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A faulty production line

GPs will be required to collect annual patient feedback under GMC plans

GPs will have to collect patient feedback every year instead of every five years, under new proposals from the GMC designed to reduce the burden on GPs.

Published today, the GMC's consultation document recommends GPs increase the frequency with which they collect feedback, despite acknowledging the continued pressures GPs currently face. 

The GMC also proposes GPs should reflect on unsolicited feedback, and suggests that they no longer need to use the structured questionnaire.

The consultation details proposed changes to the guidance on collecting patient feedback, and will run until 23 July.

The GMC said the more regular patient feedback would allow doctors to 'pick up any issues to address in a timely way', while recognising the pressure GPs face, claiming it does not want to 'increase the administrative burden of feedback collection.'

The proposed new guidance says: 'Annually you must reflect on sources of patient feedback that are available to you. Depending on your practice this could include: spontaneous or unplanned feedback (such as comments, cards, and letters), feedback on your team or the service you provide.'

This replaces the current guidance, which states that GPs need to collect structured feedback every revalidation cycle through a structured questionnaire. 

However, the regulator is also proposing that structured questionnaires should be taken out of circulation as they contains too many tick boxes and not enough space for comments. Instead, feedback will be based on broader questions, such as asking how well they were assessed and how well they felt listened to.

It says: 'We no longer require doctors to use questionnaires structured around Good medical practice, giving them freedom to use other methods and allowing patients to comment on what matters to them.'

The GMC consultation document consists of 14 questions including the key principles doctors need to consider when reflecting on patient feedback for revalidation, and how to implement such principles.

It also suggests that the feedback process should be as accessible as possible by considering patients with communication or learning difficulties, and not just relying on structured questionnaires.

GMC director of registration and revalidation Una Lane said existing processes make conducting patient feedback ‘harder than it should be'.

She said: ‘Patient feedback is among the most useful information doctors can get for their learning and reflection. But at a time when the profession is under such pressure it shouldn’t be a burden, and we know existing processes can make it more difficult than it should be.

‘We want doctors, employers and patients to get involved in our consultation and help shape the way feedback works in the future, which we hope will ultimately help improve patient care.’

RCGP medical director of revalidation Dr Susi Caesar said: ‘Meaningful patient feedback promotes doctors’ professional development and helps create quality improvements in the care we provide. All doctors should get involved in this consultation and be part of the changes that work better for us.’

The consultation follows on from independent reviews of revalidation, such as Sir Keith Pearson’s 2017 review of medical revalidation and a 2018 report from the UK Medical Revalidation collaboration (UMbRELLA), which concluded the necessity for further improvement to the process for collecting feedback.

Last year, a Pulse survey completed by 870 GPs revealed that GPs spend an average of 55 hours a year on the revalidation process.

Back in 2017, the GMC said that patients should give feedback after every interaction, which would go straight into their revalidation portfolio.

Readers' comments (44)

  • Utterly incredible....they state they want to "reduce the burden" on GPs by making the assessments every year instead of every 5 years. Extraordinary!

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  • Very difficult to actually register and complete this consultation. Asks questions about your name email sexuality and religion before you can comment. The questions are either ambiguous or leading, and it’s clear that the decisions are already made and that the ‘consultation’ is nothing of the kind.
    When I made negative comments about appraisal in the Umbrella consultation I was intimidated by emails from the GMC asking me if they could video my (confidential) appraisal to learn more about me. I’m expecting the same treatment for daring to question this latest assault
    It will take hours to collate, upload, reflect and make any sense of the dogs dinner of feedback that they are demanding. At least the current offering is standardised, and measurable
    Hopefully the BMA will send them another strongly worded letter...

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  • Am still waiting got the gmc to get back to me as to how and why they appointed Charlie Massey

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  • GMC director of registration and revalidation Una Lane said existing processes make conducting patient feedback ‘harder than it should be.’
    So too the consultation process!

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  • Copernicus I have given feedback,I have been honest and candid about their proposals so I expect the same treatment as your self.The leopard will not change its spots.Once a bully always a bully.

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  • Consultation My A**. This will be force fed down our throats whatever the outcome of the ‘consultation’!

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  • And why do we need even more patient feedback ? Patients already can complain through the practice directly , NHS choices , ombudsman , NHS england , GMC , iwantgreatcare etc etc and they make full use of all these methods causing enormous stress !!

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  • I really do not see how this makes workload better. I am obviously inflicted by poor insight or poor eyesight.

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  • The GMC have no clue how to improve things for either doctors or patients but need to be seen to be actively doing things.

    This is an example of that

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  • MPPD

    Lewis Carroll [ Charles Dodgson ] was a mathematician and very unlikely to be involved in this Alice's adventures with the GMC

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