1	From GPR to GP- PDP planning and appraisal Dr Di Jelley Collingwood Surgery Tel 2571779 Di.Jelley@gp-A87004.nhs.uk
2	The Personal Development Planning Process- a summary Why bother? What to do now? Appraisal forms Producing your first PDP
3	Why bother? What is appraisal? Appraisal and revalidation Annual appraisal as a contractual requirement for all GPs Summative assessment, appraisal,MRCGP, PDPs -all linked processes
4	Appraisal “Appraisal is a formative and developmental process. It is about identifying development needs, not performance management. It is a positive process to give GPs feedback on their past performance and to chart continuing progress.” “GP appraisal will be carried out by a suitably trained GP peer.”   Department of Health
5	The process of appraisal for GPs An annual interview with a trained GP appraiser in which you and your appraiser jointly review your performance in the nine areas of Good Medical Practice Pre-appraisal preparation-completion of forms- and the appraisal interview should take place in funded protected time The outcome of appraisal is your PDP
6	Appraisal and revalidation Revalidation will occur 5 yearly for all doctors Completion of successful annual appraisals based on the categories of Good Medical Practice is likely to lead to revalidation Each annual appraisal will review progress and achievements based on your PDP GPRs are not likely to be revalidated until 5 years post completion of summative assessment
7	Annual appraisal as a contractual requirement All GPs will be annually appraised-this includes non-principals from 1/4/03 As a non-principal your base PCT, where you are on the supplementary list, will be responsible for organising and funding your appraisal As a GP principal or salaried partner your practice PCT will oversee your appraisal Participation in appraisal is an obligation not an option
8	Summative assessment,PDPs MRCGP+appraisal are all linked Preparation for SA and MRCGP will mean you are well aware of strengths and weaknesses in terms of clinical performance Teaching with your trainer  on a regular basis will provide feedback in other areas You will therefore already have most of the information available to fill in appraisal forms If you have an ‘appraisal interview’ at the end of Phase 3, you can then write your 1st PDP and be ready for your  appraisal the following year
9	What to do now (1) Become familiar with the DOH appraisal documentation-read the GPR to GP file Visit the SCHIN ‘appraisal toolkit’ website Read and reflect on the competency criteria listed in each section of GMP-in your file After 4-5 months of phase 3, fill in Forms 1,2 and 3 and arrange a date to discuss them with your trainer-assemble any supporting evidence
10	What to do now (2) Prepare for the appraisal interview by reflecting on where you are now, and what are your development needs over the next year Give your trainer Form 3, and any supporting evidence ,at least a week before the appraisal meeting, which is likely to be held near the end of Phase 3
11	Appraisal Forms (1and 2) These contain basic biographical details-Form 1-which can be used each year if stored electronically Form 2 describes your responsibilities within the practice and records information about any outside appointments or interests Fill in as much of these as you can at this stage and store the information
12	Form 3 This constitutes the major part of your preparation for appraisal It is divided into nine sections which parallel those in Good Medical Practice-only the first four sections are relevant for most GPRs at the end of phase 3 Each section has the same format-looking at strengths and weaknesses, areas for development and constraining factors
13	Form 3 –section 1- Good Clinical Care Identify your own clinical strengths and weaknesses from your SA preparation and trainer feedback-what evidence do you have eg CDRoms, MRCGP papers, written  trainer feedback Consider what are the main development areas you wish to focus on in the next year Reflect on what might stop you from achieving your aims and how these barriers might be overcome
14	Form 3 – section 2- Maintaining good practice What have you done to improve your knowledge and skills in the last year-GPRs should have plenty to write here What have been your more productive learning activities What factors might constrain you in adequately building on and maintaining these skills How do you see your job and career developing over the next few years
15	Form 3 –section 3 Relationships with patients You will have some feedback from your trainer on this from watching videos, joint consultations etc You may have had some direct +ve or –ve feedback from patients-reflect on what are your strengths and weaknesses in this area now What are your development/training needs in this area Consider how you could make your approach more patient-centred
16	Form 3-section 4- Working with colleagues You may have some direct feedback from your trainer via the STAR rating or from other surveys Reflect on your contributions to any team meetings or other events at your training practice Consider what your strengths are in this area and what you need to work on
17	Form 3- sections 5,6,7,8,9 These cover teaching activity,probity, management, research and health Individual GPRs may have relevant health issues although it is unlikely these will be revealed for the first time at an appraisal Very few GPRs will have anything to put into these other sections now unless they have specific development aims in terms of management or teaching that they wish to include in their PDP
18	Producing your PDP (1) At the appraisal meeting your trainer will ask you to go through Form 3,discussing all the key areas and providing comment and feedback For each of the sections 1-3 of Form 3 you will agree one or two development areas that you wish to focus on during the next year
19	Producing your PDP (2) When the discussion is finished ,you and your trainer will agree the summary points and development needs that you have both agreed for each section of Form 3 It is useful also to agree what evidence should be collected to help prepare for your first formal appraisal in a year’s time After the session you need to spend a short time transferring the development needs from Form 4 onto your PDP template, adding outcomes + dates
20	Conclusions-by going through this process you will….. Know what is required of you for your first formal appraisal a year after you complete your VTS Have a PDP to guide your learning and educational planning over the next year Encourage your trainer to provide coherent and systematic feedback on your phase 3 performance Be ‘ahead of the game’ if you move to work in another Deanery!

• Brad Cheek: last updated Dec 2006
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