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Collect feedback following every GP-patient interaction, says GMC report

Patients should be able to give feedback that goes straight into their GP's revalidation portfolio after every interaction, the GMC’s lead on revalidation reform has suggested.

Sir Keith Pearson, the GMC's revalidation programme board chair, said plans to pre-populate patient feedback when a GP goes to revalidate 'could include' using social media sources.

Other options could include patients filling in a questionnaire in the waiting room following every consultation, he added.

Sir Keith said this comes as patients find current mechanisms for gathering patient feedback via questionnaires every five years to not be timely enough, and they fear their care could suffer if they express negative opinions.

Sir Keith said in his report, which looks at how revalidation can be improved in the next five years: 'I am interested in the concept of "real time" feedback; feedback that could take place following any or all interactions a patient has with a doctor…

‘Patients have said that this would be more convenient and would make the process less daunting for them.'

The report also carried recommendations to reduce the workload burden on GPs associated with revalidation.

It said: ‘[Objections] centre in particular on the cost-benefit balance: the time they spend on activities related to revalidation versus the benefits they perceive for themselves and patients.’

Amid suggestions on how to tackle the problem, Sir Keith says the GMC ‘should continue its work with the CQC and NHSE in england to reduce workload and duplication for GPs, and work with relevant organisations in Northern Ireland, Scotland and Wales to identify and respond to any similar issues if they emerge’.

He also recommends IT systems are upgraded to make the process simpler for GPs to go through, and that the GMC ensures there is better support available for locum doctors to revalidate.

Other recommendations in the report include:

  • Changing the name of revalidation to relicensing, which he thinks would be more ‘meaningful’ to patients;
  • Earlier revalidation for newly-licensed GPs and GPs coming from overseas;
  • Tracking impact of revalidation on patient care and safety;
  • Reviewing revalidation requirements to ensure managers are not using it to deliver local performance targets;
  • Reviewing how responsible officer conflicts of interest are managed.

The GMC's chief executive Charlie Massey welcomed the 'well-evidenced and balanced' report and said he was 'determined to take forward all of Sir Keith’s recommendations with vigour'.

BMA chair Dr Mark Porter said: 'While many of the recommendations will be broadly welcomed by doctors, it not yet clear how these will be turned into a reality.

'The BMA will continue to press the GMC and other bodies about the actions needed to relieve the unnecessary burden that revalidation can sometimes place on doctors, in order to ensure the process delivers for patients, doctors and the NHS.'

 

Readers' comments (55)

  • What a nutter
    Now we have nano even pico overmanagement
    Next it will be quantum level
    STAGERRINGLY INSANE
    I assume he will naturally subject himself to the same system
    Fanatic lunatics like this..I am amazed a single dr wants to work in uk now

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  • This is what happens when Doctors stop being clinicians and take up administrative roles - like GMC board members, portfolio GPs, etc - they end up having dysfunctional brains.

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  • There is a really interesting series of podcasts from freakonomics presenting information that persistent patient feedback is not really the most appropriate way to assess a doctors performance and may actually be responsible for increased consumerism of medicine and result in over investigating, medicalisation and over treating. They particularly pay attention to the management of pain and the mismatch between best practice and patients expectation. Patient opinion is important but being so biased in its use as evaluating a doctors practice could inadvertently cause more harm than good.

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  • NHS choices comes to mind,mostly negative feedback the positives can't be bothered.

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  • Owning a small hotel, I am fully aware of the power of Tripadvisor. Guests want to be pampered, cared for and everything has to be to their liking. Only small boutique hotels are able to achieve top listing, where one can deliver a personal service. Doesn't sound like the future of GP with 200,000 patient practices / companies with patients increasingly being denied their demands for MRI scans for every headache, refused IVF... What is worse is that doctors will be 'personally' blamed for refusal to carry out these demands, rather than patients directing their anger towards the various large GP organisations that create the barriers.

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  • Are we surprised that this attack on GP/doctor is coming from every angle. It's all pointing toward privatization. When patients start paying for every scan/blood test or referral to specialist they demand we will be doing it more willingly as there wont be pressure from any authority to reduce demand as burden will be on patients. Doctors hospitals wont be under strain of over activity as all activities will be self regulated by patients ability to pay. Unfortunately this will be end of the NHS we have known for last 60 years. But who's fault it is ? government? patients ?. Everybody knows answer to that. There is no point in we getting stressed as writing is on the wall & not much we can do about it unless most of want to work for less and less money year after year. We just wait till lights turn off on NHS.

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  • how can Dr Potter of BMA know that "many recommendations will be broadly welcomed by doctors"?
    I know I wasn't asked for an opinion. Was anyone else?

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  • Why not put postings on Tripadvisor as well.

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  • SAVE MONEY-CALL IN "SIR" KEITH-EXPLAIN TO HIM TO "CLEAR HIS DESK, HAND BACK HIS ID BADGE AND EXIT THE BUILDING"....

    SOME OF THESE SUGGESTIONS GO BEYOND DANGEROUS MUDDLED THINKING...REAL TIME FEEDBACK...SO IF I DON'T DOLE OUT CODEINE OR ANTIBIOTICS THEN MY REVALIDATION IS AT RISK FROM IMPULSIVE FEEDBACK.....

    I AM PERSONALLY INSULTED BY SIR KEITH AND DEMAND AN IMMEDIATE APOLOGY TO GPs-I MEAN IT AN APOLOGY.

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  • Perhaps Sir Keith could trial this for us by asking every single person he has any professional contact with over the next 5 years to fill out an extensive feedback form? Perhaps each one could also be context-free and with no right of reply? Perhaps we could start with the feedback of 40k GPs, with the proviso that if he scores below 50% approval he goes away and doesn't bother us anymore with this guff, leaving us to struggle in a collapsing service where over-regulation is part of the problem?

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