Organisational Readiness Self Assessment (ORSA)Analysis 2012/13 submissions – Area Teams

Revalidation Forum

18th September 2013

NHS | Presentation to [XXXX Company] | [Type Date]1

Section 2 – Responsible OfficerORSA submissions show that….

•All responsible officers are nominated and trained

•Second responsible officers are nominated where applicable

•All area teams have local and regional support

•One area team highlighted that funding and resource were insufficient

Section 3 - AppraisalORSA submissions show that….

•All area teams have an appraisal policy

•8 area teams completed an audit to determine reasons for all missed or incomplete appraisals

•All area teams reported they have sufficient medical appraisers, appraisers are supported in their role and receive feedback

Section 4 – Organisational Governance• All area teams reported they:

• have a governance structure or strategy is in place which is subject to external or independent review

• have a system for monitoring the fitness to practise of their doctors• have processes for doctors to obtain structured feedback from patients and

colleagues• have a process to ensure key items of information are included and discussed in the

appraisal portfolio• have a process for obtaining relevant information when entering into a contract of

employment • have a process in place to ensure fitness to practise evaluations and appraisals take

account whole scope of practice• have a process established for the investigation of capability, conduct, health and

fitness to practise concerns• monitor compliance with GMC conditions or undertakings• relevant appraisal, revalidation and human resources policies are fair and non-

discriminatory

Section 4 – Organisational Governance• 8 area teams have a policy (with core content) for re-skilling,

rehabilitation, remediation

• 8 area teams have a description of the support available for doctors to keep their knowledge and skills up to date

• In terms of clinical audit activity in line with national guidance

• 5 area teams reported Yes

• 3 area teams reported N/A

• 1 area teams reported No