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GP appraisals and revalidation as a nonprincipal Ruth Chambers

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GP appraisals and revalidation as a non-principal. Ruth Chambers. Staffordshire. UNIVERSITY. School of Health. Q. What is the purpose of appraisal? ... – PowerPoint PPT presentation

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Title: GP appraisals and revalidation as a nonprincipal Ruth Chambers


1
GP appraisals and revalidation as a
non-principal Ruth Chambers
Staffordshire
UNIVERSITY
School of Health

2
Q. What is the purpose of appraisal?
  • A. It is a positive process to give GPs feedback
    on their past performance, chart their continuing
    progress and to identify development needs. It is
    also…essential for identifying educational and
    developmental needs..it helps GPs consolidate and
    improve on good performance, aiming towards
    excellence. (DoH)

3
Q.      How can I get a copy of the appraisal
paperwork?
  • A.      Download a copy from
  • www.doh.gov.uk/gpappraisal

4
Q. It looks complicated what do I have to fill
in?
  • It is straightforward
  • Form 1 Basic details about U
  • Form 2 Your daily work
  • Form 3 9 headings of GMP
  • Form 4 Overview PDP
  • Form 5 Optional

5
Q. Do I fill in the same forms every year?
  • A. Yes- so consider completing electronically

6
Q. Is the GP appraiser on my side?
  • A. Yes s/he is employed by the PCO. S/he wants
    to help you work more effectively

7
Q. What happens to Form 4?
  • A. It is sent to eg clinical GP lead / chief
    executive of PCO. The PCO should have system to
    pool and use anonymised information from Form 4s.

8
Q. Will my discussion with appraiser be
confidential?
  • Yes and ………No
  • Forms 1,2,3 and 5 stay with U
  • Form 4 is sent to your PCO
  • (Limits to confidentiality include risk to
    patient safety)

9
Q. Must I have the appraiser allocated to me?
  • A. PCOs have different systems. You should be
    able to express preference / swop once.

10
Q. What information will my appraiser have about
me?
  • Forms 1-3 from you
  • Form 4 /PDP from previous year
  • Some data from the PCO about your performance?
  • You will both have the same information

11
Q. What help can I get in preparing for my
appraisal?
  • A.
  • Use the appraisal toolkit www.appraisals.nhs.uk
  • APD resource materials tel 01235 528820
  • GP tutor?
  • Local workshop for appraisees
  • GP-appraiser?

12
Q. Can I fail appraisal?
  • A. There is no pass or fail. Form 4 is a shared
    commentary you can both agree to disagree

13
Q. How does appraisal link to revalidation?
  • A.
  • Both processes are designed around the GMCs Good
    Medical Practice.
  • 5 robust appraisals and underpinning evidence
    comprise revalidation portfolio

14
GMCs Good medical practice
  • Good medical practice
  • Maintaining good medical practice
  • Relationship with patients
  • Working with colleagues
  • Teaching and training
  • Probity
  • Health
  • (Management)
  • (Research)

15
Q. What if I have a career break or work abroard?
  • A.
  • Licence to practise is pledge to provide evidence
    fit to practise
  • Show you are fit on your return
  • Mimic GMP during your break if you can

16
Q. How do I demonstrate my performance when I
work as a locum?
  • A.
  • Devise a portable portfolio
  • Think of ways of maintaining follow-up or compare
    snap shots of your performance

17
Q. If I think my appraisal has been unfair what
can I do?
  • A. The PCO should have a complaints process for
    you to use

18
Q. My current PDP is not set out as the DoH
template- does that matter?
  • A. So long as yours has the same headings thats
    fine

19
Q. How can I make the most of my appraisal as an
NP?
  • Use it to
  • For evidence of learning / change
  • Access resources from PCO?
  • Prepare properly for revalidation
  • Strive for excellence
  • Demo competence as GPwSI
  • Path to career development
  • Link to other NPs / PCO

20
Q. How do I gather evidence of my competence as
GP?
  • Choose criteria of excellence from GMP for GPs
  • Define outcomes your learning and service
    change
  • Assess learning / service needs
  • Your learning action plan
  • Evaluation of learning / change

21
Watch me try eg Clinical care
  • Excellent GP responds rapidly to emergencies
  • Learning / service outcomes consistent best
    practice in EC to teenagers
  • Assess own learning needs
  • Significant event audit
  • Reflective diary re EC in teens
  • Assess service needs
  • Audit ability / availability of fitting of IUD
    for EC in various practices
  • Significant event audit (as above)

22
E.g. Clinical care (cont)
  • 4.Learning plan read up on EC, compare with
    practice protocols visit practice providing
    excellent service suggest revisions to protocols
  • 5.Evaluation audit consecutive patients for
    consistency of revised practice protocol(s)
    repeat reflective diary

23
Now you have a go
  • Stage 1 The excellent GP
  • responds rapidly to
  • emergencies
  • Choose clinical topic eg
  • asthma, chest pain, anaphylaxis,
  • bleeding, drug overdose

24
Stage 2 define your outcomes
  • Write down what your end points will look like in
    clinical practice either what you will have
    learnt and put into practice or change to
    delivery of service (eg a new or updated skill,
    an audited protocol)

25
Stage 3 How will you identify what you need to
learn? How will you find out what gaps there
are in the services of your practice(s)?
26
Stage 4 What is your learning /action plan?
  • (Assume you have identified you are out of touch
    with latest Rx and that you / practice lacked
    appropriate emergency equipment)

27
Stage 5 How will you evaluate what you have
achieved evidence of learning and/or changes in
your practice or services?
Stafforshire
UNIVERSITY
School of Heath

28
Stage 6 Plan to incorporate patients
perspectives in Stages 3, 4 and 5
  • (Think of surveys, suggestion slips, expert
    patients views, focus groups, comment forms)

29
Stage 7 Plan to incorporate working with
colleagues
  • (Think of shared audits, educational meetings,
    revising protocol for everyones
    roles/responsibilities, 360 degree feedback, new
    type of communication)

30
And lastly……….what documents will you include in
your appraisal portfolio?
  • (Think of protocols, audits, surveys, needs
    assessments, reflective diary, minutes of
    meetings, peer reviews)

31
Sources of evidence of your competence
  • Everyday responsibilities
  • Research
  • Audit
  • Teaching
  • Reports and presentations
  • Special projects
  • Outcome measures
  • Personal learning/CPD (PDP)

32
Pause for thought
  • Think of your last three days worth of
    learning and what outcomes you had ………… were
    they centred on
  • personal goals,
  • NHS goals,
  • patients orientated goals?

33
How is this vision different? Learning and GPs
  • Ad hoc - few have overall goals
  • Inequitable resources
  • Bums on seats and not directional learning
  • PDP exercise, not culture

34
How is this vision different? NHS
  • Few links learning / other strategies
  • Inequitable resources for various disciplines
  • Limited evaluation worth or appropriateness or
    application
  • Little anticipation of skill needs or targeted
    training
  • Ignore barriers to learning eg lack of IT
    capability

35
How is this vision different? patients
  • Many GPs ignore patients needs in their learning
    plan
  • Many GPs do not know how to involve patients in
    decision making

36
(No Transcript)
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