Revalidation

GPs have historically had an appraisal every year. From 2012 onwards, these will be used for evidence towards revalidation every 5 years. Revalidation is to be phased in gradually; with the aim of all doctors being revalidated for the first time by 2017.

Here is a brief summary of what you need to get through appraisal and revalidation

  • An annual Personal Development Plan
    • Before appraisal, write a proposed PDP, which will be agreed and signed off with your appraiser at your appraisal.
    • A minimum of 3, simple, achievable goals should be listed (use SMART principles). A good rule of thumb is one personal goal, one professional goal and one clinical goal.
  • Patient Survey
    • One every 5 years
    • Reception staff  (not the doctor themselves) to administer questionnaire to 45 consecutive patients or carers
    • Aim to achieve a minimum of 34 completed questionnaires (out of the 45)
    • Click to access a standardised patient questionnaire, or utilise the survey tools through sites like FourteenFish.com (practices will sometimes pay the fee for all their GPs to use one survey tool – so check before you pay anything extra!)
  • Colleague Survey
    • One per 5-year revalidation cycle
    • Nominate 20 colleagues to complete the feedback form, but completed forms should be collected by admin staff (not the doctor themselves)
    • Click to access an example Colleague Survey form (or use an online toolkit, as for the Patient Survey above)
    • Aim to have minimum 15 completed questionnaires (out of the 20)
        • 10 medical  – to include: GP, other colleagues with whom you work regularly, colleagues to whom you refer, colleagues with whom you discuss patients (or who refer patients to you), GP Partners with whom you work regularly, junior colleagues with whom you work regularly, senior colleagues with whom you work regularly, nurses with whom you work regularly
        • 10 non-medical – Pharmacists, Administrative staff, Physiotherapists, Occupational Therapists, Practice Manager
  • Annual declaration and review of complaints
  • Evidence of Quality improvement activity, e.g. Significant Event Analysis (including meetings attended), involvement in audit, prescribing reviews, other activities that involve evaluation of the quality or safety of your practice.
  • Continuing Professional Development (CPD)
    • You need to achieve 250 learning credits over each 5-year revalidation cycle (this equates to 50 a year unless you take time out (sabbatical, maternity, etc.) in which case you will need to “Catch up” to achieve the required 250 credits.
    • One hour of education/CPD = 1 learning credit.
    • If you reflect on your learning and demonstrate an impact on your practice, you can double up the points (so 1 hour of education = 2 learning credits)
    • Record your CPD activity in a table, spreadsheet or journal
      • Here is an example CPD Log in which to record your CPD activity (but it is quite a complicated)
    • Write an individual record for each CPD activity showing learning points and any impact
    • Examples of ways to achieve your CPD / learning credits locally are listed on the First5 CPD page – link to appropriate page.
  • Other things to consider:
    • Annual evidence of Basic Life Support training
    • Level 3 Child Safeguarding is  now required by all GPs and should be updated at least every 3 years. Courses can be booked via the Wessex GP Education Trust (WGPET) or completed online, e.g. via e-Learning for Healthcare.