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  4. The effect of medical revalidation on clinical activity in the English NHS




The effect of medical revalidation on clinical activity in the English NHS



Staff, Students, Academics

Speaker: Nils Gutacker, PhD (

About the speaker

Nils is a Research Fellow in the Health Policy Team. He joined the Centre for Health Economics in 2009. He holds a PhD in Economics and an MSc in Health Economics, both from the University of York, and a BSc in Health Care Management from the University of Duisburg-Essen, Germany.

Nils’ research focuses on performance measurement of health care providers using patient-level data and the theory of hospital behaviour. In particular, he investigates the use of patient reported outcome measures (PROMs) as a means of measuring the performance of health care providers in improving patient health.


The UK General Medical Council introduced medical revalidation in December 2012, requiring all licensed doctors to demonstrate every 5 years that they are up to date and fit to practise. It is intended to incentivise continuous investment in human capital but is time consuming and may limit clinical autonomy, thereby imposing costs on doctors. Preliminary qualitative evidence suggests that revalidation may have driven doctors out of the profession, depriving the NHS of essential labour inputs.

In this talk I will report on the results of a quantitative analysis of Hospital Episode Statistics data that studied the effect of medical revalidation on clinical quality and consultant retention. I will also highlight a number of challenges that empirical researchers face when analysing the NHS labour market.

Disclaimer: This paper is an output from independent research commissioned and funded by the Department of Health Policy Research Programme (PR-R9-0114-11002): Evaluating the development of medical revalidation in England and its impact on organisational performance and medical practice). The views expressed are those of the authors and not necessarily those of the Department of Health.

Lunch will be provided from 12:45. The seminar will commence at 13:00

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When and where

12.45pm - 12.45pmMonday 15th May 2017

MG26 Myddelton Street Building City, University of London 1 Myddelton Street London EC1R 1UW United Kingdom

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