Supporting information for physicians
The Royal College of Physicians of Edinburgh, the Royal College of Physicians and Surgeons of Glasgow and the Royal College of Physicians of London (RCP) have published physician guidance for appraisal and revalidation. The guidance offers practical examples of the types of supporting information that physicians might present at their annual appraisal and include in their revalidation portfolio. It has been collaboratively developed with all physician specialties and is applicable across the many areas of physician practice. The Faculty of Medical Leadership and Management have produced speciality guidance on appraisal for any doctor whose scope of practice includes leadership or managerial aspects.
The GMC handbook Effective governance to support medical revalidation advises those who sit on boards on how they can best check that their organisations have robust systems of appraisal and clinical governance in place to support revalidation as well as provide safe care to patients. It reflects a shared view that ‘systems supporting medical revalidation make an essential contribution to the improvement of quality and safety for patients.’
Employers have to make clinical governance information available and have a responsibility to support the capture of colleague and patient feedback through a tested and validated tool. There is no mandatory instrument i.e. some Trusts and Health Boards will have preferred instruments and local appraisal procedures should make this clear.
Tools and templates for supporting information
Revalidation requires every doctor to participate in systematic colleague and patient (or patient equivalent) feedback at least once in every 5 year revalidation cycle. Some employers may expect you to use specific tools and the College recommends you check locally before deciding which tool to use.
The College, jointly with the other Colleges of Physicians, has developed tools and templates to enable doctors to record and reflect upon their supporting information for appraisal and revalidation.
Review of your practice
Feedback on your practice
- Colleague feedback questionnaire
- Colleague feedback questionnaire (extended)
- Patient feedback questionnaire
- Guidance notes for appraisees
- Complaints summary template
- Compliments summary template
The GMC has published details of its own colleague and patient feedback instruments that have been developed and tested by Peninsular Medical School.
Personal clinical audit tool (p-CAT)
The RCP, in partnership with the Health Quality Improvement Partnership (HQIP), has developed the p-CAT. It guides the user through clinical audit, provides a place to record the action plan and completion of the audit cycle through re-auditing, provides a place to record reflection as a result of the audit and generates a report which can be used as supporting information.
The RCP is working with audit leads in the specialist societies to populate p-CAT with templates and sample audits to provide users with a suite of information on which to base their own audit records.