Doctors must participate in annual appraisal. Appraisal is designed to support revalidation, such that, within a five-year cycle, doctors should have presented and discussed all the supporting information required for revalidation within their appraisals.
The GMC has outlined the minimum requirements for revalidation as follows:
- Documentation of personal information, personal development plans (PDPs), details of previous annual appraisals and the probity and health declarations signed for each appraisal year.
- A minimum of 50 CPD learning credits per year and a documented discussion of CPD at each appraisal.
- Significant event analyses (SEAs) should be discussed at each appraisal. Most GPs are likely to have been recording SEAs for several years, as this has been a contractual requirement. The emphasis is on the content of the SEA and what doctors have learnt and how they have changed their practice, rather than the actual number of SEAs.
- Evidence of quality improvement activities (QIA) within the previous five years. A full cycle audit completed within the previous five years may be appropriate. If submitting case reviews, then these should perhaps be more frequent. Doctors are encouraged to discuss this with their appraisers.
- Completion of a colleague multi-source feedback (MSF) within the five years before the date of revalidation.
- A patient satisfaction survey documented within the five years prior to revalidation.
- Discussion of any formal complaints at every appraisal.
These are very much the minimum requirements for revalidation – most doctors will have done more than this. If doctors have any doubts regarding the adequacy of their evidence for revalidation, they are encouraged to discuss this with their appraisers at an early stage.
It is important to collect information throughout the year and not to leave everything until the deadline, although due to the hectic nature of being a doctor some last minute work to prepare the documentation will be needed.
While not compulsory for most, Medical Protection recommends that all doctors structure their appraisals round the Good Medical Practice Framework for Appraisal and Revalidation (which is compulsory for those in Scotland). Our revalidations resources will help you match your evidence to the framework.