCP panel?
• The ARCP process is an assessment of the documented and submitted evidence presented by
the trainee and as such the trainee should not normally attend the panel.
• However, deaneries may wish to invite the trainee to meet with the panel to discuss the
outcome, as well as other issues that may relate to training.
• If an outcome 3 or 4 is a possibility then the trainee should be invited to attend. If this is not
possible a meeting must be arranged with the trainee, the FTPD and ES as soon as possible after
the panel has met.
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Q. 5
How long can training be extended if
there is a recognised requirement for
additional time?
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A. 5
How long can training be extended if there is a recognised
requirement for additional time?
• Training may be extended by up to one year, and at the same
grade.
• This does not apply to F2 LATs
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Q. 6
What is the role of the ARCP panel
in relation to fitness to practice
(FTP)?
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A. 6
What is the role of the ARCP panel in relation to
fitness to practice (FTP)?
Any concerns about FTP raised during the ARCP process
should be bought to the attention of the PG Dean or
representative
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Foundation ARCP:
Timelines and
checklists
E-portfolio demo
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Organising your panels
• The panel should consist of at least three panel members
• The panel typically comprises of the FTPD (Chair of the panel) and two other
members.
Additional /other members could include:
• a postgraduate centre manager/other senior administrator
• specialty training doctor (ST4 or above)
• clinical supervisor /educational supervisor
• lay representative
• external trainer
• employer representative
• external deanery/foundation school representative
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Key facts for panels
• Outcome 3 and 4 should include a lay panel member.
• At least two panel members should consider the evidence.
• If there is disagreement between the two panel members, the
evidence should be scrutinised by a third member
• It is not essential for panel members to review the e-portfolio at
the same time.
• All panel members must be trained in equality and diversity
within the last 3 years
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Reviewing the evidence and
recording an ARCP outcome
E-portfolio demo
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Revalidation
Doctors in training
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Principles of revalidation
The GMC states revalidation:
• Confirms that a doctor with a licence to practise continues to be fit to
practise.
• Provides confirmation that a doctor with a licence to practise is
working within a governed system.
• Requires all doctors to engage with systems of periodic review.
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Principles of revalidation:
Doctors in Training
• Responsible Officer for all doctors in training is the Postgraduate
Dean
• Doctors in training should collect the information required for their
current curriculum and assessments
• UK variation in evidence required
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Who are Doctors in Training?
• All Foundation Year 2 doctors holding a licence to practice with full
GMC registration
• All specialty trainees
• Locums Appointed for Training (LAT)
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Revalidation recommendations
• Foundation year 1 trainees have a Licence to Practice with
provisional GMC registration
• The Certificate of Experience completed at the end of Foundation
Year 1 enables trainees to gain full GMC registration with their
Licence to Practice
• All Trainees will receive a revalidation recommendation from the
Deanery RO:
• Five years after gaining their Licence to Practice with full
registration
• On applying for a CCT
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What is the Process?
• The new ARCP needs to be equivalent to NHS appraisal
• Includes full scope of a doctor’s practice
• Includes Fitness to Practice concerns from Employers/Performers
List
• Information from the ARCP process supports the RO’s
recommendation to the GMC
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The System
• Trainee declares fitness to practice on enhanced Form R before each ARCP
• Employers complete an exception report where there is a concern or
investigation as it occurs sent to Deanery
• Employers complete a six monthly collective exit report sent to the
Deanery
• Clinical and educational supervisor reports are amended to include
questions with regard to fitness to practice
• The enhanced Form R and reports are compared and correlated at ARCP
• The ARCP form records the outcome
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Information to support
revalidation through ARCP
• Enhanced Form R
• Self declaration
• Full scope of practice since last ARCP
• Involvement in significant events arising from full scope of practice
• Complaints and compliments arising across full scope of practice
• Declarations of health and probity
• Educational / clinical supervisor sign-off of no concerns
• 6 monthly employer exception reports of concerns
• Routine notification of SIs, complaints and concerns continues
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The Role of the ARCP Panel Chair
To meet trainee revalidation requirements the ARCP panel chair will need to confirm
that:
1. A review has taken place that covers the scope of the doctor’s work since the last ARCP
2. Appropriate supporting information has been presented
3. A review of training progression since the last ARCP has been undertaken
4. Agreement has been reached about any necessary actions for the next year
5. There are no outstanding causes for concern about the trainee’s fitness to practise across
their full scope of practice
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Scenarios
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Foundation ARCP
Outcomes
Outcome 1 - satisfactory completion of Year 1
Outcome 3 - Inadequate progress - additional training time required
Outcome 4 - Released from the training programme
Outcome 5 - Incomplete evidence presented - additional training time
may be required
Outcome 6 - (F2) Foundation Achievement of Competence
Outcome 8 - time out of Programme
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An F1 has a record of sickness amounting to 29 working
days. Her attendance to programmed teaching to date is
50%. She has been reported to be struggling even though
her work has been reduced to day-time Mon-Fri with no oncall.
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ARCP Outcome?
3 (what U Code would you give her?)
Concerns?
Yes
Comment?
May need additional support
There have been repeated concerns about an F1 trainee's poor attitude towards
colleagues. The ES has discussed these in detail with the doctor. A plan of action is
agreed and documented in the e-portfolio. The trainee is performing well clinically
and has satisfied all other requirements of e-portfolio to date, with no further
complaints.
ARCP Outcome?
1
Concerns?
No
Comment?
Potential causes of concern have been properly identified, dealt with
and resolved in year, but they are documented in the e-portfolio
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An F2 trainee has continued to disengage completely with e-portfolio despite
meetings with the educational supervisor and FTPD, followed by a formal meeting at
the Foundation School. However feedback suggests that the trainee is clinically
competent.
ARCP Outcome?
5
Concerns?
No
Comment?
Incomplete evidence is a choice, giving time for the trainee to
provide the panel with a reason for an apparent lack of
engagement with his/her training record
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An F2 has been referred to the GMC for allegedly having inappropriate sexual
relations with two patients during Foundation Year 1. The Foundation School have
no current concerns and the GMC interim orders panel has not suspended the
doctor.
ARCP Outcome? 6
Concerns?
Yes
Comment?
GMC process regarding FTP will continue. The employing
organisation will need to complete the investigation and inform the
Foundation School / PGDean of the outcomes for the trainee
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The last doctor is suspended from the medical register for one
year by the GMC.
ARCP Outcome?
4 (What U Code?)
Concerns?
Yes
Comment?
Suspension from the GMC register leads to
automatic removal from the training programme
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An F1 trainee has been progressing well throughout the year and for the first 8
months has completed all requirements for F1 sign off. It becomes clear to the ARCP
panel, on review, that the trainee has significant gaps in their third rotation.
ARCP Outcome?
5
Concerns?
No
Comment?
Incomplete evidence is a choice, giving time for the
trainee to provide the panel with a reason for an apparent
lack of evidence for his 3rd rotation performance
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Questions?
Want to know more?
• GMC website – Info and FAQs:
http://www.gmc-uk.org/doctors/revalidation.asp
• HEEoE website – Revalidation & Assessment section:
https://heeoe.hee.nhs.uk/revalidation_assessment_home
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