Dear NELG Member,
Below is a summary by the Deanery appraisal lead Dr Di jelley of evolving information about appraisal and revalidation.
You may also find it useful to visit the RCGP website and read and respond to the RCGP document
"REVALIDATION FOR GENERAL PRACTITIONERS
CONSULTATION DOCUMENT" which is available on the following links.
http://www.rcgp.org.uk/news__events/college_viewpoint/current_consultations/revalidation.aspx
http://www.rcgp.org.uk/docs/RCGP%20Revlidation%20for%20GPs%20consultation%20Dec%2008.doc
Responses can be emailed, completed online, faxed or posted to RCGP-
Closing deadline for responses: Friday 9 January 2009
A number of the evidence requirements in this document (which is summarised at the bottom of this email) may present significant challenges to sessional GPs.
The RCGP framework address the issue of those who may struggle to provide the "standard evidence" in the following way:
"Non-standard portfolio – Some general practitioners will find a standard portfolio challenging and may opt to use success in an approved knowledge assessment to replace evidence of learning credits and success in an approved clinical skills assessment to replace evidence of significant event and conventional audits."
Revalidation for GP- a consultation document- closing date 9 january 2009
To gain an understanding of this issue we are carrying out on online nelg survey looking in to appraisal, education and evidence.
I WOULD BE VERY GRATEFUL IF YOU COULD COMPLETE THIS SURVEY:
-visit the nelg website
-click login and enter your username and password
-click on survey (left hand menu) then click on the survey "SESSIONAL GP WORK AND PROFESSIONAL DEVELOPMENT".
This should only take 5minutes; results remain anoymous and will be made available to the group shortly after closing.
THE SURVEY will go LIVE next week and closes 18th january 2009- I will send you a further email when this happens.
best wishes
Paula Wright
Chair NELG
December 3rd 2008
The CMO makes it clear that enhanced appraisal will be the mechanism to deliver both re-licensing and re-certification-a single process with two separate outcomes. Licenses will be issued in latter half of 2009, and re-licensing set to start within 1-2 years of this date, drawing on evidence from 2009 onwards. Re-licensing-confirms that the doctor practises in accordance with GMC guidance . Re-certification confirms that the doctor conforms to standards laid down by the relevant specialist college
Aim is to ensure all licensed doctors are ‘good enough’ ie adequately up to date and fit to practise
‘..We cannot create a world in which everyone is always above average’ [James Willis]
Revalidation is a continual process supported by robust clinical governance systems. It will depend on the quality, consistency and nature of appraisal. Learning needs demonstrated during the appraisal process must be addressed.
The local revalidation group –Responsible Officer, RCGP assessor and lay assessor will make a recommendation re revalidation to GMC for each GP every five years.
Ensure that appraisal in PCO is carried out to a good and consistent standard
· Ensure clinical governance system is robust
· Work with doctors to ensure lack of progress towards revalidation is identified early and addressed, well before the right to practise is threatened
· Ensure all complaints and concerns are addressed
· Collate this information to enable revalidation group to make a decision re GMC recommendation
· participate and engage in the appraisal process
· Complete MSF
· Collect the required evidence
· Have no outstanding performance issues
The appraiser will judge the adequacy of the evidence against agreed standards, not judge GP’s overall performance
· Support doctors in understanding what the process involves and how to prepare for it
· Support for introduction of MSF process –how should it be delivered, and how should feedback be facilitated. The national level choice of suitable MSFs is due to be made in spring 2009
· Make sure accessible and high quality CPD resources are available to help doctors address identified learning needs
· Support/training/QA for appraisers to deliver high quality and consistent appraisal
· Pre-remedial support [? 8% of doctors]
· Remedial support [? 2% of doctors]
· Education for all GPs on the use of the appraisal electronic platform, once selected at national level
Number
Core evidence
1
Describe the core roles you undertake
2
Describe any exceptional circumstances over the five year period-eg sick leave ,sabbatical, career break
3
Evidence of active and effective participation in the appraisal process every year for 5 years [apart from exceptional circumstances see 2 above]
4
PDP for each appraisal year, agreed by your appraiser
5
Analysis of each completed PDP indicating aims that have been achieved with outcomes, and reasons for non-achievement of any PDP aims
6
A minimum of 250 CPD credits over 5 year period –initially self-assessed then agreed and signed off by your appraiser at each appraisal
7
Results of at least two MSF in 5 year period with evidence of reflection and discussion with your appraiser
8
Results of at least two personalised patient feedback surveys in 5 year period, with evidence of reflection and discussion with your appraiser
9
Analysis of all formal complaints in which you have been directly involved , with evidence of discussion of lessons learned and changes made as appropriate
10
A minimum of 5 SEAs over the five year period with evidence that these have been discussed and lessons learned, changes made
11
Audit of your care in two significant areas of your clinical care over the five year period, including standards set, data collected, changes put in place and data collected again
12
Probity and health declarations including medical indemnity cover and registration with a GP for own health care
Special roles eg trainer/undergraduate teacher, appraiser GPwSI researcher-all roles require evidence that skills in specialist are regularly updated and reviewed
Additional points-it is also proposed that
· Cannot stay on the register if not seeing patients
· GPs must demonstrate that they do at least 200 sessions of clinical practise over a 5 year period
· GPs who have a career break for whatever reason must complete at least 3 appraisals in a 5 year cycle and show 150 credits worth of CPD