MAG form by GMP domains

1. MAG form by GMP domains Susi Harris Calderdale PCT GP Appraisal Lead

2. Domain 1 Intro and 1.1 • Brief outline of roles and context of GP work • Update on progress with PDP Reasons for any not achieved 1.1 Maintaining professional performance Essential: • CPD for each role • Comment on reflection • Total amount (roughly) • (MSF scores for clinical areas if available) Desirable: • Learning methods used • How they identify learning needs • Is some learning targeted to learning needs? • Balance of CPD in relation to priority of roles

3. Domain 1 – 1.2 1.2 Apply knowledge and experience to practice Essential • Some demonstration of putting learning into practice eg protocols, cases/data showing new practice Desirable • Demonstration of benefit to patients, eg case study/outline Eg “learning on diagnosis of premalignant skin lesions, resulting in two opportunistically detected BCCs”

4. Domain 1 – 1.3 • 1.3: Ensure that all documentation (including clinical records) formally recording your work is clear, accurate and legible Essential • Some commentary on notekeeping, what standard they set themselves, what value they place on good notekeeping • Remember MSF ‘medical record keeping’ score (if available) Desirable/consider • Notekeeping audit • Audit of referral letters? • (These could be QIA too – good ones for locums/sessional GPs)

5. Domain 2 –Safety and Quality 2.1 and 2.2 2.1 Contribute to and comply with systems to protect patients Systems include; • Quality Improvement Activity • Significant Event analysis • Annual review of complaints Essential • Understanding of the processes in place • Demonstration of participation in process • Evidence presented relates to own practice • (or if at practice level, reflection on implications for own practice) Consider: • Safeguarding/CPR/information governance training • Evidence of responses to safety notices eg MHRA

6. Domain 2 – 2.2 • 2.2 Respond to risks to safety Essential For each of the systems (QIA/SEA/Complaints) • Systemic response – ie • for safety – “what I am doing differently to prevent this happening again/on my watch” • for quality “what I am doing differently to improve clinical outcomes” • For Quality Improvement “what I am doing to demonstrate whether outcomes improved as a result of the change” Desirable • “My demonstration of improved outcomes/safety” (closing the loop)

7. Domain 2 – 2.3 • 2.3 Protect patients and colleagues from any risk posed by your health Essential • Health declaration signed • Fully immunised • Registered with GP who is not family member (and different practice??) • No health problems which could pose a risk to patients • MSF score: “not impaired by ill-health” Desirable • An opportunity to look at lifestyle and work life balance? • How do they de-stress/relax

8. Domain 3: Communication, partnership and teamwork – 3.1 Communicate effectively Essential: Commentary on communication, what standard set themselves, value placed on good communication • Specific communication scoresin MSF and PSQ • (if available) • MSF: ‘Communication with patients and relatives’ • PSQ: ‘Listening to you’ ‘Explaining your condition and treatment’ Consider: • Meetings attended, teams/people • Informal communications, awaydays, coffee meetings • Difficulties in communication - ?Opportunity for challenge

9. Domain 3 – 3.2 3.2 Work constructively with colleagues and delegate effectively MSF (if available) Comment on…. • Method used No of respondents/roles covered/GMC approved method/doesit include main/current colleagues? • What they make of it • Overall scores, reflections (opportunity for celebrationchallenge) • what will they do differently • Action plan – have they implemented? Outcome? • Specific MSF Score (if available): ‘Working effectively with colleagues’ ‘ Working within limitations’? • Examples of teamworking/partnership working • Minutes: evidence they attend, contribute, delegate

10. Domain 3.3 Establish and maintain partnerships with patients PSQ (if available) Comment on…. • Method used No of respondents/GMC approved q’airre/independent evaluation • What they make of it • Overall scores, reflections (opportunity for celebration/challenge) • What will they do differently • Action plan – have they implemented? Outcome? • PSQ score for ‘involving you in decisions about your treatment Consider: • Patient participation group – any involvement? • Developing a patient website • Seeking patient opinion eg in CCG roles

11. Domain 4.1 Show respect for patients Essential • No evidence doctor does not treat with respect Consider • MSF and PSQ ratings for respect and confidentiality • PSQ ratings for politeness • Use of chaperones/policy • Timekeeping measures

12. Domain 4.2 Treat patients and colleagues fairly and without discrimination Essential • No evidence doctor does not treat fairly or discriminates Consider • PSQ ethnicity (if present) and overall high rating • Equality and diversity training

13. Domain 4.3 Act with honesty and integrity Essential • Probity statement signed Consider • MSF and PSQ scores for “honest and trustworthy” • Look through probity section of GMP • CCG- conflict of interest declaration signed