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GP Appraisal and Revalidation

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GP Appraisal and Revalidation

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    1. GP Appraisal and Revalidation Henrietta Hughes Lead Appraiser NHS Camden Leae

    2. Revalidation Revalidation is real 5 year cycle 5 annual appraisals + PDPs 2 x Multisource feedback 2x SEA

    3. Appraisal Formative - Peer Review GP development Summative - how this fits with Revalidation Evidence

    4. Information Useful websites http://www.rcgp.org.uk/revalidation.aspx http://www.gmc-uk.org/guidance/good_medical_practice/index.asp http://www.rcgp.org.uk/pdf/PDS_Good_Medical_Practice_for_GPs_July_2008.pdf

    5. Enhanced Appraisal Pilot Enhancing, Improving.. Improving procedures Creating level playing field More engagement

    6. Enhanced Appraisal Pilot 2 Appraisees to contact their appraiser All appraisals completed by end of February 2010 Toolkit security Sign off at least 2 wks before the interview Send or scan in paper documents eg certificates Complete and send back Form 4 and PDP + feedback form

    7. Suggested Evidence for Appraisal 1 Overlap with QOF Duplication of effort Freelance / sessional GP Lack of clarity on �what�s enough?�

    8. Suggested Evidence for Appraisal 2 Good Clinical Care Data Collection* SEA Audit Prescribing data eg PACT 2 SRT case reports 1 SRT data collection 1 SRT prescribing Maintaining Good Medical Practice Certificates of learning events PUN / DEN diary SRT on medical learning Relationships with patients Self reported patient survey, complaints, plaudits GPAQ Patient survey reflection Working with colleagues Self reported Validated 360 feedback � 2 every 5 year cycle** Teaching and Training Self reported Feedback from students Probity Membership of medical defence body Registration with GMC Evidence of financial probity, gift register SRT on probity Management Research Health Registered with a GP Hepatitis B / C status Declaration of no health issues which affect patient care Discussion of work life balance SRT on health

    9. My Roles Lead Appraiser NHS Camden Locum GP OOH GP Camidoc Peer review facilitator Self directed learning group treasurer Associate Editor 2 medical journals

    10. �DIY� appraisal evidence Good clinical care Maintaining good medical practice Relationships with patients Working with colleagues Probity Health

    11. Suggested Evidence - Good Clinical Care Description of all roles paid and voluntary Data Collection + SRT SEA Audit Prescribing data eg PACT + SRT Case reports + 2 SRT

    12. Good Clinical Care Audit scope, why chosen, impact on clinical practice Peer review of consultations Camidoc, self directed learning group Learning set - discuss challenging patient Haverstock non principals self directed learning group

    13. Good Clinical Care 2 Peer review of consultation - Camidoc Camidoc calls are recorded (NB Whittington / Laurels) Peer review group Facilitator Feedback form -> appraisal folder

    14. Good clinical care 3 Prescribing - eg last 100 prescriptions - NICE, local guidelines SRT prescribing Referrals eg 2 week rule - keep a record of EMIS numbers Case review 1 surgery print screen - anonymise data SRT case report

    15. Good Clinical Care 4 SEA complete SRT in Appraisal Toolkit discuss in a group eg practice meeting / SDLG discuss in Appraisal Interview - reflect on clinical practice

    16. Suggested Evidence Maintaining good medical practice Certificates of learning events PUN / DEN diary SRT on medical learning

    17. Maintaining good medical practice Identify your best way(s) of learning Relate to your PDP Reflect - how does this change your practice - examples PUNs and DENs - toolkit, GPnotebook tracker Reading Courses Discussion with colleagues Hands on eg hospital clinics

    18. Maintaining good medical practice 2 Credits- 50 per year Effort and achievement : 1 hour = 1 credit

    19. Maintaining good medical practice 3 Hospital outpatients for 6 hours = 6 credits Reading NICE guidelines 1 hour = 1 credit Online learning module 1 hour = 1 credit Total 65 credits Hot topics course 8 hours = 8 credits Target events 3x 3 hours = 9 credits Peer review of consultation 2x2 hours = 4 credits Reading journals 1 hour per month = 12 credits Monthly self directed learning group 2 hours per month = 24 credits

    20. Relationships with patients Card and letters SRT on complaints Practice survey Download free from GPAQ website http://www.gpaq.info/

    21. Working with colleagues 360 survey not required Comment on particularly good or bad situation How things have changed since last appraisal

    22. Probity Gift Register Accounts prepared - submit tax return Complete SRT on probity Medical indemnity insurance - name of provider and policy number Keep medical records Do not prescribe to close family members

    23. Health Registered with a GP Immunisations eg Hep B Do not self treat / prescribe Do not have any health concerns which could put patients or colleagues at risk Complete SRT on health

    24. Feedback We welcome feedback! Appraisees feedback form Appraisers feedback form

    25. Summary Revalidation is real Appraisal in NHS Camden will prepare you for revalidation No boxes to say n/a or �no concerns� Feeds into PDP eg Audit, SEA

    26. Finally Any questions or concerns ? Contact your appraiser henrietta.hughes@nhs.net

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