Some Appraisal Tips - preparing for revalidation.
In Wales, we have developed the appraisal process over 10 years. We are always mindful of the important contribution of appraisal to revalidation, but never lose sight of our focus on appraisal as a formative and developmental experience for doctors, of which revalidation issues are only a small part.
Consistency across Wales is achieved by our appraiser-training programme, and all appraisers have received extensive training and instruction around the revalidation process. As all our appraisers are also practising GPs, this means that they are much clearer about what is expected of them, both as a GP undergoing revalidation, and as an appraiser supporting fellow GPs through the process.
In most ways revalidation has not changed anything. It's the same online folder, the same types of evidence, reflection and discussion, the same need for a PDP. The appraisal should continue to be supportive and developmental.
The GMC expects that we should all provide evidence in the following 6 areas:
- CPD that is needs based and outcomes focussed, every year.
- Quality Improvement activity once in every revalidation cycle, i.e. 5 years. e.g. Audit (complete, with two rounds of data collection etc.) If, due to your circumstances, you have difficulty with audit, there are alternative QI activities e.g. Case Studies, which can be discussed at your appraisal.
- Significant event analysis, as appropriate - however, as a minimum you should demonstrate you have systems in your workplace to deal with events.
- Feedback from colleagues, once every revalidation cycle.
- Feedback from patients, once every revalidation cycle.
- Review of complaints and compliments, every year.
More detail is available on the Wales Revalidation website, which also links to the GMC information: http://revalidation.walesdeanery.org/index.php/what-does-revalidation-mean-for-me.
Practice points for this year are:
- If you are recording an audit, case study or an SEA on the appraisal website, try to use the templates under the "revalidation forms" tab. This will ensure that what you have done gets recognised by the IT and can transfer into your revalidation scorecard.
- Patient and colleague feedback can be undertaken in a number of ways, it needs however to comply with GMC guidance http://www.gmc-uk.org/doctors/revalidation/colleague_patient_feedback.asp. The Health Boards of Wales have commissioned Equiniti https://www.equiniti360clinical.com/ to provide a feedback system for all NHS doctors in Wales. Your local appraisal lead in the Health Board will be able to give you details. The GMC suggest that patient and colleague feedback occurs in the first 2 years of a five year revalidation cycle.
- If you have had no complaints or compliments in the year leading to this appraisal, it is probably worth making an entry demonstrating your awareness of your practice / organisation's complaints process.
- Finally, if you do anything that is not mainstream General Practice (such as some sort of outside appointment) you should read about Whole Practice Appraisal (WPA) on the Wales Revalidation website. http://revalidation.walesdeanery.org
Your appraiser will be happy to clarify any of these areas, to the best of their understanding, when you meet. If unable to do so, they will seek further guidance from the Wales Revalidation Support Unit.
Your appraiser will discuss with you whether or not the evidence you bring to your appraisal appears to meet the GMC requirements, and if it is agreed that it does, your appraiser will validate it on your revalidation scorecard and/or make a positive statement in your appraisal summary. If your appraiser feels that the evidence needs more work, then this will form part of the appraisal discussion and record.
Information from your appraisal will help your Responsible Officer (RO) to decide whether they can make a recommendation to the GMC on your revalidation. Your RO will assess whether the evidence you have is good enough to make a positive recommendation, and if not, will advise you on what you need to do to meet the GMC requirements and will defer making a recommendation to give you time to achieve this.