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Appraisal and Revalidation

Appraisal and Revalidation. Dr Mike Walton Harvey Group Practice, St Albans Herts Valleys CCG. #NUG13. Who Needs Revalidation?. Nurses: NMC ‘proportionate and effective model by end 2015, which enhances public protection’ 3-yearly registration renewal (450h+)

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Appraisal and Revalidation

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  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 ‘3rd 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

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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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 #NUG13

  13. Clarity Informatics Appraisal Toolkit #NUG13

  14. RCGP Appraisal ePortfolio

  15. Revalidation Support Team MAG

  16. Osmosis.me

  17. patient.co.uk

  18. GPTools

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

  20. SEAs “Success does not consist in never making mistakes, but in never making the same one a second time” George Bernard Shaw #NUG13

  21. SEAs • expectation is for analysis of at least two Significant Events in which you have been directly involved for each appraisal. identify reflect change improve team/colleagues/peers group #NUG13

  22. SEA Proforma #NUG13

  23. 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/qgonm54 #NUG13

  24. 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

  25. 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

  26. 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

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

  28. Thank You Go Forth and Revalidate! #NUG13

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