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Revalidation plans opposed by half of GPs

11 May 2011

By Amy Fallon

Exclusive: Half of GPs do not support the Government's revalidation plans, Pulse's State of the Profession Survey reveals.

The poll – one of the first to canvass GPs' views on the topic – found that 52% of GPs oppose the introduction of revalidation in its current form. Some 26% of GPs support the proposals, while 22% said they were unsure.

The GMC has previously claimed huge support for its plans for streamlined revalidation, a claim which was met with scepticism from GPs.

In October last year, the GMC published nearly 1,000 consultation responses to its plans and claimed majority support for controversial elements – including 360-degree feedback from colleagues and patient surveys about individual GPs.

At the time, the GMC said it was only prepared to ‘refine' its plans – despite its analysis of responses also finding more than half had expressed concern about administrative workload.

Our survey this week also shows forcing through revalidation without GP backing could prompt many to quit the profession, with more than one GP in 10 saying they intend to leave before the plans come into effect.

Professor Mike Pringle, medical director of revalidation at the RCGP, expressed alarm at the figures.

'If someone were to retire or leave the profession early on account of revalidation, that would not only be very sad but quite counter to what we are trying to achieve,' he said.

GPs across the country told Pulse of their concerns. Dr Howard Morley, a GP in Edinburgh, said revalidation was 'a totally useless extra administrative burden detracting from the main issues'.

Dr Peter Dixon, a GP in Manchester, said the plans 'certainly do not improve the individual GP'.

And Dr Charu Narayanan, a GP in Newport, Wales, said: 'Appraisal is a good idea, but revalidation implies even more paperwork.'

Niall Dickson, chief executive of the GMC, said: 'This should be an opportunity rather than a burden for GPs. Our consultation last year showed overwhelming support for our revalidation proposals. Parliament has made clear it expects to see revalidation in place as soon as possible, and it will be up and running towards the end of 2012.'

Professor Mike Pringle

READERS' COMMENTS

Anonymous,
10 May 2011
As an appraiser , I consider myself as a reflector and advisor but to become an appraiser enforcing revalidation turns me into an 'examiner' and 'witch- hunter'.......... vinci ho
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Anonymous,
10 May 2011
Even in secondary care it is just going to be a paper-chase and box-ticking exercise of no value. steven martin
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Anonymous,
10 May 2011
i wrote letter to Lansley, regarding revalidation, he sent that email to DOH. I put all the facts and figures from gmc website. they mentioned only 700 doctors visited their website to read about revalidation and only few hundred participated in their process of revalidation. there are nearly 100000 drs in uk, but only few hundreds replied to GMC.it means its not valid- but DOH sent me email, explaining the benefits of revalidation and some evidence based paragraphs. manmohan singh
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Anonymous,
11 May 2011
Appraisal, which is formative encourages the ownership and acceptance of change. Revalidation, which is much more summative and has a gatekeeping role, does not share this feature and is therefore less effective in raising quality. What we all need is mentorship, keeping the benefits of appraisal but with greater support. Soon Lim
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Anonymous,
11 May 2011
My only surprise is that the figure opposed to the revalidation proposals is not much higher. Some of us have been warning for ages that these proposals are likely to result in a mass exodus from the profession, yet the GMC seems intent, canute-like, on pressing on regardless. The current revalidation proposals are non-evidence based, subjective, subject to bias, box-ticking and form-filling exercises, that will do nothing to improve quality of care. They will divert GP time away from patients and on to toolkits. If 10% (or indeed 33% of GPs - see earlier Pulse article) leave the profession, the impact on quality of care will be truly devastating.
I fully support a formative appraisal system, but revalidation is a bureacratic exercise too far. JOHN PIKE
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Anonymous,
11 May 2011
I struggled with the current appraisal toolkit. I found it really time consuming to do anything of use like record reflective learning ideas on the go. I think using the proper tools can really aid the revalidation and appraisal process. I have been using a free gp appraisal site called gptools.org. It has been designed by a GP for ease of use with features like auto-saving. He will be updating all the forms to comply with revalidation once they are finalized. Dr. J. Hunt
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Anonymous,
11 May 2011
What with revalidation, pay cut, threat to pensions, NHS reforms etc not sure see point of being a GP anymore. We are constantly bashed by media for all being 'fat cats' and some of us earn enormous amounts according to Daily Wail. What about average salaried GP like myself who gets no pay rise year after year? Work increases constantly and latest QoF with prescribing, referral and acute admissions reviews just takes the biscuit!! When are we supposed to find all this extra time to meet all these demands? I work 10 and half hour day already and quite frankly can't give anymore of myself without becoming burnt out!! Is that what the powers that be want? We as GPs provide one of most cost effective services within NHS yet we are damned by all whatever we do. Quite frankly just about had enough now and considering early retirement. Is all this stress really worth it any more? Gillian Anne Breese
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Anonymous,
11 May 2011
I am due to have my appraisal in the next months. With a certain of scepticism I thought I would try to put my various certificates, puns and dens etc on the RCGP revalidation/appraisal tool kit. It was actually quite easy to use although getting registered on it was quite slow. You can scan certificates on to the site and any other paper record.
I think if the powers that be could just make their mind up as to want we are supposed to be doing we could all get to grips with it. The vacillation hasn't helped at all. philip cox
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Anonymous,
11 May 2011
Can someone please explain the benefits accrued by transferring critical incident reports from my practice QOF submissions to my appraisal submissions just for the benefit of a "good appraisal" so I can be re-validated? Alan Campion
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Anonymous,
12 May 2011
Well said, Gillian Anne Breese.
I agree with others that the RCGP toolkit is good and easy to use and I have far more than enough data for this year but, frankly, what is the point? None of this proves anything and I regard it as a total waste of my precious time, most of which is out of working hours, because I am far too busy during the day to add data to a toolkit. JOHN PIKE
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Anonymous, GP Partner,
14 Jul 2011
Revalidation could only work if there are resources to support the process .MSF in Canada (compulsory ) showed only small positive changes -it needs to be thought relevant by participants not just politicians, with adequate training for those giving feedback and adequate resources to support reflective practice. If there is no real support then revalidation cannot succeed in improving practise. It will be just another political gesture but perhaps that's all its meant to be.
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