1. Appraisal and Revalidation Dr Mike Walton Harvey Group Practice, St Albans Herts Valleys CCG #NUG13

2. Who Needs Revalidation? Nurses: – NMC ‘proportionate and effective model by end 2015, which enhances public protection’ – 3-yearly registration renewal (450h+) – CPD activity and feedback from patients, service users, carers, colleagues – Performed by ‘3 rd party’ (eg manager/employer) at time of registration renewal – Formal Consultation Jan to March 2014 #NUG13

3. Who Needs Revalidation? Doctors – Licenced Doctors must remain up-to-date and fit to practice – RV is periodic renewal of License – Check by employer/contractor and GMC – gives public confidence – Commenced Dec 2012 – Annual Appraisal process; RV 5 yearly – All docs Revalidated by March 2016 #NUG13

4. Annual Appraisal for GPs (1) RCGP led 2002 (E); 2003 (NI&S); 2004 (W) Central to the Revalidation process To enable GPs continually to improve the quality of their practice To help with early identification of doctors in difficulty #NUG13

5. Annual Appraisal for GPs (2) Prev PCTs – now Area Teams Designated Bodies – oversee Appraisal process and Revalidation Designated Body signs off the Revalidation and informs the GMC re. successful process ‘Responsible Officer’ makes a recommendation GMC revalidates #NUG13

7. Useful RCGP links RCGP website: Principles of GP Appraisal (Mar 2008) http://tinyurl.com/qxeb39p http://tinyurl.com/qxeb39p RCGP/CoGPED Joint Statement (Sep 2008) http://tinyurl.com/omqaqby http://tinyurl.com/omqaqby RCGP Core Appraisals Paper (Sep 2008) http://tinyurl.com/ow9pf69 http://tinyurl.com/ow9pf69 #NUG13

8. Personal Development Plan (PDP) A menu of things to learn/do over the next 12 months Fuelled by the annual appraisal and reflection upon gaps and development needs #NUG13

9. Collecting and Storing for Revalidation Increasing chaos around paperwork PC and intranet – organisation iDevice – always there Cloud storage – anytime, anyplace 2002 – mainly paper-based, electronic  printed, memory stick, emailed to appraiser #NUG13

10. ePortfolio Tools RCGP and BMA GPC agree a ‘choice of portfolios’ ePortfolio “A collection of electronic evidence assembled and managed by a user” Some examples #NUG13

11. Six Areas 1. Continuous Professional Development 2. Quality Improvement Activity 3. Significant Events 4. Feedback from Colleagues 5. Feedback from Patients 6. Review of Complaints and Compliments #NUG13

12. Personal Development Plan Agreed plan of action for the following 12m SMART What it is (the need) How I’ll Do It (the method) When I’ll finish it by (the timeframe) What it will mean for me (the outcome) #NUG13

13. Continuing Professional Development (CPD) Minimum of 50 credits needed per year 250 credits per 5y RV cycle – covering a ‘broad range’ of GP experience Self-assessed – verified at appraisal Time Spent with Reflection Demonstrate +ve Change in Practice = double this RCGP v3.0 Guide to CPD (Aug 2013) at http://tinyurl.com/phrq7g2 http://tinyurl.com/phrq7g2 #NUG13

14. Clarity Informatics Appraisal Toolkit #NUG13

15. RCGP Appraisal ePortfolio

16. Revalidation Support Team MAG

17. Osmosis.me

18. patient.co.uk

19. GPTools

20. Review of Practice Significant Event Analysis (SEA) Clinical Audit #NUG13

21. SEAs “Success does not consist in never making mistakes, but in never making the same one a second time” George Bernard Shaw Significant Event Analysis Significant Event Auditing Learning Event Audits Critical Incident Analysis Interchangeable names Any of these CAN be included Serious Incidents (patient-safety concern or event) Any of these MUST be included #NUG13

22. SEAs expectation is for analysis of at least two Significant Events in which you have been directly involved for each appraisal. identifyreflectchangeimprove team/colleagues/peers group #NUG13

23. SEA Proforma Title of eventNo patient identifiable info Date of event Date of event discussedInclude who present at the discussion and their roles GP involvement in event What went well What could have been done differently Reflections Include issues such as knowledge, skills, performance Safety and quality Communication, partnership, teamwork Maintaining trust Agreed changes For me personally For the Team/Processes etc Review of changes afterwards Appropriate review timeframe, consider effect #NUG13

24. SEAs – locums and others Locum info – practice has duty to feed back SEAs Locums/OoH – can use ‘Case reviews’ and discuss with peer group NHS Institute for Innovation and Improvement ‘PC Trigger Tools’ http://tinyurl.com/qgonm54http://tinyurl.com/qgonm54 #NUG13

25. Clinical Audit Quality Improvement Activity – Clinical Audit – Care Pathway Review – Prescribing Review – New Service Introduction – Hazardous Drugs Review – Educational or Research Initiation – Condition-based Case Review Series #NUG13

26. Audit Process Title Criteria Standards with rationale Data collection – measure against standard Discussion and changes agreed Implementation Repeat data collection Outcome and Reflection son process #NUG13

27. The IT-savvy Appraisee Be Aware of requirements Familiar with an ePortfolio tool CPD savvy – web-browser harvesting Share SEAs and Audit – intranet, Cloud-based Reflections – immediacy – mobile device? Searches and reporting – system tools #NUG13

28. Mastering Appraisal Unconscious Incompetence “don’t know – don’t care” : state of denial Conscious Incompetence “I know I can’t do it” : state of worry Conscious Competence “I know I can do it” : state of struggle Unconscious Competence “second nature” : state of success

29. Thank You Go Forth and Revalidate! #NUG13