appraisal & revalidation update
TRANSCRIPT
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Engineers house, 1/3/2012
Dr Geoff Hogg Dr Harry Minas
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A tale of 2 parts
Part 1
Revalidation update
N-appraisal:
definition/what it
means to us all
Part 2
Supporting
information
Credits
Questions
Hands on work
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Part 1-Revalidation update
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Revalidation starts this year
At least 1 person MUST be
revalidated by 31/12/2012
The most likely candidate:
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2013 revalidation timetable
Early 2013: regional ROs
By April 2013: all ROs completed
1/4/13 onwards: appraisers to berevalidated (on a volunteer basis only)
Late 2013 onwards: doctors to berevalidated
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1strevalidation cycle
3 years duration only: 1/4/2013-
31/3/2016
120,000 doctors need to be revalidated
by the end of this first cycle
Subsequent cycles: 5 years long
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The purpose of revalidation
The purpose of revalidation
To assure patients and public,employers and other health care
professionals that licensed doctors
are up to date and fit to practise
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Appraisal balance
Personal
Development
Revalidation
QualityImprovement
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Changes to appraisal
N-appraisal (n for new) starts 1/4/2013
and prepares us for revalidation
Still formative, but now also with a
significant summative element, dictated
by GMC GMP
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Changes in terminology
Doctor, not appraisee
CG data will feed into appraisal from the start
Supporting information, not evidence
Whole practice appraisal, not just our GPwork: all aspects of our working life to be
appraised in 1 annual meeting
Appraisal output statements, not form 4
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New processes in appraisal for revalidation
Doctors are appraised on the whole of their scope of work
Clinical governance information and personal information
arising from appraisal will be combined to enable the
responsible officer to make a recommendation about a
doctor to the GMC
The doctor will have to sign off statements about the
appraisal portfolio, health, probity and GMC requirements
The appraiser will have to sign off statements about
engagement with appraisal, progress with the previous PDP
and the appropriateness of the new PDP and GMC
requirements
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The purposes of n appraisal for revalidation
To enable doctors to discuss their practice andperformance with their appraiser in order to demonstrate thatthey continue to meet the principles and values set out inGood Medical Practice and thus to inform the responsibleofficers revalidation recommendation to the GMC.
To enable doctors to enhance the quality of their professionalwork by planning their professional development.
To enable doctors to consider their own needs in planning theirprofessional development.
To enable doctors to ensure that they are working productivelyand in line with the priorities and requirements of theorganisation they practise in.
http://www.gmc-uk.org/guidance/good_medical_practice.asphttp://www.gmc-uk.org/guidance/good_medical_practice.asp -
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GMC GMP-4 domains
Knowledge, skills and performance
Safety and Quality
Communication, partnership and
teamwork
Maintaining trust
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The appraiser angle in n-appraisal
43. You must protect patients from risk of harm posed
by another colleague's conduct, performance or
health. The safety of patients must come first at all
times. If you have concerns that a colleague may not
be fit to practise, you must take appropriate stepswithout delay, so that the concerns are investigated
and patients protected where necessary. This means
you must give an honest explanation of your
concerns to an appropriate person from youremploying or contracting body, and follow their
procedures. (GMC GMP)
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GMC supporting information principles
General informationproviding context about what
you do in all aspects of your work
Keeping up to datemaintaining and enhancing
the quality of your professional work
Review of your practiceevaluating the quality of
your professional work
Feedback on your practicehow others perceive
the quality of your professional work
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6 types of supporting information
There are six types of supporting information:
1. Continuing professional development (CPD credits)
2. Quality improvement activity (instead of audits)3. Significant events (2 per year)
4. Feedback from colleagues (1 per 5 years)
5. Feedback from patients (where applicable-1 per 5
years)6. Review of complaints and compliments
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Levels of supporting information
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Statements 1 & 2
1. An appraisal has taken place that reflects the
doctors scope of work and addresses the
principles and values set out in Good Medical
Practice.
2. Appropriate supporting information has been
presented in accordance with the Good Medical
Practice Framework for appraisal and revalidation
and this reflects the nature and scope of thedoctors work.
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Statements 3 & 4
3. A review that demonstrates progress against last
years personal development plan has taken
place.
4. An agreement has been reached with the doctor
about a new personal development plan and any
associated actions for the coming year.
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Statement 5
(Updated version Feb 2012)
5. No information has been presented or discussedin the appraisal that raises a concern about the
doctors fitness to practise.
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Additional information for the RO
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Part 2-supporting information
Aim for quality, not justquantity
60-70 good credits per
year are enough Having too many gives
the wrong
message: aim for the
main part of the Bell-shaped curve, not theextremes!
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Credits and impact
1 hour + relevant reflection=1 credit
The above plus action plus PROOF of
action= 2 credits (impact factor 2)
Sharing knowledge with others is not
impact (e.g. updating a protocol,preparing material for SDLG meeting,etc)
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Key questions to ask yourselves about
supporting information
Appraiser view: see
document adding
value to supportinginformation
Discuss in small
group
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Question and answer session
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Hands on session with RCGP eportfolio
If time allows Look at GMC domains
Look at supporting
information
Look at credit impact