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CLINICAL GOVERNANCE

CLINICAL GOVERNANCE. Professional development programmes Appraisal and revalidation By Zoe Skinner GP VTS Year1. AIM. Describe the relationship between clinical governance, continuing professional development, appraisal and revalidation. Content. Clinical Governance

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CLINICAL GOVERNANCE

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  1. CLINICAL GOVERNANCE Professional development programmes Appraisal and revalidation By Zoe Skinner GP VTS Year1

  2. AIM • Describe the relationship between clinical governance, continuing professional development, appraisal and revalidation

  3. Content • Clinical Governance • Continuing Professional Development (CPD) • Appraisal • Revalidation • Summary

  4. Clinical Governance Definition

  5. Clinical Governance • A framework/system for continuously monitoring and improving the quality of care the NHS and its services provide • Safeguarding high standards http://www.clinicalgovernance.scot.nhs.uk/section1/definition.asp

  6. Continuing Professional Development

  7. The Ten Principles of CPD • Principle 1, 2 & 10 set out the important relationship between appraisal, CPD & revalidation: • Principle 1 includes a PDP outside a narrower speciality interests • Principles 2 is a balance of learning methods that includes a component of active learning • Principle 10 is about the consequences of failing to provide evidence or insufficient evidence • Support Good Medical Practice • Professor Nigel Sparrow's paper ‘Good CPD for GPs’ describes the principles • http://www.rcgp.org.uk/PDF/ACADEMY%20GUIDANCE%20CPD%20HEADINGS.pdf

  8. CPD aims: • Continuing the learning process • Maintaining & improving our standards across all areas of practice • Supporting change to practice & career development • Helping keeping up to date even when not practicing • Professional Responsibility

  9. Professional Development Board • Meet 3 times a year • Direct educational & professional development • Effective delivery of a comprehensive CPD Scheme • For all UK and overseas members of RCGP

  10. CPD Credit Scheme • A minimum of 50 credits is required (per annum) • A broad range of general practice should be covered in 250 credits over 5 years • Credits will be self-assessed and verified at Appraisal • The scheme is intended to fulfil the standards and requirements of CPD for all GPs for Revalidation

  11. CPD Credit Scheme • One hour of learning (including planning & reflection) equals one credit • You may get a certificate of completion or attendance but it the is the self assessment and applying it to work that counts • Reflection • Acquisition of knowledge/learning points - one hour (1 point), relevance to his/her working situation • Planning e.g. case study demonstrating change in practice, reflective practice or audit of patients one hour ( 1 point) • Demonstrating impact (multiplies by 2)

  12. Impact of CPD?? • Patients • (e.g. a change in practice, implementing a new clinical guideline, initiating a new drug for the first time) • The individual • (personal development, e.g. development of a new skill or further development of existing skills) • Service • (e.g. developing and implementing a new service, becoming a training practice, teaching others) • Others • (teaching, training, NHS locally or nationally).

  13. Appraisal

  14. Appraisal • To enable you to continually improve the quality of your practice • Early identification of doctors in difficulty • Aim to meet the UK regulatory requirements for revalidation • In appraisal – demonstrate evidence of CPD • Strategy Paper ‘Principles of GP Appraisal’ • Endorsed 28th Feb 2008

  15. Appraisal • PCT responsibility • Local Appraisers • Develop & maintain PDP - central to Appraisal • Personal Development Plan (PDP)

  16. Revalidation Aims to assess whether GPs meet current professional standards & are fit to practise

  17. Revalidation • 5 year Revalidation Cycle • Encompasses both: • Relicensure - licensed doctors practise in accordance with GMC generic standards • Recertification – meeting the standards of the GMC’s GP register

  18. RCGP Revalidation Eportfolio • A new appraisal & revalidation toolkit • A transitional & lifelong tool • Released in phases –first the ‘Appraisal’ Phase • Supports GPs, GP appraisers & primary care organisations (PCOs) • Traffic Light System

  19. 12 Areas of the Eportfolio • Area 1: Statement of Professional Roles • Area 2: Exceptional Circumstances • Area 3: Appraisal form 45 • Area 4: PDP • Area 5: PDP review • Area 6: CPD credits • Area 7: Colleague Feedback (MSF) • Area 8: Patient Feedback (PSQ) • Area 9: Complaints/Cause for concern • Area 10: Significant Event Audit • Area 11: Clinical Audits • Area 12: Declarations

  20. CPD Entries • Areas • Clinical • Professional & Academic • Managerial • Dimensions • Personal • Local • External

  21. Summary • A brief glance of a comprehensive professional & educational development structure • Overall the aim is to have standards of excellence for the NHS and its services, which we as GPs need to meet to provide the best care for our patients • We have to provide evidence which is being integrated into the eporfolio • The eportfolio will support annual appraisals and 5 yearly Revalidation • Both appraisal & revalidation can help support widening our knowledge and career development plus help identify those in difficulty

  22. Any questions?

  23. References • http://www.rcgp.org.uk/professional_development.aspx • http://www.rcgp.org.uk/PDF/ACADEMY%20GUIDANCE%20CPD%20HEADINGS.pdf • http://www.pdptoolkit.co.uk/Files/appraisals/gp_appraisals_and_revalidation.htm • http://www.rcgp.org.uk/revalidation/revalidation_background.aspx • http://www.rcgp.org.uk/revalidation_eportfolio_home.aspx

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