GP APPRAISAL SCHEME
Annual Update
Dr Abhi MantganiMedical Director, Wirral PCT
Lead for GP Appraisal
Purpose of Appraisal in NHS
• The purpose of NHS Appraisal Scheme is to improve patient care through motivating people and identifying potential
• “… is a positive process to give GPs feedback on their past performance, to chart their continuing progress and to identify development needs.”
Key Achievements to date
• BKW PCT achieved 100% appraisal of all principals in 2002-2006 and of all non-principals from 2003 onwards. – First PCT to achieve standard.
• Wirral PCT achieving 100% status since reorganisation.
• Large pool of GP’s.
• Locally developed training for appraisers.
Wirral Perspective 2006-07
• BWW Locality – Achieved 100% coverage including backlog from previous year.
• Implemented single pool of appraisers and allocation of appraisers.
• Improved documentation and communication.
• Target 100% achievement of appraisals across Wirral.
Key Messages and Concerns
• Keeping up to date ( 133 )
• Practice Management and Delivering Access ( 86 )
• Teaching ( 69 )
• Management skills ( 52 )
• Work life balance ( 60 )
• Patient Survey / Feedback ( 56 )
• Premises (26 )
• I.T / Choose & Book ( 22 )
Key Themes from PDP
• Principals
- Family Planning & Women’s health
- Dermatology
- Chronic Disease Management - Diabetes- CKD- Minor Surgery- Respiratory- Mental Health- CHD
PCT Action Points• Locality protected learning events
• Educational sessions on CHD, Diabetes, CKD, Dermatology, Heart Failure
• Mental Health
• Respiratory/Spirometry
• Use of Diagnostics
• Planned sessions on Maternity, Gynaecology, Family Planning, Case Management
• Training/Educational sessions in use of equipment – Audiometry, Coagucheck, etc
Summary• Appraisal scheme well established across the whole of the PCT
• Achieving 100% of target
• Effective as a formative process and may become the tool for revalidation process
• Need to explore through pilot newer standards and methodology including 360 degree appraisal
• Consider using QOF and PCT benchmarking scores alongside other evidence
• Extending a modified scheme to support GPSI’s