Appraisals for Revalidation 2012

1. Appraisals for Revalidation 2012 Mike Sheldon Tower Hamlets PCT appraisal team

2. This presentation based on that by Phillipa Cockman in 2011 • Appraisals based on the new GMC framework • Specifically looking at – • Core information which should be brought to the appraisal • The new GMP guidelines and framework • Evidence needed to support successful appraisals

3. Supporting Information • 1 CPD undertaken last year • Time, reflection and evidence of change • 2 Evidence of quality of care • (at least one audit in each 5 year cycle) • 3 Significant events • (2 a year, so at least 10 in a 5 year cycle) • 4 Feedback from colleagues • (once in the 5 year cycle, available from the GMC and RCGP web sites) • 5 Feedback from patients • (once in the 5 year cycle, available from GMC and RCGP web sites) • 6 Complaints and compliments

4. GMC Good Medical practice framework • 4 Domains of good practice • 1 Knowledge, Skills and Performance • 2 Safety and Quality • 3 Communication, partnership and teamwork • 4 Maintaining Trust

5. 1 Knowledge, skills and performance • 1 Keeping up to date • Educational log • PUNS and DENS • Reflective learning log • 2 Auditing care • Prescribing • Practice organisation • Referrals • Clinical care • 3 Recognise your own competence • Peer reviews of consultations • 360 degree msf

6. 1 Knowledge, skills and performance (2) • 4 Research • Ethical • 5 Teaching • Undergraduate and postgraduate • Staff and other • 6 Management • 7 Patient Care • Self-help • 8 Clear and accurate documentation • Record keeping

7. 2 Safety and quality • 1 Protect Patients • Audits • Significant Events • Locum cover • 2 Respond to risks to safety • Child protection • 3 Your own health • Immunisation • Health reflection template

8. 3 Communication, partnership and teamwork • Communicate effectively – • With patients • Listen to and respect patients • Review patient complaints • Patient satisfaction survey • Keep patients informed • Informed consent • Review consultation style • With Colleagues • 360 degree msf

9. 4 Maintaining trust • 1 Show respect for patients • Treat patient information confidentiality • Treat patient’s fairly • 2 Treat patients and colleagues fairly • Respond promptly to complaints • Write honest references • Do not discriminate • 3 Act with honesty and Integrity • Ethical research • Write honest reports making clear your limitations • Honest finances and published material • Be honest in record keeping

10. GMC suggested questionnaire

11. GMC suggested questionnaire

12. Relationships with patients • Maintain patient confidentiality • Treat patients with honesty and dignity • Undertake ethical research respecting patient’s rights • Respond promptly to complaints • Listen to patients and respect their views • Explain when things have gone wrong • Encourage patients to take an interest in their health • Obtain informed consent before examinations and tests, teaching and research.

13. The Appraisal process • INPUTS • Description of scope and nature of work • Supporting Information from the doctor • Last year’s PDP • Confidential Appraisal discussion • OUTPUTS • Summary of appraisal (Form 4) • Doctor’s PDP • Appraiser’s Statements

14. Appraiser’s output statements • 1 Appraisal completed based on GMC values in Good Medical Practice • 2 Supporting information has been provided which reflect the nature of the doctor’s work • 3 Last year’s PDP reviewed and progress recorded • 4 Next year’s PDP agreed • 5 Nothing has been presented or discussed that raises concerns about the doctor’s fitness to practice