Appraisal & Revalidation Update

8/11/2019 Appraisal & Revalidation Update

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Engineers house, 1/3/2012

Dr Geoff Hogg Dr Harry Minas


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A tale of 2 parts

Part 1

Revalidation update

N-appraisal:

definition/what it

means to us all

Part 2

Supporting

information

Credits

Questions

Hands on work


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Part 1-Revalidation update


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Revalidation starts this year

At least 1 person MUST be

revalidated by 31/12/2012

The most likely candidate:


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2013 revalidation timetable

Early 2013: regional ROs

By April 2013: all ROs completed

1/4/13 onwards: appraisers to berevalidated (on a volunteer basis only)

Late 2013 onwards: doctors to berevalidated


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1strevalidation cycle

3 years duration only: 1/4/2013-

31/3/2016

120,000 doctors need to be revalidated

by the end of this first cycle

Subsequent cycles: 5 years long


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The purpose of revalidation

The purpose of revalidation

To assure patients and public,employers and other health care

professionals that licensed doctors

are up to date and fit to practise


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Appraisal balance

Personal

Development

Revalidation

QualityImprovement


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Changes to appraisal

N-appraisal (n for new) starts 1/4/2013

and prepares us for revalidation

Still formative, but now also with a

significant summative element, dictated

by GMC GMP


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Changes in terminology

Doctor, not appraisee

CG data will feed into appraisal from the start

Supporting information, not evidence

Whole practice appraisal, not just our GPwork: all aspects of our working life to be

appraised in 1 annual meeting

Appraisal output statements, not form 4


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New processes in appraisal for revalidation

Doctors are appraised on the whole of their scope of work

Clinical governance information and personal information

arising from appraisal will be combined to enable the

responsible officer to make a recommendation about a

doctor to the GMC

The doctor will have to sign off statements about the

appraisal portfolio, health, probity and GMC requirements

The appraiser will have to sign off statements about

engagement with appraisal, progress with the previous PDP

and the appropriateness of the new PDP and GMC

requirements


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The purposes of n appraisal for revalidation

To enable doctors to discuss their practice andperformance with their appraiser in order to demonstrate thatthey continue to meet the principles and values set out inGood Medical Practice and thus to inform the responsibleofficers revalidation recommendation to the GMC.

To enable doctors to enhance the quality of their professionalwork by planning their professional development.

To enable doctors to consider their own needs in planning theirprofessional development.

To enable doctors to ensure that they are working productivelyand in line with the priorities and requirements of theorganisation they practise in.
http://www.gmc-uk.org/guidance/good_medical_practice.asphttp://www.gmc-uk.org/guidance/good_medical_practice.asp


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GMC GMP-4 domains

Knowledge, skills and performance

Safety and Quality

Communication, partnership and

teamwork

Maintaining trust


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The appraiser angle in n-appraisal

43. You must protect patients from risk of harm posed

by another colleague's conduct, performance or

health. The safety of patients must come first at all

times. If you have concerns that a colleague may not

be fit to practise, you must take appropriate stepswithout delay, so that the concerns are investigated

and patients protected where necessary. This means

you must give an honest explanation of your

concerns to an appropriate person from youremploying or contracting body, and follow their

procedures. (GMC GMP)


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GMC supporting information principles

General informationproviding context about what

you do in all aspects of your work

Keeping up to datemaintaining and enhancing

the quality of your professional work

Review of your practiceevaluating the quality of

your professional work

Feedback on your practicehow others perceive

the quality of your professional work


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6 types of supporting information

There are six types of supporting information:

1. Continuing professional development (CPD credits)

2. Quality improvement activity (instead of audits)3. Significant events (2 per year)

4. Feedback from colleagues (1 per 5 years)

5. Feedback from patients (where applicable-1 per 5

years)6. Review of complaints and compliments


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Levels of supporting information


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Statements 1 & 2

1. An appraisal has taken place that reflects the

doctors scope of work and addresses the

principles and values set out in Good Medical

Practice.

2. Appropriate supporting information has been

presented in accordance with the Good Medical

Practice Framework for appraisal and revalidation

and this reflects the nature and scope of thedoctors work.


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Statements 3 & 4

3. A review that demonstrates progress against last

years personal development plan has taken

place.

4. An agreement has been reached with the doctor

about a new personal development plan and any

associated actions for the coming year.


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Statement 5

(Updated version Feb 2012)

5. No information has been presented or discussedin the appraisal that raises a concern about the

doctors fitness to practise.


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Additional information for the RO


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Part 2-supporting information

Aim for quality, not justquantity

60-70 good credits per

year are enough Having too many gives

the wrong

message: aim for the

main part of the Bell-shaped curve, not theextremes!


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Credits and impact

1 hour + relevant reflection=1 credit

The above plus action plus PROOF of

action= 2 credits (impact factor 2)

Sharing knowledge with others is not

impact (e.g. updating a protocol,preparing material for SDLG meeting,etc)


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Key questions to ask yourselves about

supporting information

Appraiser view: see

document adding

value to supportinginformation

Discuss in small

group


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Question and answer session


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Hands on session with RCGP eportfolio

If time allows Look at GMC domains

Look at supporting

information

Look at credit impact

Appraisal & Revalidation Update

Documents

Transcript of Appraisal & Revalidation Update