ORSA report

Filing documents

22 / 5 / 2015 3.52pm

The NHS Revalidation Support Team (RST) has published the Organisational Readiness Self-Assessment (ORSA) report for 2013.

The report provides an assessment of progress made by designated bodies in the implementation of medical revalidation as at 31 March 2013.

It concludes that substantial progress has been made despite structural changes to the NHS, but that there is still work to be done in some areas in order to maintain the strong momentum that has developed to date.

Key findings

  • almost 100 per cent of doctors covered by ORSA had a responsible officer who had received appropriate training 
  • the proportion of doctors covered by designated bodies that had provided the responsible officer with sufficient resources increased from 75 per cent to 87 per cent 
  • 98 per cent of doctors covered by ORSA were connected to designated bodies with an appraisal policy compliant with the requirements of revalidation 
  • almost 94 per cent of doctors were connected to designated bodies with a sufficient number of appraiser 
  • the overall proportion of doctors covered by designated bodies with a process for investigating capability, conduct and health increased from 97 per cent to 98.5 per cent 
  • the overall proportion of doctors covered by designated bodies with a policy of re-skilling, rehabilitation, remediation and targeted support was 83 per cent, a substantial increase from 58 per cent in March 2012 
  • the proportion of doctors able to access structured feedback from patients and colleagues has increased from 26 per cent to 98 per cent 
  • primary care organisation responses showed small fall in a number of indicators which may have been the result of changes in NHS structure and staff turnover.


The ORSA return shows that although appraisal rates for consultants and SAS doctors in the acute hospital sector have increased, they still remain behind their NHS counterparts in primary care and mental health sectors. 

75 per cent of hospital consultants (up from 73 per cent) and 61 per cent of SAS doctors (up from 53 per cent) had an appraisal compared to 84 per cent and 81 per cent respectively in mental health and 90 per cent of GPs. 

Appraisal rates for doctors in temporary roles in hospital trusts are 33 per cent and the report recommends that action plans should address how this group of doctors will be included in organisational appraisal systems.

Next steps

The 2013 ORSA report will be presented together with some suggested action points for the English Revalidation Implementation Board to consider.

The report also asks each designated body to produce an action plan to address any weaknesses and development needs identified through this exercise, including specific actions designed to improve appraisal rates, to ensure the availability of resources and to ensure the successful development of policies and procedures.

NHS Revalidation Support Team

The NHS Revalidation Support Team closed on 31 March 2014 as revalidation becomes business as usual. All relevant content has been transferred to the the NHS England website. You can view the ORSA report and previous reports by searching the NHS England site.

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