LMC Meeting Update and Discussion

The current situation national and local

Revalidation and appraisal fantasy and reality

The construction of GP revalidation and appraisal in Buckinghamshire

Marion Lynch Associate Dean for Revalidation Oxford Deanery and Appraisal Lead Buckinghamshire PCT

GP Revalidation Choose a Lane

Hitchhikers Guide to GP Revalidation

Revalidation

PRACTISE

GP Revalidation Choose a Lane

Hitchhikers Guide to GP Revalidation

Revalidation

PRACTISE

Hitchhikers Guide to GP Revalidation

Revalidation

PRACTISE

Vote Fantasy or Reality

Revalidation can strengthen the medical

profession It will support doctors improve the service delivered by healthcare organisations and reassure patients that doctors are up to date and fit to practise

Maurice Conlan National Director of Revalidation Support Team (May 2009)

Fantasy and

Realitybull Hyperspace highway of governance and

regulationGP is one profession to be regulatedldquoThere is no point acting all surprised about

it The plans and demolition orders have been on display at you local planning office in Alpha Centauri for 50 of your earth years so yoursquove had plenty of time to lodge formal complaintsrdquo

The Reality Professional Regulation for all is here

Reality Where are we now

Positives bull PCT provides appraisal and Bucks appraisers are local GPsbull GMC research ndash well received Contributing to national debatebull Interview with GMC publication people at 315 todaybull Appraiser competences Useful activity RCGP conference poster bull Appraisee complaints are few and followed upbull Appraisers are interviewed trained and assessedbull 5 new appraisers making 43

Challengesbull 436 GPs on Performers List of which 103 are non principalsbull Appraisal uptake is 81 (including 20 in following year)bull Locum appraisal uptake 45bull This area does not collect Form Foursbull PDP quality is patchy 85 submit PDP

Bucks GPs want to know about revalidation

Identified Learning Needs 08-09

0

10

20

30

40

50

60

70

Breast C

ancer

Cardiology

CB

T

Child P

rotection

Consultation S

kills

CO

PD

Derm

atology

DF

FP

Diabetes

Fam

ily Planning

Finance

Gastroenterology

HIV

IT S

kills

Joint Injections

Minor S

urgery

Mentoring

Musculoskeletal

Paediatrics

Palliative C

are

RefreshersH

ot Topic C

ourses

Revalidation

Significant E

vent Analysis T

raining

Sexual H

ealth

Spinal

Tim

e Managem

ent

Trainers C

ourse

Wom

ens Health

360 degrees

Reality or FantasyWill the role of appraisal change

ldquoRevalidation will depend on the quality consistency and nature of appraisal to ensure the confidence of patients and doctorsrdquo

Professor Sir Graeme Catto Professor Sir Liam Donaldson

Dame Carol Black

Medical Revalidation Principles and Next Steps

What should be in place for Bucks PCT

The

Big

Picture

Fantasy and

Realitybull Hyperspace highway of governance and

regulationGP is one profession to be regulatedldquoThere is no point acting all surprised about

it The plans and demolition orders have been on display at you local planning office in Alpha Centauri for 50 of your earth years so yoursquove had plenty of time to lodge formal complaintsrdquo

The Reality Professional Regulation for all is here

Reality Where are we now

Positives bull PCT provides appraisal and Bucks appraisers are local GPsbull GMC research ndash well received Contributing to national debatebull Interview with GMC publication people at 315 todaybull Appraiser competences Useful activity RCGP conference poster bull Appraisee complaints are few and followed upbull Appraisers are interviewed trained and assessedbull 5 new appraisers making 43

Challengesbull 436 GPs on Performers List of which 103 are non principalsbull Appraisal uptake is 81 (including 20 in following year)bull Locum appraisal uptake 45bull This area does not collect Form Foursbull PDP quality is patchy 85 submit PDP

Bucks GPs want to know about revalidation

Identified Learning Needs 08-09

0

10

20

30

40

50

60

70

Breast C

ancer

Cardiology

CB

T

Child P

rotection

Consultation S

kills

CO

PD

Derm

atology

DF

FP

Diabetes

Fam

ily Planning

Finance

Gastroenterology

HIV

IT S

kills

Joint Injections

Minor S

urgery

Mentoring

Musculoskeletal

Paediatrics

Palliative C

are

RefreshersH

ot Topic C

ourses

Revalidation

Significant E

vent Analysis T

raining

Sexual H

ealth

Spinal

Tim

e Managem

ent

Trainers C

ourse

Wom

ens Health

360 degrees

Reality or FantasyWill the role of appraisal change

ldquoRevalidation will depend on the quality consistency and nature of appraisal to ensure the confidence of patients and doctorsrdquo

Professor Sir Graeme Catto Professor Sir Liam Donaldson

Dame Carol Black

Medical Revalidation Principles and Next Steps

What should be in place for Bucks PCT

The

Big

Picture

The Reality Professional Regulation for all is here

Reality Where are we now

Positives bull PCT provides appraisal and Bucks appraisers are local GPsbull GMC research ndash well received Contributing to national debatebull Interview with GMC publication people at 315 todaybull Appraiser competences Useful activity RCGP conference poster bull Appraisee complaints are few and followed upbull Appraisers are interviewed trained and assessedbull 5 new appraisers making 43

Challengesbull 436 GPs on Performers List of which 103 are non principalsbull Appraisal uptake is 81 (including 20 in following year)bull Locum appraisal uptake 45bull This area does not collect Form Foursbull PDP quality is patchy 85 submit PDP

Bucks GPs want to know about revalidation

Identified Learning Needs 08-09

0

10

20

30

40

50

60

70

Breast C

ancer

Cardiology

CB

T

Child P

rotection

Consultation S

kills

CO

PD

Derm

atology

DF

FP

Diabetes

Fam

ily Planning

Finance

Gastroenterology

HIV

IT S

kills

Joint Injections

Minor S

urgery

Mentoring

Musculoskeletal

Paediatrics

Palliative C

are

RefreshersH

ot Topic C

ourses

Revalidation

Significant E

vent Analysis T

raining

Sexual H

ealth

Spinal

Tim

e Managem

ent

Trainers C

ourse

Wom

ens Health

360 degrees

Reality or FantasyWill the role of appraisal change

ldquoRevalidation will depend on the quality consistency and nature of appraisal to ensure the confidence of patients and doctorsrdquo

Professor Sir Graeme Catto Professor Sir Liam Donaldson

Dame Carol Black

Medical Revalidation Principles and Next Steps

What should be in place for Bucks PCT

The

Big

Picture

Reality Where are we now

Positives bull PCT provides appraisal and Bucks appraisers are local GPsbull GMC research ndash well received Contributing to national debatebull Interview with GMC publication people at 315 todaybull Appraiser competences Useful activity RCGP conference poster bull Appraisee complaints are few and followed upbull Appraisers are interviewed trained and assessedbull 5 new appraisers making 43

Challengesbull 436 GPs on Performers List of which 103 are non principalsbull Appraisal uptake is 81 (including 20 in following year)bull Locum appraisal uptake 45bull This area does not collect Form Foursbull PDP quality is patchy 85 submit PDP

Bucks GPs want to know about revalidation

Identified Learning Needs 08-09

0

10

20

30

40

50

60

70

Breast C

ancer

Cardiology

CB

T

Child P

rotection

Consultation S

kills

CO

PD

Derm

atology

DF

FP

Diabetes

Fam

ily Planning

Finance

Gastroenterology

HIV

IT S

kills

Joint Injections

Minor S

urgery

Mentoring

Musculoskeletal

Paediatrics

Palliative C

are

RefreshersH

ot Topic C

ourses

Revalidation

Significant E

vent Analysis T

raining

Sexual H

ealth

Spinal

Tim

e Managem

ent

Trainers C

ourse

Wom

ens Health

360 degrees

Reality or FantasyWill the role of appraisal change

ldquoRevalidation will depend on the quality consistency and nature of appraisal to ensure the confidence of patients and doctorsrdquo

Professor Sir Graeme Catto Professor Sir Liam Donaldson

Dame Carol Black

Medical Revalidation Principles and Next Steps

What should be in place for Bucks PCT

The

Big

Picture

Bucks GPs want to know about revalidation

Identified Learning Needs 08-09

0

10

20

30

40

50

60

70

Breast C

ancer

Cardiology

CB

T

Child P

rotection

Consultation S

kills

CO

PD

Derm

atology

DF

FP

Diabetes

Fam

ily Planning

Finance

Gastroenterology

HIV

IT S

kills

Joint Injections

Minor S

urgery

Mentoring

Musculoskeletal

Paediatrics

Palliative C

are

RefreshersH

ot Topic C

ourses

Revalidation

Significant E

vent Analysis T

raining

Sexual H

ealth

Spinal

Tim

e Managem

ent

Trainers C

ourse

Wom

ens Health

360 degrees

Reality or FantasyWill the role of appraisal change

ldquoRevalidation will depend on the quality consistency and nature of appraisal to ensure the confidence of patients and doctorsrdquo

Professor Sir Graeme Catto Professor Sir Liam Donaldson

Dame Carol Black

Medical Revalidation Principles and Next Steps

What should be in place for Bucks PCT

The

Big

Picture

Reality or FantasyWill the role of appraisal change

ldquoRevalidation will depend on the quality consistency and nature of appraisal to ensure the confidence of patients and doctorsrdquo

Professor Sir Graeme Catto Professor Sir Liam Donaldson

Dame Carol Black

Medical Revalidation Principles and Next Steps

What should be in place for Bucks PCT

The

Big

Picture

What should be in place for Bucks PCT

The

Big

Picture

Improving Quality and Consistency

3 Components required

bull Quality Assurance of Appraisal

bull Clinical Governance Systems (in SHA now)Information management risk management (SEA) clinical audit performance

concerns complains management CPD service and workforce development

bull GMP module bull Knowledge skills and performancebull Quality and safetybull Communication and teamwork

bull Maintaining trust

Quality Assurance of Appraisal

2009

QA of Appraisal High Level Indicators

1 Organisational Ethos Commitment2 Appraiser Selection Skills and Training Skills are reviewed and developed

3 Appraisal DiscussionThe appraisal is informed by a portfolio of verifiable supporting information that reflects the whole breadth of the doctorrsquos practice and informs objective evaluation of its quality The discussion includes challenge encourages reflection and generates a Personal Development Plan [PDP] for the year ahead

4 Systems and InfrastructureThe management of the appraisal system is effective and ensures that all doctors linked to the responsible organisation are appraised annually

Annual ldquoEnhancedrdquo appraisal will be central (appraisal

content under discussion)Professional Development

Organisational amp Service

Development

PDP

Appraisal What is it For

Revalidation

GMP Module

Portfolio of evidence

Maintenance needs

Development needs

Challenge and reflection

New skills Competencies technologies

GMP Module ndash How will it work

For this to function we need

bull Good Portfolios (what is good)

bull New Forms (electronic with evidence of learning and easy to use)

bull Judgements (from appraisers but on what)

bull Effective Appraisers and systems

Domain 1 Knowledge Skills and PerformanceAttribute 1 Maintain your professional performance

Attribute 2 Apply knowledge and experience to practice

Attribute 3 Keep clear accurate and legible records

Domain 2 Safety and QualityAttribute 1 Put into effect systems to protect patients and improve care

Attribute 2 Respond to risks to safety

Attribute 3 Protects patients from any risk posed by your health

Domain 3 Communication Partnership and TeamworkAttribute 1 Communicates effectively

Attribute 2 Work constructively with colleagues and delegate effectively

Attribute 3 Establish and maintain partnerships with patients

Domain 4 Maintaining Trust

1 Show respects for patients

2 Treat patients and colleagues fairly and without discrimination

3 Act with honesty and integrity

Good Medical Practice

Your ThoughtsPortfolio of evidence for annual

appraisal and a portfolio of evidence for revalidationStrands of the revalidation process that may be handled in appraisal

Decisions not yet madegt For Discussion in appraisal

A) MSF (from colleagues and pts) results or reflection

B) Checking CPD (COLLEGE CREDITS) Decide or debate

C) Verifying that evidence is sufficient Yesno consequences of both

D) Reviewing Drs progress towards revalidation

Is there room If not where and when and by whom

My Roles

ClinicalAuditData

My CPD

ComplaintsSignificantEvents

Revalidation Portfolio

MSF

ActivityAudits amp

Reflection

SpecialistSkills amp

Knowledge

Performance Concerns

5 annualAppraisals

Personal Royal CollegeAppraisals

Organisational

Type of InformationNumber required

in 5 yrs Provided by

1 Significant event reviewCase review 10 DrRO

2 Formal complaints review All DrRO

3 Auditdata collection and review 5 DrRO

4 Patient feedback survey and review 1 RORC

5 Colleague feedback survey and review 1 RORC

6 New PDP and review of previous PDP 5 DrAppraiser

7 CPD completion 5 RC

8 Probity self-declarationreview 5 Dr

9 Health self-declarationreview 5 Dr

10 Specialist skillsknowledge assessment ALL RC

11 Other information defined by organisationRC All DrRORC

12 Review of all items in the context of GMP 5 DrAppraiser

TOTAL

How Much Evidence is Enough

42 pieces (plus a few alls)

It would have been easier to know the ultimate question

A computer knows the question and it shall be calledhellip

NHS REVALIDATION TOOLKIT

httpsdemonhsrevalidationtoolkitorg

Electronic Age Will IT capture what

it is to be a good GPbull The Ten Commandments

God

Im No 1 No pix plz

Uzmy name nicely Day7=holy

Take care of mumrsquonrsquodad

Donrsquot kill scrUround steal or lie

Keep yr hands (ampeyz) off wotisntyrs

httpwwwship-of-foolscomFeaturesframeithtm0802txt_comp3html

Does that Cover Being a GP

bull What abouthelliphelliphelliphelliphelliphelliphelliphellip

To cure sometimes to relieve often to comfort always

It is more important to know what patient has the disease than what disease the patient has (Peabody 1927)

Total (Professional) Perspective Vortex

bullPortfolio is completebullAllocation against attributes of GMP and coverage is reasonablebullInformation demonstrates the doctor meets the standards defined by the GMC and Royal College bullPDP addresses development needs of the doctor bullPDP covers weaknesses and gaps in the accumulating revalidation portfoliobullNo new serious performance or conduct concerns have arisen

Answers Judgements by the Appraiser

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

Quality Assurance of Appraisal

2009

QA of Appraisal High Level Indicators

1 Organisational Ethos Commitment2 Appraiser Selection Skills and Training Skills are reviewed and developed

3 Appraisal DiscussionThe appraisal is informed by a portfolio of verifiable supporting information that reflects the whole breadth of the doctorrsquos practice and informs objective evaluation of its quality The discussion includes challenge encourages reflection and generates a Personal Development Plan [PDP] for the year ahead

4 Systems and InfrastructureThe management of the appraisal system is effective and ensures that all doctors linked to the responsible organisation are appraised annually

Annual ldquoEnhancedrdquo appraisal will be central (appraisal

content under discussion)Professional Development

Organisational amp Service

Development

PDP

Appraisal What is it For

Revalidation

GMP Module

Portfolio of evidence

Maintenance needs

Development needs

Challenge and reflection

New skills Competencies technologies

GMP Module ndash How will it work

For this to function we need

bull Good Portfolios (what is good)

bull New Forms (electronic with evidence of learning and easy to use)

bull Judgements (from appraisers but on what)

bull Effective Appraisers and systems

Domain 1 Knowledge Skills and PerformanceAttribute 1 Maintain your professional performance

Attribute 2 Apply knowledge and experience to practice

Attribute 3 Keep clear accurate and legible records

Domain 2 Safety and QualityAttribute 1 Put into effect systems to protect patients and improve care

Attribute 2 Respond to risks to safety

Attribute 3 Protects patients from any risk posed by your health

Domain 3 Communication Partnership and TeamworkAttribute 1 Communicates effectively

Attribute 2 Work constructively with colleagues and delegate effectively

Attribute 3 Establish and maintain partnerships with patients

Domain 4 Maintaining Trust

1 Show respects for patients

2 Treat patients and colleagues fairly and without discrimination

3 Act with honesty and integrity

Good Medical Practice

Your ThoughtsPortfolio of evidence for annual

appraisal and a portfolio of evidence for revalidationStrands of the revalidation process that may be handled in appraisal

Decisions not yet madegt For Discussion in appraisal

A) MSF (from colleagues and pts) results or reflection

B) Checking CPD (COLLEGE CREDITS) Decide or debate

C) Verifying that evidence is sufficient Yesno consequences of both

D) Reviewing Drs progress towards revalidation

Is there room If not where and when and by whom

My Roles

ClinicalAuditData

My CPD

ComplaintsSignificantEvents

Revalidation Portfolio

MSF

ActivityAudits amp

Reflection

SpecialistSkills amp

Knowledge

Performance Concerns

5 annualAppraisals

Personal Royal CollegeAppraisals

Organisational

Type of InformationNumber required

in 5 yrs Provided by

1 Significant event reviewCase review 10 DrRO

2 Formal complaints review All DrRO

3 Auditdata collection and review 5 DrRO

4 Patient feedback survey and review 1 RORC

5 Colleague feedback survey and review 1 RORC

6 New PDP and review of previous PDP 5 DrAppraiser

7 CPD completion 5 RC

8 Probity self-declarationreview 5 Dr

9 Health self-declarationreview 5 Dr

10 Specialist skillsknowledge assessment ALL RC

11 Other information defined by organisationRC All DrRORC

12 Review of all items in the context of GMP 5 DrAppraiser

TOTAL

How Much Evidence is Enough

42 pieces (plus a few alls)

It would have been easier to know the ultimate question

A computer knows the question and it shall be calledhellip

NHS REVALIDATION TOOLKIT

httpsdemonhsrevalidationtoolkitorg

Electronic Age Will IT capture what

it is to be a good GPbull The Ten Commandments

God

Im No 1 No pix plz

Uzmy name nicely Day7=holy

Take care of mumrsquonrsquodad

Donrsquot kill scrUround steal or lie

Keep yr hands (ampeyz) off wotisntyrs

httpwwwship-of-foolscomFeaturesframeithtm0802txt_comp3html

Does that Cover Being a GP

bull What abouthelliphelliphelliphelliphelliphelliphelliphellip

To cure sometimes to relieve often to comfort always

It is more important to know what patient has the disease than what disease the patient has (Peabody 1927)

Total (Professional) Perspective Vortex

bullPortfolio is completebullAllocation against attributes of GMP and coverage is reasonablebullInformation demonstrates the doctor meets the standards defined by the GMC and Royal College bullPDP addresses development needs of the doctor bullPDP covers weaknesses and gaps in the accumulating revalidation portfoliobullNo new serious performance or conduct concerns have arisen

Answers Judgements by the Appraiser

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

QA of Appraisal High Level Indicators

1 Organisational Ethos Commitment2 Appraiser Selection Skills and Training Skills are reviewed and developed

3 Appraisal DiscussionThe appraisal is informed by a portfolio of verifiable supporting information that reflects the whole breadth of the doctorrsquos practice and informs objective evaluation of its quality The discussion includes challenge encourages reflection and generates a Personal Development Plan [PDP] for the year ahead

4 Systems and InfrastructureThe management of the appraisal system is effective and ensures that all doctors linked to the responsible organisation are appraised annually

Annual ldquoEnhancedrdquo appraisal will be central (appraisal

content under discussion)Professional Development

Organisational amp Service

Development

PDP

Appraisal What is it For

Revalidation

GMP Module

Portfolio of evidence

Maintenance needs

Development needs

Challenge and reflection

New skills Competencies technologies

GMP Module ndash How will it work

For this to function we need

bull Good Portfolios (what is good)

bull New Forms (electronic with evidence of learning and easy to use)

bull Judgements (from appraisers but on what)

bull Effective Appraisers and systems

Domain 1 Knowledge Skills and PerformanceAttribute 1 Maintain your professional performance

Attribute 2 Apply knowledge and experience to practice

Attribute 3 Keep clear accurate and legible records

Domain 2 Safety and QualityAttribute 1 Put into effect systems to protect patients and improve care

Attribute 2 Respond to risks to safety

Attribute 3 Protects patients from any risk posed by your health

Domain 3 Communication Partnership and TeamworkAttribute 1 Communicates effectively

Attribute 2 Work constructively with colleagues and delegate effectively

Attribute 3 Establish and maintain partnerships with patients

Domain 4 Maintaining Trust

1 Show respects for patients

2 Treat patients and colleagues fairly and without discrimination

3 Act with honesty and integrity

Good Medical Practice

Your ThoughtsPortfolio of evidence for annual

appraisal and a portfolio of evidence for revalidationStrands of the revalidation process that may be handled in appraisal

Decisions not yet madegt For Discussion in appraisal

A) MSF (from colleagues and pts) results or reflection

B) Checking CPD (COLLEGE CREDITS) Decide or debate

C) Verifying that evidence is sufficient Yesno consequences of both

D) Reviewing Drs progress towards revalidation

Is there room If not where and when and by whom

My Roles

ClinicalAuditData

My CPD

ComplaintsSignificantEvents

Revalidation Portfolio

MSF

ActivityAudits amp

Reflection

SpecialistSkills amp

Knowledge

Performance Concerns

5 annualAppraisals

Personal Royal CollegeAppraisals

Organisational

Type of InformationNumber required

in 5 yrs Provided by

1 Significant event reviewCase review 10 DrRO

2 Formal complaints review All DrRO

3 Auditdata collection and review 5 DrRO

4 Patient feedback survey and review 1 RORC

5 Colleague feedback survey and review 1 RORC

6 New PDP and review of previous PDP 5 DrAppraiser

7 CPD completion 5 RC

8 Probity self-declarationreview 5 Dr

9 Health self-declarationreview 5 Dr

10 Specialist skillsknowledge assessment ALL RC

11 Other information defined by organisationRC All DrRORC

12 Review of all items in the context of GMP 5 DrAppraiser

TOTAL

How Much Evidence is Enough

42 pieces (plus a few alls)

It would have been easier to know the ultimate question

A computer knows the question and it shall be calledhellip

NHS REVALIDATION TOOLKIT

httpsdemonhsrevalidationtoolkitorg

Electronic Age Will IT capture what

it is to be a good GPbull The Ten Commandments

God

Im No 1 No pix plz

Uzmy name nicely Day7=holy

Take care of mumrsquonrsquodad

Donrsquot kill scrUround steal or lie

Keep yr hands (ampeyz) off wotisntyrs

httpwwwship-of-foolscomFeaturesframeithtm0802txt_comp3html

Does that Cover Being a GP

bull What abouthelliphelliphelliphelliphelliphelliphelliphellip

To cure sometimes to relieve often to comfort always

It is more important to know what patient has the disease than what disease the patient has (Peabody 1927)

Total (Professional) Perspective Vortex

bullPortfolio is completebullAllocation against attributes of GMP and coverage is reasonablebullInformation demonstrates the doctor meets the standards defined by the GMC and Royal College bullPDP addresses development needs of the doctor bullPDP covers weaknesses and gaps in the accumulating revalidation portfoliobullNo new serious performance or conduct concerns have arisen

Answers Judgements by the Appraiser

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

Annual ldquoEnhancedrdquo appraisal will be central (appraisal

content under discussion)Professional Development

Organisational amp Service

Development

PDP

Appraisal What is it For

Revalidation

GMP Module

Portfolio of evidence

Maintenance needs

Development needs

Challenge and reflection

New skills Competencies technologies

GMP Module ndash How will it work

For this to function we need

bull Good Portfolios (what is good)

bull New Forms (electronic with evidence of learning and easy to use)

bull Judgements (from appraisers but on what)

bull Effective Appraisers and systems

Domain 1 Knowledge Skills and PerformanceAttribute 1 Maintain your professional performance

Attribute 2 Apply knowledge and experience to practice

Attribute 3 Keep clear accurate and legible records

Domain 2 Safety and QualityAttribute 1 Put into effect systems to protect patients and improve care

Attribute 2 Respond to risks to safety

Attribute 3 Protects patients from any risk posed by your health

Domain 3 Communication Partnership and TeamworkAttribute 1 Communicates effectively

Attribute 2 Work constructively with colleagues and delegate effectively

Attribute 3 Establish and maintain partnerships with patients

Domain 4 Maintaining Trust

1 Show respects for patients

2 Treat patients and colleagues fairly and without discrimination

3 Act with honesty and integrity

Good Medical Practice

Your ThoughtsPortfolio of evidence for annual

appraisal and a portfolio of evidence for revalidationStrands of the revalidation process that may be handled in appraisal

Decisions not yet madegt For Discussion in appraisal

A) MSF (from colleagues and pts) results or reflection

B) Checking CPD (COLLEGE CREDITS) Decide or debate

C) Verifying that evidence is sufficient Yesno consequences of both

D) Reviewing Drs progress towards revalidation

Is there room If not where and when and by whom

My Roles

ClinicalAuditData

My CPD

ComplaintsSignificantEvents

Revalidation Portfolio

MSF

ActivityAudits amp

Reflection

SpecialistSkills amp

Knowledge

Performance Concerns

5 annualAppraisals

Personal Royal CollegeAppraisals

Organisational

Type of InformationNumber required

in 5 yrs Provided by

1 Significant event reviewCase review 10 DrRO

2 Formal complaints review All DrRO

3 Auditdata collection and review 5 DrRO

4 Patient feedback survey and review 1 RORC

5 Colleague feedback survey and review 1 RORC

6 New PDP and review of previous PDP 5 DrAppraiser

7 CPD completion 5 RC

8 Probity self-declarationreview 5 Dr

9 Health self-declarationreview 5 Dr

10 Specialist skillsknowledge assessment ALL RC

11 Other information defined by organisationRC All DrRORC

12 Review of all items in the context of GMP 5 DrAppraiser

TOTAL

How Much Evidence is Enough

42 pieces (plus a few alls)

It would have been easier to know the ultimate question

A computer knows the question and it shall be calledhellip

NHS REVALIDATION TOOLKIT

httpsdemonhsrevalidationtoolkitorg

Electronic Age Will IT capture what

it is to be a good GPbull The Ten Commandments

God

Im No 1 No pix plz

Uzmy name nicely Day7=holy

Take care of mumrsquonrsquodad

Donrsquot kill scrUround steal or lie

Keep yr hands (ampeyz) off wotisntyrs

httpwwwship-of-foolscomFeaturesframeithtm0802txt_comp3html

Does that Cover Being a GP

bull What abouthelliphelliphelliphelliphelliphelliphelliphellip

To cure sometimes to relieve often to comfort always

It is more important to know what patient has the disease than what disease the patient has (Peabody 1927)

Total (Professional) Perspective Vortex

bullPortfolio is completebullAllocation against attributes of GMP and coverage is reasonablebullInformation demonstrates the doctor meets the standards defined by the GMC and Royal College bullPDP addresses development needs of the doctor bullPDP covers weaknesses and gaps in the accumulating revalidation portfoliobullNo new serious performance or conduct concerns have arisen

Answers Judgements by the Appraiser

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

GMP Module ndash How will it work

For this to function we need

bull Good Portfolios (what is good)

bull New Forms (electronic with evidence of learning and easy to use)

bull Judgements (from appraisers but on what)

bull Effective Appraisers and systems

Domain 1 Knowledge Skills and PerformanceAttribute 1 Maintain your professional performance

Attribute 2 Apply knowledge and experience to practice

Attribute 3 Keep clear accurate and legible records

Domain 2 Safety and QualityAttribute 1 Put into effect systems to protect patients and improve care

Attribute 2 Respond to risks to safety

Attribute 3 Protects patients from any risk posed by your health

Domain 3 Communication Partnership and TeamworkAttribute 1 Communicates effectively

Attribute 2 Work constructively with colleagues and delegate effectively

Attribute 3 Establish and maintain partnerships with patients

Domain 4 Maintaining Trust

1 Show respects for patients

2 Treat patients and colleagues fairly and without discrimination

3 Act with honesty and integrity

Good Medical Practice

Your ThoughtsPortfolio of evidence for annual

appraisal and a portfolio of evidence for revalidationStrands of the revalidation process that may be handled in appraisal

Decisions not yet madegt For Discussion in appraisal

A) MSF (from colleagues and pts) results or reflection

B) Checking CPD (COLLEGE CREDITS) Decide or debate

C) Verifying that evidence is sufficient Yesno consequences of both

D) Reviewing Drs progress towards revalidation

Is there room If not where and when and by whom

My Roles

ClinicalAuditData

My CPD

ComplaintsSignificantEvents

Revalidation Portfolio

MSF

ActivityAudits amp

Reflection

SpecialistSkills amp

Knowledge

Performance Concerns

5 annualAppraisals

Personal Royal CollegeAppraisals

Organisational

Type of InformationNumber required

in 5 yrs Provided by

1 Significant event reviewCase review 10 DrRO

2 Formal complaints review All DrRO

3 Auditdata collection and review 5 DrRO

4 Patient feedback survey and review 1 RORC

5 Colleague feedback survey and review 1 RORC

6 New PDP and review of previous PDP 5 DrAppraiser

7 CPD completion 5 RC

8 Probity self-declarationreview 5 Dr

9 Health self-declarationreview 5 Dr

10 Specialist skillsknowledge assessment ALL RC

11 Other information defined by organisationRC All DrRORC

12 Review of all items in the context of GMP 5 DrAppraiser

TOTAL

How Much Evidence is Enough

42 pieces (plus a few alls)

It would have been easier to know the ultimate question

A computer knows the question and it shall be calledhellip

NHS REVALIDATION TOOLKIT

httpsdemonhsrevalidationtoolkitorg

Electronic Age Will IT capture what

it is to be a good GPbull The Ten Commandments

God

Im No 1 No pix plz

Uzmy name nicely Day7=holy

Take care of mumrsquonrsquodad

Donrsquot kill scrUround steal or lie

Keep yr hands (ampeyz) off wotisntyrs

httpwwwship-of-foolscomFeaturesframeithtm0802txt_comp3html

Does that Cover Being a GP

bull What abouthelliphelliphelliphelliphelliphelliphelliphellip

To cure sometimes to relieve often to comfort always

It is more important to know what patient has the disease than what disease the patient has (Peabody 1927)

Total (Professional) Perspective Vortex

bullPortfolio is completebullAllocation against attributes of GMP and coverage is reasonablebullInformation demonstrates the doctor meets the standards defined by the GMC and Royal College bullPDP addresses development needs of the doctor bullPDP covers weaknesses and gaps in the accumulating revalidation portfoliobullNo new serious performance or conduct concerns have arisen

Answers Judgements by the Appraiser

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

Domain 1 Knowledge Skills and PerformanceAttribute 1 Maintain your professional performance

Attribute 2 Apply knowledge and experience to practice

Attribute 3 Keep clear accurate and legible records

Domain 2 Safety and QualityAttribute 1 Put into effect systems to protect patients and improve care

Attribute 2 Respond to risks to safety

Attribute 3 Protects patients from any risk posed by your health

Domain 3 Communication Partnership and TeamworkAttribute 1 Communicates effectively

Attribute 2 Work constructively with colleagues and delegate effectively

Attribute 3 Establish and maintain partnerships with patients

Domain 4 Maintaining Trust

1 Show respects for patients

2 Treat patients and colleagues fairly and without discrimination

3 Act with honesty and integrity

Good Medical Practice

Your ThoughtsPortfolio of evidence for annual

appraisal and a portfolio of evidence for revalidationStrands of the revalidation process that may be handled in appraisal

Decisions not yet madegt For Discussion in appraisal

A) MSF (from colleagues and pts) results or reflection

B) Checking CPD (COLLEGE CREDITS) Decide or debate

C) Verifying that evidence is sufficient Yesno consequences of both

D) Reviewing Drs progress towards revalidation

Is there room If not where and when and by whom

My Roles

ClinicalAuditData

My CPD

ComplaintsSignificantEvents

Revalidation Portfolio

MSF

ActivityAudits amp

Reflection

SpecialistSkills amp

Knowledge

Performance Concerns

5 annualAppraisals

Personal Royal CollegeAppraisals

Organisational

Type of InformationNumber required

in 5 yrs Provided by

1 Significant event reviewCase review 10 DrRO

2 Formal complaints review All DrRO

3 Auditdata collection and review 5 DrRO

4 Patient feedback survey and review 1 RORC

5 Colleague feedback survey and review 1 RORC

6 New PDP and review of previous PDP 5 DrAppraiser

7 CPD completion 5 RC

8 Probity self-declarationreview 5 Dr

9 Health self-declarationreview 5 Dr

10 Specialist skillsknowledge assessment ALL RC

11 Other information defined by organisationRC All DrRORC

12 Review of all items in the context of GMP 5 DrAppraiser

TOTAL

How Much Evidence is Enough

42 pieces (plus a few alls)

It would have been easier to know the ultimate question

A computer knows the question and it shall be calledhellip

NHS REVALIDATION TOOLKIT

httpsdemonhsrevalidationtoolkitorg

Electronic Age Will IT capture what

it is to be a good GPbull The Ten Commandments

God

Im No 1 No pix plz

Uzmy name nicely Day7=holy

Take care of mumrsquonrsquodad

Donrsquot kill scrUround steal or lie

Keep yr hands (ampeyz) off wotisntyrs

httpwwwship-of-foolscomFeaturesframeithtm0802txt_comp3html

Does that Cover Being a GP

bull What abouthelliphelliphelliphelliphelliphelliphelliphellip

To cure sometimes to relieve often to comfort always

It is more important to know what patient has the disease than what disease the patient has (Peabody 1927)

Total (Professional) Perspective Vortex

bullPortfolio is completebullAllocation against attributes of GMP and coverage is reasonablebullInformation demonstrates the doctor meets the standards defined by the GMC and Royal College bullPDP addresses development needs of the doctor bullPDP covers weaknesses and gaps in the accumulating revalidation portfoliobullNo new serious performance or conduct concerns have arisen

Answers Judgements by the Appraiser

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

Your ThoughtsPortfolio of evidence for annual

appraisal and a portfolio of evidence for revalidationStrands of the revalidation process that may be handled in appraisal

Decisions not yet madegt For Discussion in appraisal

A) MSF (from colleagues and pts) results or reflection

B) Checking CPD (COLLEGE CREDITS) Decide or debate

C) Verifying that evidence is sufficient Yesno consequences of both

D) Reviewing Drs progress towards revalidation

Is there room If not where and when and by whom

My Roles

ClinicalAuditData

My CPD

ComplaintsSignificantEvents

Revalidation Portfolio

MSF

ActivityAudits amp

Reflection

SpecialistSkills amp

Knowledge

Performance Concerns

5 annualAppraisals

Personal Royal CollegeAppraisals

Organisational

Type of InformationNumber required

in 5 yrs Provided by

1 Significant event reviewCase review 10 DrRO

2 Formal complaints review All DrRO

3 Auditdata collection and review 5 DrRO

4 Patient feedback survey and review 1 RORC

5 Colleague feedback survey and review 1 RORC

6 New PDP and review of previous PDP 5 DrAppraiser

7 CPD completion 5 RC

8 Probity self-declarationreview 5 Dr

9 Health self-declarationreview 5 Dr

10 Specialist skillsknowledge assessment ALL RC

11 Other information defined by organisationRC All DrRORC

12 Review of all items in the context of GMP 5 DrAppraiser

TOTAL

How Much Evidence is Enough

42 pieces (plus a few alls)

It would have been easier to know the ultimate question

A computer knows the question and it shall be calledhellip

NHS REVALIDATION TOOLKIT

httpsdemonhsrevalidationtoolkitorg

Electronic Age Will IT capture what

it is to be a good GPbull The Ten Commandments

God

Im No 1 No pix plz

Uzmy name nicely Day7=holy

Take care of mumrsquonrsquodad

Donrsquot kill scrUround steal or lie

Keep yr hands (ampeyz) off wotisntyrs

httpwwwship-of-foolscomFeaturesframeithtm0802txt_comp3html

Does that Cover Being a GP

bull What abouthelliphelliphelliphelliphelliphelliphelliphellip

To cure sometimes to relieve often to comfort always

It is more important to know what patient has the disease than what disease the patient has (Peabody 1927)

Total (Professional) Perspective Vortex

bullPortfolio is completebullAllocation against attributes of GMP and coverage is reasonablebullInformation demonstrates the doctor meets the standards defined by the GMC and Royal College bullPDP addresses development needs of the doctor bullPDP covers weaknesses and gaps in the accumulating revalidation portfoliobullNo new serious performance or conduct concerns have arisen

Answers Judgements by the Appraiser

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

My Roles

ClinicalAuditData

My CPD

ComplaintsSignificantEvents

Revalidation Portfolio

MSF

ActivityAudits amp

Reflection

SpecialistSkills amp

Knowledge

Performance Concerns

5 annualAppraisals

Personal Royal CollegeAppraisals

Organisational

Type of InformationNumber required

in 5 yrs Provided by

1 Significant event reviewCase review 10 DrRO

2 Formal complaints review All DrRO

3 Auditdata collection and review 5 DrRO

4 Patient feedback survey and review 1 RORC

5 Colleague feedback survey and review 1 RORC

6 New PDP and review of previous PDP 5 DrAppraiser

7 CPD completion 5 RC

8 Probity self-declarationreview 5 Dr

9 Health self-declarationreview 5 Dr

10 Specialist skillsknowledge assessment ALL RC

11 Other information defined by organisationRC All DrRORC

12 Review of all items in the context of GMP 5 DrAppraiser

TOTAL

How Much Evidence is Enough

42 pieces (plus a few alls)

It would have been easier to know the ultimate question

A computer knows the question and it shall be calledhellip

NHS REVALIDATION TOOLKIT

httpsdemonhsrevalidationtoolkitorg

Electronic Age Will IT capture what

it is to be a good GPbull The Ten Commandments

God

Im No 1 No pix plz

Uzmy name nicely Day7=holy

Take care of mumrsquonrsquodad

Donrsquot kill scrUround steal or lie

Keep yr hands (ampeyz) off wotisntyrs

httpwwwship-of-foolscomFeaturesframeithtm0802txt_comp3html

Does that Cover Being a GP

bull What abouthelliphelliphelliphelliphelliphelliphelliphellip

To cure sometimes to relieve often to comfort always

It is more important to know what patient has the disease than what disease the patient has (Peabody 1927)

Total (Professional) Perspective Vortex

bullPortfolio is completebullAllocation against attributes of GMP and coverage is reasonablebullInformation demonstrates the doctor meets the standards defined by the GMC and Royal College bullPDP addresses development needs of the doctor bullPDP covers weaknesses and gaps in the accumulating revalidation portfoliobullNo new serious performance or conduct concerns have arisen

Answers Judgements by the Appraiser

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

Type of InformationNumber required

in 5 yrs Provided by

1 Significant event reviewCase review 10 DrRO

2 Formal complaints review All DrRO

3 Auditdata collection and review 5 DrRO

4 Patient feedback survey and review 1 RORC

5 Colleague feedback survey and review 1 RORC

6 New PDP and review of previous PDP 5 DrAppraiser

7 CPD completion 5 RC

8 Probity self-declarationreview 5 Dr

9 Health self-declarationreview 5 Dr

10 Specialist skillsknowledge assessment ALL RC

11 Other information defined by organisationRC All DrRORC

12 Review of all items in the context of GMP 5 DrAppraiser

TOTAL

How Much Evidence is Enough

42 pieces (plus a few alls)

It would have been easier to know the ultimate question

A computer knows the question and it shall be calledhellip

NHS REVALIDATION TOOLKIT

httpsdemonhsrevalidationtoolkitorg

Electronic Age Will IT capture what

it is to be a good GPbull The Ten Commandments

God

Im No 1 No pix plz

Uzmy name nicely Day7=holy

Take care of mumrsquonrsquodad

Donrsquot kill scrUround steal or lie

Keep yr hands (ampeyz) off wotisntyrs

httpwwwship-of-foolscomFeaturesframeithtm0802txt_comp3html

Does that Cover Being a GP

bull What abouthelliphelliphelliphelliphelliphelliphelliphellip

To cure sometimes to relieve often to comfort always

It is more important to know what patient has the disease than what disease the patient has (Peabody 1927)

Total (Professional) Perspective Vortex

bullPortfolio is completebullAllocation against attributes of GMP and coverage is reasonablebullInformation demonstrates the doctor meets the standards defined by the GMC and Royal College bullPDP addresses development needs of the doctor bullPDP covers weaknesses and gaps in the accumulating revalidation portfoliobullNo new serious performance or conduct concerns have arisen

Answers Judgements by the Appraiser

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

How Much Evidence is Enough

42 pieces (plus a few alls)

It would have been easier to know the ultimate question

A computer knows the question and it shall be calledhellip

NHS REVALIDATION TOOLKIT

httpsdemonhsrevalidationtoolkitorg

Electronic Age Will IT capture what

it is to be a good GPbull The Ten Commandments

God

Im No 1 No pix plz

Uzmy name nicely Day7=holy

Take care of mumrsquonrsquodad

Donrsquot kill scrUround steal or lie

Keep yr hands (ampeyz) off wotisntyrs

httpwwwship-of-foolscomFeaturesframeithtm0802txt_comp3html

Does that Cover Being a GP

bull What abouthelliphelliphelliphelliphelliphelliphelliphellip

To cure sometimes to relieve often to comfort always

It is more important to know what patient has the disease than what disease the patient has (Peabody 1927)

Total (Professional) Perspective Vortex

bullPortfolio is completebullAllocation against attributes of GMP and coverage is reasonablebullInformation demonstrates the doctor meets the standards defined by the GMC and Royal College bullPDP addresses development needs of the doctor bullPDP covers weaknesses and gaps in the accumulating revalidation portfoliobullNo new serious performance or conduct concerns have arisen

Answers Judgements by the Appraiser

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

NHS REVALIDATION TOOLKIT

httpsdemonhsrevalidationtoolkitorg

Electronic Age Will IT capture what

it is to be a good GPbull The Ten Commandments

God

Im No 1 No pix plz

Uzmy name nicely Day7=holy

Take care of mumrsquonrsquodad

Donrsquot kill scrUround steal or lie

Keep yr hands (ampeyz) off wotisntyrs

httpwwwship-of-foolscomFeaturesframeithtm0802txt_comp3html

Does that Cover Being a GP

bull What abouthelliphelliphelliphelliphelliphelliphelliphellip

To cure sometimes to relieve often to comfort always

It is more important to know what patient has the disease than what disease the patient has (Peabody 1927)

Total (Professional) Perspective Vortex

bullPortfolio is completebullAllocation against attributes of GMP and coverage is reasonablebullInformation demonstrates the doctor meets the standards defined by the GMC and Royal College bullPDP addresses development needs of the doctor bullPDP covers weaknesses and gaps in the accumulating revalidation portfoliobullNo new serious performance or conduct concerns have arisen

Answers Judgements by the Appraiser

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

Electronic Age Will IT capture what

it is to be a good GPbull The Ten Commandments

God

Im No 1 No pix plz

Uzmy name nicely Day7=holy

Take care of mumrsquonrsquodad

Donrsquot kill scrUround steal or lie

Keep yr hands (ampeyz) off wotisntyrs

httpwwwship-of-foolscomFeaturesframeithtm0802txt_comp3html

Does that Cover Being a GP

bull What abouthelliphelliphelliphelliphelliphelliphelliphellip

To cure sometimes to relieve often to comfort always

It is more important to know what patient has the disease than what disease the patient has (Peabody 1927)

Total (Professional) Perspective Vortex

bullPortfolio is completebullAllocation against attributes of GMP and coverage is reasonablebullInformation demonstrates the doctor meets the standards defined by the GMC and Royal College bullPDP addresses development needs of the doctor bullPDP covers weaknesses and gaps in the accumulating revalidation portfoliobullNo new serious performance or conduct concerns have arisen

Answers Judgements by the Appraiser

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

Electronic Age Will IT capture what

it is to be a good GPbull The Ten Commandments

God

Im No 1 No pix plz

Uzmy name nicely Day7=holy

Take care of mumrsquonrsquodad

Donrsquot kill scrUround steal or lie

Keep yr hands (ampeyz) off wotisntyrs

httpwwwship-of-foolscomFeaturesframeithtm0802txt_comp3html

Does that Cover Being a GP

bull What abouthelliphelliphelliphelliphelliphelliphelliphellip

To cure sometimes to relieve often to comfort always

It is more important to know what patient has the disease than what disease the patient has (Peabody 1927)

Total (Professional) Perspective Vortex

bullPortfolio is completebullAllocation against attributes of GMP and coverage is reasonablebullInformation demonstrates the doctor meets the standards defined by the GMC and Royal College bullPDP addresses development needs of the doctor bullPDP covers weaknesses and gaps in the accumulating revalidation portfoliobullNo new serious performance or conduct concerns have arisen

Answers Judgements by the Appraiser

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

Does that Cover Being a GP

bull What abouthelliphelliphelliphelliphelliphelliphelliphellip

To cure sometimes to relieve often to comfort always

It is more important to know what patient has the disease than what disease the patient has (Peabody 1927)

Total (Professional) Perspective Vortex

bullPortfolio is completebullAllocation against attributes of GMP and coverage is reasonablebullInformation demonstrates the doctor meets the standards defined by the GMC and Royal College bullPDP addresses development needs of the doctor bullPDP covers weaknesses and gaps in the accumulating revalidation portfoliobullNo new serious performance or conduct concerns have arisen

Answers Judgements by the Appraiser

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

bullPortfolio is completebullAllocation against attributes of GMP and coverage is reasonablebullInformation demonstrates the doctor meets the standards defined by the GMC and Royal College bullPDP addresses development needs of the doctor bullPDP covers weaknesses and gaps in the accumulating revalidation portfoliobullNo new serious performance or conduct concerns have arisen

Answers Judgements by the Appraiser

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

PCT and Responsible Officer(Draft Answer)

May 09 Publication of consultation responseJun 09 Publish draft Regulations Guidance

and agreed timetableOct 09 Revision of Regulations and

GuidanceFeb 10 Regulations to ParliamentApr 10 Regulations come into force begin

recruitmentOct 10 ROrsquos in place

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

Answer CPD Learning Creditsbull Challenge and impactbull New type of learning that emphasizesbull 1048708creatingbull 1048708applyingbull 1048708analyzingbull 1048708synthesizing knowledge bull 1048708engaging in collaborative learning throughout the

lifespan50 each 5 years Method TBCbull Bucks and Berks work together Maybe trail this

with the refresher course by developing resources to move from attendance records to patient impact measures

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

Questions from youbull Are GPs able to produce evidence easily NO What else is needed to make it easy Eg GP Refresher Course

patient impact statements on attendance certificatesbull Are the examples of credits self-accredited justifiable Evidence is pointing to yes we can try it toobull Are appraisers easily able to verify an individualrsquos credits in terms of

challenge or impact RST suggest that this should be outside of appraisalbull What if an appraiser disagrees with the doctor Appraiser opinion countsbull Are appraisers comfortable with this system NOT REALLYbull Are GPs comfortable with this system Yes No NOT REALLYbull Are we seeing diversity of subject QAbull Are we seeing diversity of method QAbull Is this an appropriate system for all GPs (sessional OOH overseas)QA and local support Resource for locums being developedbull Are there further training issues for GPs or appraisers Yesbull What are the local resource issues of the system Huge and

requested

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

Questions from me Next Steps

bull All GPs will need to undertake appraisal in order to revalidate How do we reach the 18 significant minority who are not engaged

bull What about those who are not taking partbull What information support needs to be made available

to the majoritybull Appraisal In house or out sourcedbull Choice of appraiser or allocation of appraiserbull Volunteer for revalidation as an area or wait to be

pushedbull What about the stuff of General Practice that cannot be

measured this way

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

More answers than questions on local website

Coming soon locum site

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one

More questions than answers on national one

httpsdemonhsrevalidationtoolkitorg

httpwwwbucksmeccoukdocumentsRevalidation_Report_472pdf

httpwwwbucksmeccoukdocumentsPrincipals_of_GP_Appraisal_415pdfBUCKS NEWS

bullPLT End of Life strategy improving care in primary care14th July

bullRefresher Course to potentially include IT FAYRE Tbc

bullProgramme of education Pilot with Pain Management and AF

bullGP Refresher Course to continue with support for CPD credits eg audit support

bullAppraisers review New contract for new role and more training

bullForm Fours to be submitted typed only locums are paid pound150 more people to use IT

bullAllocation of appraisals in quarter of year to prevent spill into next financial year

(You need to register)

• LMC Meeting Update and Discussion
• Slide 2
• Slide 3
• Vote Fantasy or Reality
• Fantasy and Reality
• Slide 6
• Reality Where are we now
• Bucks GPs want to know about revalidation
• Reality or Fantasy Will the role of appraisal change
• Slide 10
• Slide 11
• Quality Assurance of Appraisal
• QA of Appraisal High Level Indicators
• Slide 14
• Slide 15
• Slide 16
• Your Thoughts Portfolio of evidence for annual appraisal and a portfolio of evidence for revalidation
• Slide 18
• Slide 19
• How Much Evidence is Enough
• Slide 21
• httpsdemonhsrevalidationtoolkitorg
• Slide 23
• Does that Cover Being a GP
• Slide 25
• Slide 26
• Answer CPD Learning Credits
• Slide 28
• Questions from me Next Steps
• More answers than questions on local website
• More questions than answers on national one