Appraisal Update

Agenda

• Introductions• Aggregated report - Dr Bert Jindal • Last year, next year - John Lord

• Break• Forms, websites – John Lord

• IT Training – Helen Dearden-Briggs

• Summary – Dr Bert Jindal

• Evaluation

Aggregated report

Dr Bert Jindal

Aims and Objectives

• Learn more about changes in appraisal

• Be able to get more out of appraisal

• Be more prepared for revalidation

• Improve practice

• Celebrate & share improvement in practice

Background

Appraisal detail is emergent.

The situation may change- there are few absolute rights or wrongs.

Method

• I present you a series of challenges and ask one group to report on each challenge.

• I present what other factors I think are relevant

Everyone else can tell me where they think I am wrong.

“Load of rubbish John”

or

“Our group has some additional perspective here”

What drives appraisal & revalidation?

Good Medical Practice

Appraisal

SupportCelebrate success

Revalidation

Public confidence

Political pressure

GMC

RCGP

What is the function of Appraisal ?

Luxury of protected time to:-

• Recognise and celebrate success

• Share good practice

• Find areas in which to do even better

• Plan out the process of personal development

• Review progress in development

What do the headings of good medical practice mean?

• Good Clinical Care – Clinical Systems - Systematic assessment – history, exam, diagnosis, investigation, Rx, follow up, clear records etc.

• Maintaining good medical practice

– Keep up to date clinically and as manager, audit, personal/professional development

What do the headings of good medical practice mean?

• Probity

• Health

Probity

• Complete and confirmed integrity; uprightness

• from probus - upright, good

Probity• Factual verifiable information about your services

• Honesty when writing references/reports / signing forms

• Honest /open re financial arrangements with patients e.g. fees/charges - not encourage gifts / bequests

• Honest in financial and commercial dealings

• Act in patients' best interests when referring /arranging Rx

• Declare financial interests in hospitals, nursing homes etc

• Not use institutions which you / family own.

Health

If your health may put patients at risk

• E.g. condition you could pass on to patients, or judgement / performance upset by illness / Rx

• Follow advice from Occupational Health Not your own assessment of risk to patients.

• Follow OcH advice re Rx / your clinical practice.

Websites and forms• https://www.appraisals.nhs.uk/

Filling forms 1-2-3

To bear in mind

• Previous PDP

• Changes in role

• Changes in career plan

What is the function of Form 4 / PDP?

• Share information

• Feedback

• Celebrate success

• Benchmarking

• Revalidation?

If form 4 is used for revalidation …

… … and you were a revalidator

what information would you need to see in form 4 / PDP?

Evidence if form 4 is for revalidation

Each area:– has been discussed

– deficiencies identified

– and acted upon

What makes a good PDP?

• Source of educational needs

• Degree of need

• Number of topics

• SMARTER objectives

• Scope

What makes a good PDP?

Source of Needs

• National

• PCT

• Practice

• Personal

What makes a good PDP?

Degree of Need

• Essential to service

• Desirable

• Interest only

What makes a good PDP?

Number of Needs

• For most people 3-5

What makes a good PDP?

SMARTER objectives• Specific• Measurable• Agreed/ owned• Relevant• Time bound• Enjoyable• Recorded

What makes a good PDP?

Scope

• All personal development

• vs ongoing practice issues

IT Training

Helen Dearden-Briggs

Summary

Dr Bert Jindal