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GPs go forth

'Bulk of doctors' back revalidation processes, says GMC chief

The 'bulk of doctors' support having annual appraisals as part of the revalidation process as it leads to better patient care, the chief executive of the GMC has said.

Charlie Massey told delegates at Pulse Live that the annual appraisal and revalidation processes are leading to 'beneficial reflections', which 'one has to assume' are improving patient safety.

His comments came after he was was asked what evidence the GMC has that revalidation is improving patient care.

Mr Massey said that findings from the UMbRELLA group, a research group that has been evaluating the revalidation process since 2016, 'tells us that doctors have been reflecting as part of that process and that most of the time when they've been reflecting it has led to changes in practice and one has to assume that those changes in practice are the ones that lead to benefits in patient safety'.

He added: 'I do think that the fact that the bulk of doctors are saying that having gone through the annual appraisal process, that that is leading to a beneficial reflection is something that one should - and keep being beneficial to patients.'

According to GMC guidance, doctors are required to have regular appraisals in order to revalidate every five years. 

But Mr Massey said that the regulator is taking a ‘range of different actions’ based on the Sir Keith Pearson review of revalidation including to ‘reduce burdens’ placed on doctors by their local employer.

He said: ‘A lot of the things that people described as burdens being borne out of the revalidation process are actually borne out of what local employers are deciding in terms of their in house process.

‘So I think there is a really important piece of work, which we have the intention of doing, in terms of really stripping it back and defining what revalidation is about.’

GPs have been concerned about revalidation and the use of their reflections since the Dr Bawa-Garba case, when it was suggested that the junior doctor's reflections had been used against her in court.

However, Medical Protection Society (MPS), which represented Dr Bawa-Garba in court, issued a statement to say that her e-portfolio reflections were never submitted to court.

Mr Massey said that 'being reflective is a really important part of medical professionalism' and despite 'lots of misunderstandings' over the use the reflections, the GMC maintains that it 'will never ask a doctor or a third party for their reflective notes'.

As part of evidence submitted to the Department of Health and Social Care's Williams Review into gross negligence manslaughter in medicine, the GMC called for doctors' reflections to be legally protected against use in court.

Readers' comments (29)

  • I contributed to that UMbRELLA survey but wasn't one of the bulk approvers. As far as I recall it was a self selecting sample of volunteers. I bailed out at the 'can you do a video?' stage as it was clearly aimed at supporting the process rather than properly reviewing it. Appraisal is still a good idea, just not the way its done by the GMC, revalidation is different, 'beneficial reflections' happen without either process Charlie.

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  • Umbrella Interim Report January 2016, p7 para2 from GMC website:

    executive summary
    'less than half of respondents agreed that appraisal is an effective way to help improve clinical practice (9,833/23,514 = 41.8%). Responding doctors were divided in their opinions about the impact of revalidation on appraisal with less than a third believing that revalidation has had a somewhat or very positive impact on appraisal (8,412/25,983 = 32.3%).'

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  • Copernicus, you are a genius.

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  • What’s the difference between revalidation and a colonoscopy?
    The preparation is a pain in the **se, the procedure is a pain in the **se - but there is a proven benefit to a colonoscopy.

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  • David Banner

    How I look forward to that magic month before appraisal - rooting around for certificates, weekends lost filling in BS “reflections”, dreaming up PDP items that require no work, finding excuses for last year’s neglected PDP, uploading reams of certificates, digging out complaints, begging colleagues & patients for meaningless feedback, nicking someone’s audit to claim as my own,,,,,,,,,oh, and paying an annual subscription to the online provider for the privilege.

    Look, I don’t want to return to the Wild West days of the 90s when you could go decades without any education, but the current Kafkaesque nightmare of meaningless, petty, pointless beaureaucratic annual appraisal is a grotesque over reaction. In the early 2000s a friendly appraiser leafed through your certificates to ensure you were keeping up, then had a cosy fireside supportive chat. And what was wrong with that???

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  • Methinks he assumes too much!
    Management speak gobbledegook borne of misinformation and wishful thinking.

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    Why would anyone actually want to be an Appraisor let alone be Appraised..
    by the process as it is...
    It seems anyone can become an appraisor
    You just have to be anal enough to want to be one

    Better to whip than to be whipped?
    Better than actually seeing patients???
    Pseudo intellectual appearance.?

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  • Does the GMC chief get his anti-psychotics prescribed by an online service? Can we get him to repeat this whilst attached to a polygraph? Hang on, his nose is getting longer.....

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