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How the GMC is working to make revalidation effective

With regard to your article entitled 'More scrutiny of appraisals as revalidation is tightened' (June 7), there are no plans to 'tighten' revalidation. Our policy is clear.

The evidence requirements remain (a) description of practice, plus (b) evidence of participating in a formal process of reflection, informed by data and information derived from the practice, plus (c) corroboration that there are no indications of unresolved concerns about the doctor from within the practising environments. For most doctors, the evidence requirements of (b) and (c) will be satisfied by a process of certification by the local clinical governance authorities to the effect that the doctor is participating in appraisal and there are no significant unresolved concerns known about the doctor.

The suggestion of local panels emerged from a working group that includes representatives of the RCGP, GMC, BMA and the NHS Modernisation Agency. The proposal will be examined in more detail by the group over the coming months. The operation of any such local groups would be a matter for the NHS, not the GMC.

However, the GMC welcomes initiatives by the employers of doctors' services which would strengthen clinical governance and help doctors to obtain their personal evidence for revalidation.

Much work is going on to make sure that clinical governance systems and revalidation are efficiently and effectively connected when revalidation starts from April 2005.

Bruce Sharpe

Head Of Registration Planning

GMC

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