Appraisal and Revalidation for Locum Doctors

Mike Egerton – Head of Marketing – Medacs HealthcareYvonne Greig – Revalidation Manager – Medacs Healthcare

Agenda• Introduction to revalidation

• Supporting information and how to get it

• The appraisal process and how to prepare

• Objective setting

Why do we have revalidation?• Part of a broader system that promotes safety and quality

• Ensures medical practice is governed effectively

• A positive affirmation of a doctors professionalism

Positive recommendation

Deferral Non-engagement recommendation

Key terminology

Five year cycle

Good Medical PracticeDesignated Body

Responsible OfficerSupporting Information

Appraisal

10 steps to revalidation1. Register on GMC online

2. Confirm your Responsible Officer

3. Get a date from GMC

4. Local appraisal format

5. Gather supporting information

6. Prepare for your appraisal

7. Participate in your appraisal

8. Sign-off appraisal & agree PDP plan

9. Repeat steps 5-8 each year

10. Receive your revalidation confirmationSource: http://www.england.nhs.uk/revalidation/doctors/10-steps/

Supporting information for revalidation

Whole practice annual appraisal based on GMP

CPD

Quality improvement

activity

Significant events

Colleague feedback

Patient feedback

Reviewed complaints & compliments

Source: http://www.gmc-uk.org/doctors/revalidation/revalidation_information.asp

Continuing Professional Development (CPD) - Relevant to scope of your work

- Continuous

- Reflect upon what you have learned

- How does it change/improve your practice?

Attending courses

Web-based learning

Attend clinical meetings

Contribute to self-directed learning groups

Reflect on interesting cases

1:1 peer review sessions

“Breadth of CPD is essential ie cannot count 50 hours of e-learning”

Quality improvement activity• Clinical audit

• Review of clinical outcomes

• Case review or discussion

• Audit

• Evaluate impact and effectiveness

Colleague & patient feedback• Can use an e-portfolio

• Administered independently of the doctor and appraiser

• Covers the whole of your practice

Appraisal cycleAgreement of

personal objectives

Business planning and

service development

Agreement of service

objectives (team or individual)

Job plan review meeting

Appraisal meeting

The appraisal meeting• Appraisal meeting is a confidential discussion with a trained appraiser who will support, guide and constructively challenge you, having reviewed the supporting information and commentary you have provided.

•Generally 1-2 hours.

12

Checklist of what is needed for appraisal meeting• Last year’s personal development plan (PDP)

• Your portfolio containing supporting information including reflections

• Objectives you would like to achieve

• Any documents required locally

• Any other elements of your work you’d like to discuss

Writing objectivesWhat do you want to achieve?

• Increase your knowledge

• Correct an issue

• Become more involved in an area of practice

• Get more resources/change a process?

Get your message across• Match your evidence

• Discuss your reasoning

• Incorporate team, department, trust level plans/values if you can

• Be straightforward in your approach

Outcomes from the Appraisal

• An agreed personal development plan for you which contains specific objectives.

• A written summary of the appraisal discussion• Appraiser’s statements for the Responsible Officer (revalidation) • Any locally required paperwork• Your signed statement on probity and health• The appraiser and the doctor should both confirm that they

agree with the outputs and that a record will be provided to the Responsible Officer

How do Medacs Healthcare support our locum doctors?• An annual appraisal with a trained appraiser• Access to a secure online toolkit to keep all supporting

documentation in one place• An online multisource feedback tool, which distributes

and collates colleague and patient feedback• A dedicated revalidation support team to give doctors

advice and guidance on revalidation• Free Mandatory on-line Training and BLS Courses• Free CPD accredited courses facilitated by BMA• The services of a Responsible Officer, Dr June Picton

Key tips to take away…1. Preparation starts now

2. Reflect, reflect, reflect

3. Use your support networks – colleagues, agency etc.