Revalidation and appraisal for GPs November 2009
Dr Nick Lyons Dr Nick LyonsGP Chair National Association Primary Care Educators Primary Care Taskforce Lead, NHS Education South Central Medical 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
Assessment Judgement 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
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? Appraisee Appraiser Organisation Responsible officer RCGP GMC
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