A doctor and patient review a document during a calm consultation.

AN NEZ PROPOSAL TO REBUILD TRUST

Medical revalidation

Clear rules should protect patients and support doctors fairly. If a gap is identified, the system should first help the doctor return safely to the standard expected by society.

Support the declaration

Status: NEZ proposal for implementation

This is an NEZ proposal, not current law or a government decision. Doctors already have a right and duty to keep developing their knowledge and skills. General medical revalidation would require legislation.

Legal sources checked: 18 September 2026

SUPPORT THE APPEAL

Active declarations of support

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Appeal version: 2026-09-18-v0.1
Counting rule: unique pseudonymised email address + unwithdrawn declaration; email ownership is not verified

SAFETY GATE ACTIVE

Declaration of support

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Declaration being supported
I support the NEZ appeal to begin legislative and pilot work on a safe, proportionate system of medical revalidation in Poland, with patient safety as its overriding purpose and a supported route for doctors to return to the required standard.
The Polish text identified by the published SHA-256 is the controlling campaign version.

A SIMPLE EXPLANATION

What is medical revalidation?

Medical revalidation means regularly checking that a doctor continues to work in line with current knowledge, safety standards and their real scope of practice. It should not be a single examination. A doctor gathers proportionate evidence of learning and quality, discusses it, and - if a gap is identified - receives a support plan, training or mentoring followed by reassessment.

What the proposal includes

evidence that current knowledge is used in practice, not educational points alone
the doctor's whole scope of work, including work across several organisations
early identification of development needs and access to mentoring and training
clearly separated support, recommendation, decision and appeal functions

What revalidation should not be

a single examination, a doctor ranking or a decision based on one survey
an automatic consequence of one complaint, clinical result or algorithm
a substitute for disciplinary proceedings or an assessment of fitness to work
a disproportionate system collecting unnecessary data about doctors or patients

PATIENT SAFETY

Why NEZ proposes this system

Patient safety is the overriding purpose. Revalidation cannot promise to eliminate error. It is intended to identify risk earlier, give doctors fair support, and confirm that practice again meets the required standard after improvement measures.

Medicine keeps changing

New evidence, technology and models of care require continuing learning and assurance that knowledge is applied safely.

Concerns should be identified earlier

Regular reflection, audit and discussion can identify a need for support before a difficulty becomes embedded or contributes to avoidable harm.

Doctors need a route back

When a gap is identified, the first response should be a proportionate development plan, mentoring, training, supervision and reassessment.

Trust requires clear rules

Patients should understand how continuing competence is assured, while doctors should know the fair rules for assessment, support and appeal.

POLAND TODAY

The position today and the NEZ proposal

Current Polish law requires continuing professional development and documentation of recognised learning. It does not establish a general five-year cycle for renewing every doctor's licence. NEZ proposes adding practice evidence, regular developmental discussion, support, and a statutory route for decisions and appeals.

NEZ MODEL

The proposed cycle, step by step

Five years is a working design assumption, not a current legal requirement. Every element requires testing for safety, administrative burden, equity and data protection.

Scope of practice

The doctor records every area and organisation in which they work, so assurance does not cover only a selected part of practice.

Evidence portfolio

Only information necessary to assess continuing competence and improve quality is collected, applying data minimisation.

Developmental discussion

A trained person discusses progress, difficulties and the development plan, but does not decide on the licence.

Support plan

Where a gap appears, the first response is mentoring, training, supervision or another proportionate form of help.

Recommendation

At the end of the cycle, a separate function checks process completeness and provides a reasoned recommendation.

Decision and appeal

Any formal decision, deadlines, effects and effective appeal route must come from legislation, not a platform rulebook.

CONDITIONS FOR TRUST

Safeguards for patients and doctors

Development separate from sanction

A confidential discussion and mentoring must not become an uncontrolled route into disciplinary action.

No automated decision

One outcome, complaint, survey or algorithm must not by itself create a licensing consequence.

Proportionality

The evidence set and administrative burden must reflect risk and the doctor's real scope of practice.

Right of appeal

A doctor must know the reasons, have access to the record and have an effective route of challenge.

Data protection

Developmental, status and disciplinary data require separate purposes, access controls and retention periods.

Access and equity

The model must cover multiple employers, career breaks, work abroad, disability and digital exclusion.

NEZ PUBLIC APPEAL

Łukasz Rakasz is organising the NEZ appeal to the Prime Minister's Office

Łukasz Rakasz, acting as an individual within the NEZ initiative, is the controller of the collection of declarations supporting a public appeal to begin work on medical revalidation. The campaign has no predetermined closing date, and its current status is shown in the form below. The formal petition is intended to be submitted to the Prime Minister's Office with the number of active declarations of support. Supporters do not thereby become formal co-petitioners.

Polish law sets no support threshold that guarantees a particular decision by the Prime Minister.
The email address is not verified and does not constitute a qualified electronic signature or proof of identity.
The default submission package will contain the active total and methodology - not a database of email addresses.

Declaration scope: 2026-09-18-v0.1 · sha256:39e46c32545e7806dd5e002d174c36eed93d22d729902a4ffede1d6382a77dc6

QUESTIONS AND ANSWERS

Important distinctions

Is medical revalidation currently required in Poland?

Not as a separate general cycle for periodically renewing every licence. Continuing professional development, including educational points, is already required.

Could one poor result remove a licence?

It should not under the NEZ model. One signal should prompt contextual review and proportionate support. Any legal consequence would require legislation and an appeal route.

Is a website entry a formal petition signature?

No. The form is intended to record a separate declaration of public support. A named person or organisation will submit the formal petition.

How many declarations are required?

There is no statutory threshold. Public support may increase the appeal's significance, but no number guarantees a particular response.

SOURCES

Law, petition rules and a comparator

NEZ materials describe a proposal. The official sources below establish the current legal position. The GMC example is from another jurisdiction and does not describe Polish law.

This page supports public discussion. It is not legal or medical advice and does not describe a system currently in force.