Appraisal

1
Appraisal Revalidation

• Dr Tina Ambury MRCGP
• Vice Chair RCGP
• Hon Secretary NANP

2
Principles of revalidation May 2000

• Must inspire public confidence
• Transparent
• Must identify under-performance
• Must enjoy professional support
• Feasible
• Flexible
• Must not disadvantage any group of doctors

3
Questions and Concerns May 2000

• Appraisal must be a supportive and developmental
  tool
• The appraisers will have to be trained
• Appraisal must be completely separate from
  revalidation but will feed into it

4
Cause for concern ...Halloween 2000

• Vagueness of proposals regarding doctors outside
  managed organisations
• Complete lack of cost projections and
  identifiable funding sources
• Data collection

5
Dont Panic! April 2001

• Revalidation is not meant to be arduous
• Evidence of reflective practice and CPD
  relevant to your needs goes a long way
• Collect data that is useful to you

6
Revalidationhow can we assess?

• Competence in day to day matters
• Able to deal with rarer conditions / new advances
• The right professional attributes

• A profile of the doctors work
• A personal development plan
• Peer and patient assessments

7
Revalidation or recertification?

• Licence to practice in UK is contingent on full
  registration with the GMC.
• Granted at completion of pre-registration house
  jobs
• From 2005 only valid for 5 years
• Opt in system

• Primary certification medical degrees from
  universities approved by GMC
• Secondary certification attainment of
  satisfactory level of specialist practice (PMETB)

8
Appraisal

• NHS appraisal
• to give doctors feedback on past performance and
  continuing progress and to identify educational
  and development needs it is part of a doctors
  career development and not part of a disciplinary
  process
• Dept of Health
  2002

9
Principles of appraisal

• An educational process not performance management
• Confidential normal GMC duties apply
• Protected time (or paid)
• Assists revalidation process
• Helps identify educational needs and learning
  plan for year
• Aggregated info fed into local PLTs

10
Revalidation Appraisal

• Annual appraisal for all NHS workers
• Part of the 5 year revalidation cycle
• Quality assurance of appraisal process will
  ensure doctors on track to be revalidated
• GMC only able to sample doctors folders
• Revalidation is a summative process if unable
  to be revalidated then doctors will enter the GMC
  performance procedures

11
March 2003 and beyond

• Revalidation will be launched April 2003
• All doctors on the medical register will receive
  an information pack
• The GMCs view is that the fact that the doctor
  is fully engaged in the appraisal process
  (formative remember), then revalidation
  (summative) will be automatic

12
Stop Press!!

• The GMC package should be coming out to all UK
  doctors soon
• There are still concerns about the explicit link
  between appraisal and revalidation
• Appraisal for Non-principals is currently being
  developed (NANP RCGP are involved) and should
  be in place sometime this year

13
So, the jury is still out

• watch this space