Appraisal and Revalidation

VTS Teaching 24.11.10Tom Lawes

GP Appraisal

What is the purpose of appraisal? is a formative and developmental

process gives individuals feedback on past

performance charts and acknowledges continuing

progress identifies learning needs produces a Personal Development Plan

(PDP).

GP Appraisal

‘professional process of constructive dialogue’

‘positive process to give doctors feedback on past performance, to chart their continuing progress and to identify development needs.’

‘help doctors consolidate and improve on good performance’

‘can help to identify reductions in performance at an early stage’

Purpose of GP Appraisal

Summative as well as formative: Key part of recertification with RCGP Meets requirements of relicensing with

GMC Participation in appraisal is a

requirement of revalidation and provides required evidence

Change in function has produced debate – now judgmental rather than supportive?

Preparing for Appraisal

Should have at least 2 months notice Should have protected time set aside

to prepare Identify any issues to raise with

appraiser Ensure sufficient evidence covering

headings Draft PDP for coming year

NHS Toolkit

Comissioned by DoH to facilitate appraisal process.

Widely used by GPs for appraisal. Funding from DoH withdrawn Currently no clear decision on future

vehicle for appraisal RCGP ePortfolio

NHS Toolkit

DoH Forms:1. Basic details2. Current medical activities3. Material for appraisal4. Summary of appraisal discussion and

personal development plan5. Detailed confidential account of the

appraisal interview

NHS Toolkit

Form 3 – Material for appraisal: Follows 9 headings based around Good

Medical Practice (GMC and RCGP) Slightly different questions under each

heading generally covering: a commentary on your work an account of how your work has improved

since your last appraisal your view of your continuing development

needs a summary of factors that constrain you in

achieving what you aim for.

NHS Toolkit

PDP Review last year’s PDP Complete needs that have been achieved Identify unmet development needs and

reasons for not meeting them Add proposed PDP needs to unmet needs

and agree on resulting PDP for coming year

Summary of discussion – follows appraisal and signed by both parties

Can I fail an appraisal?

Essentially ‘no’ at present, as long as engaging with process

Ongoing discussion about future requirements

Will probably involve assessment of evidence: Quantity Quality

Will need standardised training of appraisers

Revalidation

Includes recertification and relicensing – currently single assessment for both

Four domains of good medical practice produced by GMC

13 evidence areas in RCGP proposed revalidation guide

May be subject to addition by GMC to meet relicensing requirements

Revalidation

4 Domains: Knowledge, skills and performance Safety and quality Communication, partnership and

teamwork Maintaining trust

Revalidation

RCGP Evidence Areas:1: Statement of professional roles and other basic details2: Statement of exceptional circumstances3: Evidence of active and effective participation in annual

appraisals4: A Personal Development Plan from each annual appraisal5: A review of the Personal Development Plan from each annual

appraisal6: Learning credits in each year of the revalidation period and in

the revalidation period overall7: Multi-Source Feedback from colleagues8: Feedback from patients9: Description of any cause for concern and/or formal complaint10: Significant Event Audits11: Clinical Audits12: Statement on probity and health13: Additional evidence for areas of extended practice

RCGP Revalidation

PDPs A valid PDP must contain the following

key elements for each goal: a statement of the development need an explanation of how the development

need will be addressed (the action to be taken and the resources required)

the date by which the goal will be achieved

the intended outcome of the goal.

RCGP Revalidation

Learning Credits Minimum 50 credits per year 250 over 5 years ImpactMSF – 2 questionnaires in each 5 year

cyclePatient Surveys – 2 per cycle

RCGP Revalidation

Significant event audits 5 in 5 years Comprise detailed review of event

including description, good/bad aspects, how it related to GMP domains, consequent changes.

Clinical audits – 2 full cycle audits in 5 years

RCGP Revalidation

Unanswered questions: Exactly who will decide on revalidation

of an individual doctor? What happens if they are deemed unfit

to be revalidated? Will all areas be ready?

Difficult Cases First cohort likely to submit

evidence in 2012/13