Appraisal & Revalidation

1. Appraisal & Revalidation Dr Neil Davidson

2. Learning Objectives • To describe Revalidation process and identify the key processes • To understand what is required in Medical appraisal in addition to being a SUPPORTIVE, FORMATIVE & DEVELOPMENTAL process

4. Medical RevalidationELearning version 1 http://www.nlmscontent.nesc.nhs.uk/oxpct/Reval%20MAG%20FINAL%20v1/player.html

6. Important documentation • RST Medical Appraisal Guide http://www.revalidationsupport.nhs.uk/CubeCore/.uploads/RSTMAGforReval0312.pdf • Good Medical Practice (GMC, 2006) http://www.gmc-uk.org/static/documents/content/GMP_0910.pdf • Good Medical Practice Framework for Appraisal and Revalidation (GMC, 2011) http://www.gmc-uk.org/static/documents/content/GMC_Revalidation_A4_Guidance_GMP_Framework_04.pdf • Supporting information for appraisal and revalidation (GMC, 2011) http://www.revalidationsupport.nhs.uk/CubeCore/.uploads/pdfs/ro_resources/Supporting_information__for_appraisal_and_revalidation.pdf • The RCGP Guide to the Revalidation of General Practitioners (Version 7.0, June 2012) http://www.rcgp.org.uk/revalidation-and-cpd/~/media/Files/Revalidation-and-CPD/Guide%20to%20Revalidation%20v70.ashx

7. Time Frame • December 2012 becomes legal • ROs by 31st March 2013 • Commences April 2013 • 3 years (20%/40%/40%) • Majority completed by 31st March 2016 • 5 year cycle

8. Who does what? • Designated body (PCT currently) – arrange regular appraisal • Appraisers - appraise • Responsible Officers - recommend • GMC - revalidates

10. Inputs to appraisal • Personal Information • Scope & nature of work • Supporting information • Review of last year’s personal development plan • Achievements, challenges & aspirations Should include all summaries of appraisal & review all PDPs in current revalidation cycle

11. Supporting information 1. Continuing professional development 2. Quality improvement activity 3. Significant events 4. Feedback from colleagues 5. Feedback from patients 6. Review of complaints and compliments

12. Good Medical Practice Updated edition of Good medical practice was published 25th March 2013 Guidance will come into effect on 22 April 2013

13. Four Domains ofGood Medical Practice Framework for Appraisal and Revalidation 1. Knowledge, skills and performance 2. Safety and quality 3. Communication, partnership and teamwork 4. Maintaining trust Within each domain are three Attributes

14. Knowledge, skills and performance • Maintain your professional performance • Apply knowledge and experience to practice • Ensure that all documentation (including clinical records) formally recording your work is clear, accurate and legible

15. Safety and quality • Contribute to and comply with systems to protect patients • Respond to risks to safety • Protect patients and colleagues from any risk posed by your health

16. Communication, partnership and teamwork • Communicate effectively • Work constructively with colleagues and delegate effectively • Establish and maintain partnerships with patients

17. Maintaining trust • Show respect for patients • Treat patients and colleagues fairly and without discrimination • Act with honesty and integrity

18. Presenting information RCGP E-portfolio https://gpeportfolio.rcgp.org.uk/Login.aspx Clarity Appraisal Toolkit https://appraisals.clarity.co.uk/ Medical Appraisal Guide Model Appraisal Form (MAF) http://www.revalidationsupport.nhs.uk/CubeCore/.uploads/PDFForm/MAG/MAGmodelappraisalformv3.pdf

19. Reflection Your supporting information is important But It is your reflection on that information and your record of that reflection that should inform the discussion And Leads to identification of areas for development and improvement

20. Review of last year’s PDP • Commentary • Most objectives should be achieved within time agreed • However plans change and some objectives take longer to achieve

21. Achievements, challenges and aspirations • General commentary • Opportunity to review practice, chart progress and plan for development

22. Declarations before the appraisal discussion Doctors should make a declaration that is visible to the appraiser that demonstrates: 1. acceptance of the professional obligations placed on doctors in Good Medical Practice in relation to probity and confidentiality 2. acceptance of the professional obligations placed on doctors in Good Medical Practice in relation to personal health 3. personal accountability for accuracy of the supporting information and other material in the appraisal portfolio

23. Outputs of Appraisal • Personal Development Plan • Summary of Appraisal • Appraiser’s statements

24. Personal Development Plan • SMART & KISS • Itemised list of personalised objectives • Should include time scale for achievement and • How completion should be recognised

25. Summary of Appraisal • overview of the supporting information and the doctor’s accompanying commentary including the extent to which the supporting information relates to all aspects of the doctor’s scope and nature of work • should be structured in line with the four domains

26. 5 Appraiser Statements 1. An appraisal has taken place that reflects the whole of a doctor’s 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 the doctor’s work. 3. A review that demonstrates appropriate progress against last year’s 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. 5. No information has been presented or discussed in the appraisal that raises a concern about the doctor’s fitness to practise.