This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

Gold, incentives and meh

Report this comment to a moderator

Please fill in the form below if you think a comment is unsuitable. Your comments will be sent to our moderator for review.

Report comment to moderator

Required fields.


Furious GPC negotiator predicts revalidation 'revolt' as GPs spend more than 40 hours preparing for appraisals


Dr Holden is 100% spot on about the feelings of the gross root GPs up and down the country. Last year I had to work weekends to prepare the documents for the Appraisal. I suddenly was exhausted and unable to have good nights sleep. I ended up seeing psychiatrist who suggested escitalopram but needed first cardiac check up, ended up having angiogram that showed 30% narrowing of the LAD artery without any symptoms.All the Appraisal data is the in tool kit & I decided to call it a day on 31.03.2013. Having worked as a successful GP since April 1982 , it felt humiliated to prove myself after all this experience. You are absolutely right , so called Shipman factor has consumed BMA and they never realise that those incidents happen once every 50 years or so. Besides if Shipman wasn't a Doctor , his personality disorder would have made him to do the same by using different strategy. Appraisal or revaluation has become commercialised and people promote their business by targeting Doctors. If you want to up-to date yourself in any field of General Practice, there is price tag attached. So called learning CPD in BMJ or Pulse Magazines have started putting a price tag too on their hourly topics. GP are already struggling with the time restrains in the surgeries as they have to enter all the unnecessary rubbish in the computer for the sake of achieving targets. Take the example of finding new patients of dementia or depression or angina in the preceding 12 months. If you don't have any, you score Zero points. What is poor GP supposed to do , make people demented to get points. In my last 2 years of the practice, my patients who have been with me for decades, always commented that Doctor - you have changed as you are always glued to the computer screen and don't have time anymore to talk to us like before. The whole system has been ruined by outsiders who don't have a clue about the Golden Concept of Family Doctors as it used to be called. Now it is like a Doctor -client relationship.180 or 360 degree tool revaluation test doesn't have any benefit whatsoever to Doctors or patients. Recently they are now focussing on lifestyle changes incentive programme and nurses have to go for training to be able to organise it for the Doctor. What a waste of nurses time as if she doesn't know how to address the issue of lifestyle changes. Come on , this is basic thing we have been doing as soon patients registers or if he or she is on chronic disease register template. There is a big section waiting : Smoking history , exercise history , BMI history etc & one has deal with this according to the answer given by the patient. What is so dramatic now to waste every bodies time on so called special training which will be repetition of what we already know. GP should have been approached in a most time friendly practicable manner for yearly Appraisals. Majority of us are good Doctors. Yes if somebody had been reported with significant genuine complaints, then that individual should have been informed according and offered necessary help by involving fellow practitioners. This way that under performing Doctor wouldn't have felt threatened. One can go on writing but in summery , I feel that whole procedure of Appraisal & revaluation is in a mess and BMA as a representative body needs to take a closer look again and listen to the comments of the gross root GPs , otherwise there is a danger that GP jobs may not be the top option for fresh medical Doctors in the future.

Posted date

27 Nov 2013

Posted time