General Practitioners Committee England Scotland Wales

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Appraisal and revalidation - survey results

A GPC survey has revealed a lack of practical support in some areas for sessional GPs undergoing appraisal and revalidation.

The survey found that 4 in 10 of those surveyed did not feel that they had received adequate support during the appraisal process, with the most common method of accessing support via online resources, such as BMJ Learning.

Most respondents felt that their appraiser understood their role as a sessional GP and had reasonable expectations of the type of evidence that a sessional GP is able to present.

 

Further survey findings

Choice of appraisal toolkit and appraiser

5 in 10 respondents were not given a choice of appraisal toolkit and 6 in 10 were not given a choice of appraiser. GPs should be able to access a pool of trained and quality assured appraisers who understand their role. Some areas allow GPs to choose their appraiser from the appraiser pool, others allow them to indicate ranked preferences, while others allocate appraisers with the option to request a change where justified.

 

Appraiser's understanding of role and expectations

Three quarters of respondents felt that their appraiser understood their role as a sessional GP and a similar number felt that their appraiser had reasonable expectations of the type of evidence that a sessional GP is able to present.  Most felt that their appraisal enabled discussion of their full range of practice.

 

Time taken to collect evidence and meaningfulness of the evidence

Over 40% spent more than 30 hours collecting evidence for their appraisal with 25% spending more than 50 hours collecting evidence. Only half of those surveyed felt that the evidence they were asked to produce was meaningful to their role as a sessional GP.

 

Providing evidence of quality improvement activity

Sessional GPs often encountered difficulties gathering appropriate supporting information on quality improvement activity. Some sessional GPs reported that their revalidation had been deferred due to them not having completed a clinical audit. This is unacceptable and GPC would like to ask any sessional GP with examples of this to send to [email protected]

 

What next after appraisal and revalidation

When asked what they would do next as a result of their appraisal and revalidation experience sessional GPs gave a range of responses from joining a sessional GP group to considering retirement.

 

GPC willl be producing new guidance on the appraisal and revalidation process to help address a number of concerns raised in the survey.