1. Revalidation and appraisal for GPs November 2009

2. Dr Nick Lyons Dr Nick LyonsGP Chair National Association Primary Care Educators Primary Care Taskforce Lead, NHS Education South Central Medical Director, NHS Revalidation Support Team

3. What worries you about revalidation?

4. What worries me about revalidation?

5. What is the purpose of revalidation?

6. Purpose of revalidation Doctors are up to date Doctors are fit to practise

7. What is the purpose of appraisal?

8. Purpose of appraisal Gives focus and energy to professional development Encourages reflection Encourages synthesis of lessons from the past Encourages and challenges development of skills Directs planning for the future Ensures individual has time to consider their own needs Ensures individual has time to consider service needs

9. Assessment Judgement Stating an opinion

11. Published today.....

12. The 4 GMC Domains Knowledge, skills and performance Safety and quality Communication, partnership and teamwork Maintaining Trust

14. The 12 attributes Knowledge, skills and performance – Maintain your professional development – Apply knowledge and experience to practice – Keep clear, accurate and legible records

15. The 12 attributes Safety and quality – Systems to protect patients and improve care – Respond to risks to patient safety – Protect patients from risks posed by your health

16. The 12 attributes Communication, partnership and teamwork – Communication skills – Work constructively with colleagues and delegation – Establish and maintain partnerships with patients

17. The 12 attributes Maintaining Trust – Show respect for patients – Treat patients fairly and without discrimination – Act with honesty and integrity

18. So what will happen in a “strengthened medical appraisal”?

19. Supporting information Personal information GMC generic information College “specialist information” Employer/ Trust information

20. Supporting information Your personal details and roles Statement of health Statement of probity Record of complaints (if any)

22. Supporting information Audit Significant event Patient feedback Multisource feedback Case based discussion 50 learning credits 200 clinical sessions over 5 years

23. Appraisee will map evidence to the attributes

24. Assessment of the evidence

25. The doctor has provided at least one item of information relating to the attribute. Assessment of this information is sufficient to demonstrate good practice in this area. The doctor has provided at least one item of information relating to the attribute. Further development is needed to adequately demonstrate good practice in this area, but there are no significant concerns for patient safety or quality of care The doctor has provided at least one item of information relating to the attribute. Assessment of this information demonstrates a significant concern for patient safety or the quality of care which requires immediate referral for further investigation and management. The doctor has provided no information relating to this attribute or the information is insufficient for an assessment to be made

26. Appraisee self assessment of their own performance

27. Appraisal discussion

28. The 4 statements Are there immediate concerns about the doctor’s fitness to practise The doctor is collecting information that will lead to satisfactory progress towards revalidation There is satisfactory progress with previous years’ Personal Development Plans Agreement with the Personal Development Plan that derives from the current year’s appraisal discussion

29. “Reasonable and proportionate”

30. The revalidation process

31. Who does what? Appraisee Appraiser Organisation Responsible officer RCGP GMC

34. Let’s not forget our responsibility to support our colleagues

37. “When we need care, we entrust ourselves to doctors…our trust is well placed and will not be abused” Patricia Hewitt, 2007