GP APPRAISAL SCHEME

Annual Update

Dr Abhi MantganiMedical Director, Wirral PCT

Lead for GP Appraisal

Purpose of Appraisal in NHS

• The purpose of NHS Appraisal Scheme is to improve patient care through motivating people and identifying potential

• “… is a positive process to give GPs feedback on their past performance, to chart their continuing progress and to identify development needs.”

Key Achievements to date

• BKW PCT achieved 100% appraisal of all principals in 2002-2006 and of all non-principals from 2003 onwards. – First PCT to achieve standard.

• Wirral PCT achieving 100% status since reorganisation.

• Large pool of GP’s.

• Locally developed training for appraisers.

Wirral Perspective 2006-07

• BWW Locality – Achieved 100% coverage including backlog from previous year.

• Implemented single pool of appraisers and allocation of appraisers.

• Improved documentation and communication.

• Target 100% achievement of appraisals across Wirral.

Key Messages and Concerns

• Keeping up to date ( 133 )

• Practice Management and Delivering Access ( 86 )

• Teaching ( 69 )

• Management skills ( 52 )

• Work life balance ( 60 )

• Patient Survey / Feedback ( 56 )

• Premises (26 )

• I.T / Choose & Book ( 22 )

Key Themes from PDP

• Principals

- Family Planning & Women’s health

- Dermatology

- Chronic Disease Management - Diabetes- CKD- Minor Surgery- Respiratory- Mental Health- CHD

PCT Action Points• Locality protected learning events

• Educational sessions on CHD, Diabetes, CKD, Dermatology, Heart Failure

• Mental Health

• Respiratory/Spirometry

• Use of Diagnostics

• Planned sessions on Maternity, Gynaecology, Family Planning, Case Management

• Training/Educational sessions in use of equipment – Audiometry, Coagucheck, etc

Summary• Appraisal scheme well established across the whole of the PCT

• Achieving 100% of target

• Effective as a formative process and may become the tool for revalidation process

• Need to explore through pilot newer standards and methodology including 360 degree appraisal

• Consider using QOF and PCT benchmarking scores alongside other evidence

• Extending a modified scheme to support GPSI’s