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GP appraisal and revalidation. The news to date…. Areas for discussion at appraisal. Good clinical care Maintaining good medical practice Relationships with patients Working with colleagues Teaching and training Probity Management activity Research Health.
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GP appraisal and revalidation The news to date…..
Areas for discussion at appraisal • Good clinical care • Maintaining good medical practice • Relationships with patients • Working with colleagues • Teaching and training • Probity • Management activity • Research • Health
Revalidation and the ‘new’ appraisal • Proposed start date is “end of 2012, early 2013” • All GPs will undergo 5yearly revalidation based on their portfolio and comments from the PCO ‘responsible officer’ • GPSTs will undergo their first revalidation 5y after the nMRCGP
Supporting information for revalidation (1) • 5 annual appraisals • Annual PDPs with SMART objectives • Annual review of PDPs ( 2/3 of goals met) • 50 learning credits per year • MSF (1 per 5 years)
Supporting information for revalidation (2) • Patient feedback (1 per 5 years) • Record of cause for concern/complaints • SEA , 10 in 5 years • Audits (1 full cycle audits in 5y) • Statement of probity and health • All of the above to be validated at appraisal
Where shall I record my appraisal information ? • On bits of paper • Using the NHS appraisal toolkit • Using the RCGP toolkit
The RCGP toolkit • http://www.rcgp.org.uk/extras/RCGP_Revalidation_ePortfolio/player.html
Who arranges my appraisal? • The PCT on whose performers list you are registered. • Beware! This can cause problems….
What is the minimum amount of GP work which will allow revalidation? • A re-entry course will be required after more than 2 years without record of learning credits and appraisal.
What is the minimum amount of GP work which will allow revalidation? • Appraisals/PDP/PDP review in 3 out of 5 years • 50 learning credits in 3 out of 5 years • 200 nominal half days in 5 years (half of which to be in the 2 years before revalidation)
Locum evidence: MSF • can be replaced with specific survey yet to be designed • Online questionnaire sent to practices after sessions • Direct observation
Locum evidence: patient feedback • Can be gathered from a series of clinical settings
Locum evidence: SEA • Support from employing practices • Case reviews with experienced colleague • Discussion with peer group
Locum evidence: audits • Use referrals/investigations/prescribing log +/- review at next visit • RCA with experienced colleague.