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GP APPRAISAL SCHEME Annual Update. Dr Abhi Mantgani Medical Director, Wirral PCT Lead for GP Appraisal. Purpose of Appraisal in NHS. The purpose of NHS Appraisal Scheme is to improve patient care through motivating people and identifying potential

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GP APPRAISAL SCHEME

Annual Update

Dr Abhi Mantgani

Medical Director, Wirral PCT

Lead for GP Appraisal


Purpose of appraisal in nhs
Purpose of Appraisal in NHS

  • The purpose of NHS Appraisal Scheme is to improve patient care through motivating people and identifying potential

  • “… is a positive process to give GPs feedback on their past performance, to chart their continuing progress and to identify development needs.”


Key achievements to date
Key Achievements to date

  • BKW PCT achieved 100% appraisal of all principals in 2002-2006 and of all non-principals from 2003 onwards. – First PCT to achieve standard.

  • Wirral PCT achieving 100% status since reorganisation.

  • Large pool of GP’s.

  • Locally developed training for appraisers.


Wirral perspective 2006 07
Wirral Perspective 2006-07

  • BWW Locality – Achieved 100% coverage including backlog from previous year.

  • Implemented single pool of appraisers and allocation of appraisers.

  • Improved documentation and communication.

  • Target 100% achievement of appraisals across Wirral.


Key messages and concerns
Key Messages and Concerns

  • Keeping up to date ( 133 )

  • Practice Management and Delivering Access ( 86 )

  • Teaching ( 69 )

  • Management skills ( 52 )

  • Work life balance ( 60 )

  • Patient Survey / Feedback ( 56 )

  • Premises (26 )

  • I.T / Choose & Book ( 22 )


Key themes from pdp
Key Themes from PDP

  • Principals

    • Family Planning & Women’s health

    • Dermatology

    • Chronic Disease Management

      • Diabetes

      • CKD

      • Minor Surgery

      • Respiratory

      • Mental Health

      • CHD


Pct action points
PCT Action Points

  • Locality protected learning events

  • Educational sessions on CHD, Diabetes, CKD, Dermatology, Heart Failure

  • Mental Health

  • Respiratory/Spirometry

  • Use of Diagnostics

  • Planned sessions on Maternity, Gynaecology, Family Planning, Case Management

  • Training/Educational sessions in use of equipment – Audiometry, Coagucheck, etc


Summary
Summary

  • Appraisal scheme well established across the whole of the PCT

  • Achieving 100% of target

  • Effective as a formative process and may become the tool for revalidation process

  • Need to explore through pilot newer standards and methodology including 360 degree appraisal

  • Consider using QOF and PCT benchmarking scores alongside other evidence

  • Extending a modified scheme to support GPSI’s


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