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August 2016 -


Revalidation and Appraisal Quality Assurance Audit ‘Exceptionally Positive’


As part of its responsibilities, the Faculty of Pharmaceutical Medicine (FPM) designated body commissioned tle miad to conduct an external review of their appraisal and revalidation system in March 2016. This is in line with the Framework of Quality Assurance (which was issued by NHS England to ensure that Responsible Officers meet the statutory regulations that revalidation operates under. The external quality assurance provides evidence that systems and processes are in place or that organisations are developing these to meet these regulations. Tle miad, as an external organisation with knowledge of revalidation and skills to assess systems and provide support, has listed recommendations within this report, in line with NHS England core revalidation standards, 2014.


  • Tle miad found the review to be exceptionally positive. It was evident that FPM achieved a high level of consistent practice demonstrated by appraisal portfolios continuing good reflection, meeting Good Medical Practice requirements and a culture of continuous improvement.
  • Appraisal for Revalidation: Findings suggest that there is good to outstanding quality examples within the appraisal documentation. Interviews confirmed there were quality assurance processes in place for appraisal, strong communication systems between the Responsible Officer and Revalidation Team, sound feedback mechanisms of the appraisal system, sound leadership through the Responsible Officer and Appraisal Leads and a strong CPD learning culture.
  • Collectively, there was a strong sense of pride and commitment to quality assurance which is evident across appraisers, Appraisal Leads, the Responsible Officer and the Revalidation Team. Their combined determination has meant that appraisees have been supported and challenged to meet the requirements for GMC revalidation. The FPM Revalidation Team are seen as driving quality of content and process for appraisal for doctors. They have evolved into a cohesive team. The recent infrastructure has helped them to quality assure appraisers, supporting information, and therefore the quality of information that in turn provides confidence for the Responsible Officer to make their revalidation recommendations to the GMC.
  •  Communication and Support: Regular and frequent communication – telephone, email, meetings, and events with all appraisers has meant that the designated body are proactively driving quality assurance to support their doctors at FPM
  • Policies: Appraisal/Revalidation and Managing Concerns Policies to be updated.


As can be seen this was a very positive Quality Assurance exercise for the Faculty. Whilst it did, of course, make recommendations for certain areas that  could be improved the lack of any critical findings is very encouraging and a testament to the hard work that all parties put into the process. The designated body will look to undertake another such external review in around three to five years and it is also expected that NHSE will conduct their own such exercise involving the Faculty before then.

As some additional context and information the Faculty submits an annual audit of statistics, processes and progress to NHSE. The following figures for the Faculty designated body from the last two years are:

  • Year Two 1st (April 2014 – 31st March 2015): 525 doctors connected to the Faculty with c.120 doctors joining and c.120 leaving across the reporting period. 91% of appraisals took place within the appraisal window.
  • Year Three (April 2015 – 31st March 2016: 565 doctors connected to the Faculty with c.115 doctors joining and c.77 leaving across the reporting period. 93% of appraisals took place within the appraisal window.

As of 1st August 2016, there are now 576 doctors connected to the Faculty for the purposes of revalidation.