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Appraisal and revalidation update
October 15th 2012Appraiser Learning set meeting
Crawley and East Surrey
What do all GPs need to knowAbout revalidation and commissioning
Autumn 2012
Revalidation Responsible officers will be revalidated in first four months
April 2013 roll out to all doctors- expected all revalidated by march 2016
If you are on the performers list the RO is responsible for recommending you to the GMC for revalidation
From December 2012 you will know the year you will be revalidated
Revalidation The RO needs to be satisfied that you have participated in an
annual appraisal that covers all of your medical practice, and that your appraiser has signed off at least one appraisal that has good medical practice as its focus
You have brought to your appraisals appropriate supporting information
There are no unresolved concerns about your performance as a doctor
here are six types of supporting information that you will be expected to provide and discuss at your appraisal at least once in each five year cycle
They are:
Continuing professional development
Quality improvement activity
Significant events
Feedback from colleagues
Feedback from patients
Review of complaints and compliments
Revalidation “Minimum supporting information” applies to the 12 month
period prior to your last appraisal before your revalidation date
Ie for some of us that means information gathered this year: 2012-13
Revalidation is a continuous process , not a high stakes exam at a fixed point in time- the RO should give you time to put things right
Part timers , retainers ,and locums all expected to submit a full standard portfolio
Minimum supporting information Personal details, scope of your work, record of annual appraisals, PDPs,
probity and health declarations
At least 50 CPD credits in the 12 months prior to your last appraisal before your revalidation date
At least 2 significant event reviews in 12 months – must include any serious incident
Minimum supporting information Audit –evidence of regular participation in in quality improvement activity
relevant to your scope of work, and discussed at appraisal
Colleague feedback and patient feedback- one of each in 5 years before your revalidation recommendation
Description of any formal complaints
MSF and PSQ Various tools approved by GMC – their own tools are simple; require 40
patients and 15 colleagues
Can use GP-SPRAT, CFET, 2Q MSF, Edgecumbe 360
Initially other non validated tools will be acceptable if they focus on what you do, but suggest data externally collated
MSF and PSQ Feedback and reflection essential
Can be challenging
RCGP faculties will be providing support
Means if you haven’t done a personal PSQ or MSF in the past 3 years , do one soon
Extended rolesAny activity beyond the scope of GP training and the
MRCGP, or with a separate contract eg GPwSI or receiving fees outside of care to registered practice population eg teaching , medico-legal work , occ health
Must demonstrate fit for these roles- eg trainer approval from deanery, review of appraisers practice, statement from OOH provider
PDPs Must be SMART, no max or min number of items
Must contain statement of development need, how this will be addressed, date by which it will be achieved, intended outcome , and review by appraiser
If not achieved , explanation as to why not
Need to consider more than just clinical learning, eg leadership and management
CPD credits250 in 5 year cycle required
In essence 1 credit = 1 hour if accompanied by reflective record; a certificate alone is no credit
Claim 2 credits per hour if can demonstrate impact eg leading to a change in practice
Self allocated and approved by appraiser
Should reflect broad range of activity over 5 yrs- ie not just diabetes courses for diabetes GPwSI
Significant events Need to include description of event, who was involved and who it was
discussed with
What went well?
What could have been done differently?
Reflections in terms of knowledge, skills , safety, partnership and communication
Agreed changes ,and their effect
Significant events Ideally discuss in team , but may be difficult for locums
Encourage practitioner groups, locum chambers
Can do serial case review -10 consecutive cases , or 10 cases with a specific condition
Audit At least one full cycle audit that you have taken part in ie not just the
medical student audit!
Audit is a systematic analysis of the quality of care
Needs to be relevant to your practice, amenable to change, and appropriately actioned
Audit Criterion – statement of best practice , preferably evidence based
Standards set- how you think you will measure up to best practice , bearing in mind reality of GP
Data collection 1
Compare to standards , discuss changes needed
Audit Changes put into action
Compare to standards and discuss whether quality improvement resulted , and if not why not – and repeat as required
Topics could include antibiotic prescribing, use of investigations, prescribing, hypertension management etc
Audit Can submit a quality improvement project eg reviewing use of care
pathways in a particular group of patients
Action audit – reviewing care of cases of a defined nature with a colleague , matching performance to preset criteria- my be suitable for locums / OOH doctors
Commissioning New responsibility for GPs to be cost aware and make efficient use of
resources
We are all involved in commissioning through referral and prescription
Links to QIPP agenda and QOF ongoing
Suggestion that PDPs take local and national priorities into account ,as well as personal needs
Update from RCGP tool fully integrated with the RCGP’s
Online Learning Environment (OLE), which includes
the RCGP Essential Knowledge Updates,
Essential Knowledge Challenges and the
Personal Education Planning (PEP) learning needs assessment tool
free for College members
September 2012 RCGP Revalidation ePortfolio Lead Appraiser. -help organisations quality assure their appraisal process.
RCGP Trainee ePortfolio to Revalidation ePortfolio integration Upon log in we will introduce an Appraisal Year Warning. to ensure appraisees do not complete an
appraisal in the wrong year.
RCGP Single Sign On. Log on only once to access all of the RCGP products that you are eligible to access.
Introduction of the Medical Appraisal Guidance (MAG) appraisee and appraiser declaration statements
October 2012 The GMC patient and colleague questionnaires will be integrated in the RCGP’s
Revalidation ePortfolio, enabling GPs to self-assess and benchmark against their peers.
The new revalidation ready ‘Form 3’ equivalent. Any existing data will be mapped
over.
November 2012 Responsible Officer functionality. The RCGP Revalidation ePortfolio will offer ROs everything they need to
make a revalidation recommendation, including (subject to GMC readiness) a link to the GMC database.
Dashboard. This will be reorganised to reflect the new GMC supporting information headings.
Form 4 will be replaced with its revalidation ready equivalent and any existing data will be mapped over.
The new ‘Form 4’ will include an option for appraisers to add PDP items resulting from the appraisal discussion.
Appraisal summary document. This will be reformatted for ease of use, by GPs and organisations. The
PDP section will be significantly enhanced.
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