Revalidation and appraisal for GPs

November 2009

Dr Nick LyonsDr Nick Lyons

GPGPChair National Association Primary Care EducatorsChair National Association Primary Care Educators

Primary Care Taskforce Lead, NHS Education South Primary Care Taskforce Lead, NHS Education South CentralCentral

Medical Director, NHS Revalidation Support TeamMedical Director, NHS Revalidation Support Team

What worries you about revalidation?

What worries me about revalidation?

What is the purpose of revalidation?

Purpose of revalidation

• Doctors are up to date• Doctors are fit to practise

What is the purpose of appraisal?

Purpose of appraisal

• Gives focus and energy to professional development• Encourages reflection• Encourages synthesis of lessons from the past• Encourages and challenges development of skills• Directs planning for the future• Ensures individual has time to consider their own

needs• Ensures individual has time to consider service needs

AssessmentJudgement

Stating an opinion

Published today.....

The 4 GMC Domains

• Knowledge, skills and performance• Safety and quality• Communication, partnership and teamwork• Maintaining Trust

The 12 attributes

• Knowledge, skills and performance– Maintain your professional development– Apply knowledge and experience to practice– Keep clear, accurate and legible records

The 12 attributes

• Safety and quality– Systems to protect patients and improve care– Respond to risks to patient safety– Protect patients from risks posed by your health

The 12 attributes

• Communication, partnership and teamwork– Communication skills– Work constructively with colleagues and

delegation– Establish and maintain partnerships with patients

The 12 attributes

• Maintaining Trust– Show respect for patients– Treat patients fairly and without discrimination– Act with honesty and integrity

So what will happen in a “strengthened medical

appraisal”?

Supporting information

• Personal information• GMC generic information• College “specialist information”• Employer/ Trust information

Supporting information

• Your personal details and roles• Statement of health• Statement of probity• Record of complaints (if any)

Supporting information

• Audit• Significant event• Patient feedback• Multisource feedback• Case based discussion• 50 learning credits

200 clinical sessions over 5 years

Appraisee will map evidence to the attributes

Assessment of the evidence

Assessment of the evidence• The doctor has provided at least one item of information relating to the attribute.

Assessment of this information is sufficient to demonstrate good practice in this area. • The doctor has provided at least one item of information relating to the attribute. Further

development is needed to adequately demonstrate good practice in this area, but there are no significant concerns for patient safety or quality of care

•  The doctor has provided at least one item of information relating to the attribute.

Assessment of this information demonstrates a significant concern for patient safety or the quality of care which requires immediate referral for further investigation and management.

 •  The doctor has provided no information relating to this attribute or the information is

insufficient for an assessment to be made

Appraisee self assessment of their own performance

Appraisal discussion

The 4 statements• Are there immediate concerns about the doctor’s

fitness to practise• The doctor is collecting information that will lead to

satisfactory progress towards revalidation• There is satisfactory progress with previous years’

Personal Development Plans• Agreement with the Personal Development Plan that

derives from the current year’s appraisal discussion

“Reasonable and proportionate”

The revalidation process

Who does what?

AppraiseeAppraiserOrganisationResponsible officerRCGPGMC

Let’s not forget our responsibility to support our colleagues

 

“When we need care, we entrust ourselves to doctors…our trust is well

placed and will not be abused”

Patricia Hewitt, 2007