Good Medical PracticeGood Medical Practice

Evidence to use for AppraisalEvidence to use for Appraisal

Good Medical Practice 2006Good Medical Practice 2006

Appraisal FormsAppraisal Forms Form 1Form 1 – Basic details; demographics, – Basic details; demographics,

qualifications, job historyqualifications, job history Form 2Form 2 – Current Medical Activities; where – Current Medical Activities; where

you work, hours, roles, OOH, on call, you work, hours, roles, OOH, on call, MeetingsMeetings

Form 3Form 3 – The Biggie – The Biggie Form 4Form 4 – Summary of discussion and – Summary of discussion and

agreed PDP, appraiser fills in, you sign offagreed PDP, appraiser fills in, you sign off Form 5Form 5 – Confidential section not released – Confidential section not released

in documents but accessible to appraiser in documents but accessible to appraiser and appraiseeand appraisee

Form 3Form 3

Meat of the appraisalMeat of the appraisal Supporting documentsSupporting documents Each section:Each section:

Strengths and weaknesses and Strengths and weaknesses and docsdocs

ImprovementsImprovements

Development needsDevelopment needs

ConstraintsConstraints

Good Clinical CareGood Clinical Care

1.1. Adequately assess patients conditionAdequately assess patients condition2.2. Arrange advice, investigations or treatmentArrange advice, investigations or treatment3.3. Work within your limits of competenceWork within your limits of competence4.4. Refer if in the patients best interestsRefer if in the patients best interests5.5. Prescribe only if you have adequate knowledge of the Prescribe only if you have adequate knowledge of the

patientpatient6.6. Provide effective treatments based on evidenceProvide effective treatments based on evidence7.7. Take advice from colleagues as appropriateTake advice from colleagues as appropriate8.8. Keep clear recordsKeep clear records9.9. Alleviate pain and distress whether or not cure is possibleAlleviate pain and distress whether or not cure is possible10.10. Make good use of resourcesMake good use of resources11.11. Do not allow your beliefs to prejudice careDo not allow your beliefs to prejudice care12.12. Prioritise on the basis of clinical needPrioritise on the basis of clinical need

Good Clinical CareGood Clinical Care

1.1. Offer emergency assistance if requiredOffer emergency assistance if required

2.2. Not refuse to treat a patient because of personal riskNot refuse to treat a patient because of personal risk

3.3. Be readily available when on dutyBe readily available when on duty

4.4. Support self careSupport self care

5.5. Avoid providing medical care to anyone with whom you Avoid providing medical care to anyone with whom you have a close personal relationshiphave a close personal relationship

Maintaining Good Medical PracticeMaintaining Good Medical Practice

1.1. Keep your knowledge and skills up to dateKeep your knowledge and skills up to date2.2. Keep up to date with laws and codes of practice relevant Keep up to date with laws and codes of practice relevant

to your workto your work3.3. Maintain a folder of information and evidence drawn from Maintain a folder of information and evidence drawn from

your practiceyour practice4.4. Reflect regularly on your standards of medical practice – Reflect regularly on your standards of medical practice –

in line with requirements for relicensing and in line with requirements for relicensing and recertificationrecertification

5.5. Promote patient safetyPromote patient safety6.6. Take part in regular audit, appraisals and performance Take part in regular audit, appraisals and performance

reviewsreviews7.7. Respond constructively to the above, undertaking further Respond constructively to the above, undertaking further

training as appropriatetraining as appropriate8.8. Contribute to confidential inquires and adverse event Contribute to confidential inquires and adverse event

recognition to help reduce risk to patientsrecognition to help reduce risk to patients

Relationships with PatientsRelationships with Patients1.1. Establish a good doctor-patient partnershipEstablish a good doctor-patient partnership2.2. Communicate effectivelyCommunicate effectively3.3. Safeguard children, young people and vulnerable groupsSafeguard children, young people and vulnerable groups4.4. Be honest with patients if things go wrongBe honest with patients if things go wrong5.5. Maintain trust in the professionMaintain trust in the profession6.6. Obtain valid consent where neededObtain valid consent where needed7.7. Respect confidentiality and privacyRespect confidentiality and privacy8.8. Be fair about ending your professional relationship with a Be fair about ending your professional relationship with a

patient if the trust between you breaks down for patient if the trust between you breaks down for justifiable reasonjustifiable reason

Working with ColleaguesWorking with Colleagues

1.1. Respect the skills and contributions of your colleaguesRespect the skills and contributions of your colleagues

2.2. Communicate effectively within and outside the teamCommunicate effectively within and outside the team

3.3. Make sure others understand your role within the teamMake sure others understand your role within the team

4.4. Join in regular reviews and audit of the teamJoin in regular reviews and audit of the team

5.5. Support colleaguesSupport colleagues

6.6. Prioritise patient safety and take action if you have concernsPrioritise patient safety and take action if you have concerns

7.7. Treat colleagues fairly and with respectTreat colleagues fairly and with respect

8.8. Ensure adequate cover when off duty and effective handoverEnsure adequate cover when off duty and effective handover

9.9. Take up any post you have accepted; work any noticeTake up any post you have accepted; work any notice

10.10. Provide all relevant information when handing overProvide all relevant information when handing over

11.11. Be satisfied anyone you delegate to has the necessary skillsBe satisfied anyone you delegate to has the necessary skills

12.12. Be satisfied anyone you refer to is accountable and managedBe satisfied anyone you refer to is accountable and managed

Teaching and TrainingTeaching and Training

1.1. Be honest and objective when assessing or appraisingBe honest and objective when assessing or appraising

2.2. Contribute to teaching, training, assessing willinglyContribute to teaching, training, assessing willingly

3.3. Develop the skills of a competent teacher if you do soDevelop the skills of a competent teacher if you do so

4.4. Ensure that students and staff for whom you are Ensure that students and staff for whom you are responsible are properly supervisedresponsible are properly supervised

ProbityProbity

1.1. Be honest and trustworthy in all that you doBe honest and trustworthy in all that you do

2.2. Inform the GMC if you accept a caution or are charged with an Inform the GMC if you accept a caution or are charged with an offenceoffence

3.3. Inform other organisations for whom you work if you are Inform other organisations for whom you work if you are suspendedsuspended

4.4. Be able to justify that information you publish about your Be able to justify that information you publish about your medical services is factual and verifiablemedical services is factual and verifiable

5.5. Be honest and trustworthy when writing reportsBe honest and trustworthy when writing reports

6.6. Provide honest, justifiable and accurate comments when giving Provide honest, justifiable and accurate comments when giving referencesreferences

7.7. Cooperate with any formal inquiryCooperate with any formal inquiry

8.8. Act with honesty and integrity if you are involved in researchAct with honesty and integrity if you are involved in research

9.9. Be honest and open in any financial arrangements with patientsBe honest and open in any financial arrangements with patients

10.10. Discourage patients to give, lend or bequeath money or giftsDiscourage patients to give, lend or bequeath money or gifts

ProbityProbity

1.1. Be honest in financial and commercial dealings with Be honest in financial and commercial dealings with employers, insurers and other organisations or individualsemployers, insurers and other organisations or individuals

2.2. Act in your patients best interest when making referrals Act in your patients best interest when making referrals and when providing care; declare any financial or and when providing care; declare any financial or commercial interestscommercial interests

ResearchResearch

1.1. Put the care and safety of patients first when participating in Put the care and safety of patients first when participating in researchresearch

2.2. Ensure you have ethics approval and informed consentEnsure you have ethics approval and informed consent

3.3. Conduct all research in an ethical manner, with honesty and Conduct all research in an ethical manner, with honesty and integrityintegrity

4.4. Be satisfied the foreseeable risks will not outweigh the benefitsBe satisfied the foreseeable risks will not outweigh the benefits

5.5. Ensure patients or volunteers understand they are being asked Ensure patients or volunteers understand they are being asked to participate in research and the results are not predictableto participate in research and the results are not predictable

6.6. Record and interpret results accuratelyRecord and interpret results accurately

7.7. Follow national research governance guidelinesFollow national research governance guidelines

8.8. Do your best to complete research projects or ensure they are Do your best to complete research projects or ensure they are completed by otherscompleted by others

9.9. Follow the research protocol approved by the ethics committeeFollow the research protocol approved by the ethics committee

HealthHealth

1.1. Register with a GP that is not a member of your familyRegister with a GP that is not a member of your family

2.2. Do not treat yourselfDo not treat yourself

3.3. Be immunised against serious communicable diseasesBe immunised against serious communicable diseases

4.4. Take and follow advice from colleagues on whether and Take and follow advice from colleagues on whether and how you should modify your practice if you know that you how you should modify your practice if you know that you have/think you might have a serious condition which you have/think you might have a serious condition which you could pass on to patients, or if your judgement or could pass on to patients, or if your judgement or performance could be significantly affected by a condition performance could be significantly affected by a condition or treatmentor treatment