MAG form by GMP domains Susi Harris Calderdale PCT GP Appraisal Lead

Domain 1 Intro and 1.1 Brief outline of roles and context of GP work Update on progress with PDP Reasons for any not achieved 1.1 Maintaining professional performance Essential: CPD for each role Comment on reflection Total amount (roughly) (MSF scores for clinical areas if available) Desirable: Learning methods used How they identify learning needs Is some learning targeted to learning needs? Balance of CPD in relation to priority of roles

Domain 1 – Apply knowledge and experience to practice Essential Some demonstration of putting learning into practice eg protocols, cases/data showing new practice Desirable Demonstration of benefit to patients, eg case study/outline Eg “learning on diagnosis of premalignant skin lesions, resulting in two opportunistically detected BCCs”

Domain 1 – : Ensure that all documentation (including clinical records) formally recording your work is clear, accurate and legible Essential Some commentary on notekeeping, what standard they set themselves, what value they place on good notekeeping Remember MSF ‘medical record keeping’ score (if available) Desirable/consider Notekeeping audit Audit of referral letters? (These could be QIA too – good ones for locums/sessional GPs)

Domain 2 –Safety and Quality 2.1 and Contribute to and comply with systems to protect patients Systems include; Quality Improvement Activity Significant Event analysis Annual review of complaints Essential Understanding of the processes in place Demonstration of participation in process Evidence presented relates to own practice – (or if at practice level, reflection on implications for own practice) Consider: Safeguarding/CPR/information governance training Evidence of responses to safety notices eg MHRA

Domain 2 – Respond to risks to safety Essential For each of the systems (QIA/SEA/Complaints) Systemic response – ie – for safety – “what I am doing differently to prevent this happening again/on my watch” – for quality “what I am doing differently to improve clinical outcomes” For Quality Improvement “what I am doing to demonstrate whether outcomes improved as a result of the change” Desirable “My demonstration of improved outcomes/safety” (closing the loop)

Domain 2 – Protect patients and colleagues from any risk posed by your health Essential Health declaration signed Fully immunised Registered with GP who is not family member (and different practice??) No health problems which could pose a risk to patients MSF score: “not impaired by ill-health” Desirable An opportunity to look at lifestyle and work life balance? How do they de-stress/relax

Domain 3: Communication, partnership and teamwork – 3.1 Communicate effectively Essential: Commentary on communication, what standard set themselves, value placed on good communication Specific communication scores in MSF and PSQ (if available) – MSF: ‘Communication with patients and relatives’ – PSQ: ‘Listening to you’ ‘Explaining your condition and treatment’ Consider: Meetings attended, teams/people Informal communications, awaydays, coffee meetings Difficulties in communication - ?Opportunity for challenge

Domain 3 – Work constructively with colleagues and delegate effectively MSF (if available) Comment on…. Method used No of respondents/roles covered/GMC approved method/does it include main/current colleagues? What they make of it – Overall scores, reflections (opportunity for celebrationchallenge) what will they do differently – Action plan – have they implemented? Outcome? Specific MSF Score (if available): ‘Working effectively with colleagues’ ‘ Working within limitations’? Examples of teamworking/partnership working Minutes: evidence they attend, contribute, delegate

Domain 3.3 Establish and maintain partnerships with patients PSQ (if available) Comment on…. Method used No of respondents/GMC approved q’airre/independent evaluation What they make of it – Overall scores, reflections (opportunity for celebration/challenge) What will they do differently – Action plan – have they implemented? Outcome? PSQ score for ‘involving you in decisions about your treatment Consider: Patient participation group – any involvement? Developing a patient website Seeking patient opinion eg in CCG roles

Domain 4.1 Show respect for patients Essential No evidence doctor does not treat with respect Consider MSF and PSQ ratings for respect and confidentiality PSQ ratings for politeness Use of chaperones/policy Timekeeping measures

Domain 4.2 Treat patients and colleagues fairly and without discrimination Essential No evidence doctor does not treat fairly or discriminates Consider PSQ ethnicity (if present) and overall high rating Equality and diversity training

Domain 4.3 Act with honesty and integrity Essential Probity statement signed Consider MSF and PSQ scores for “honest and trustworthy” Look through probity section of GMP CCG- conflict of interest declaration signed