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NASGP CEO Dr Richard Fieldhouse attends the RCGP's bi-monthly Revalidation Stakeholder Group meeting...

12th March 2009
There's no doubt that sessional GPs are being listened too; updated documents are now beginning to show the fruits of our labours. This week's Revalidation Stakeholder Group was shown the latest in a long line of incarnations of its forthcoming guidance, being formally published by the RCGP in a few weeks. It's interesting too how the dialogue on revalidating locums seems to be changing - not so much 'How?' but more 'How much?' A sure sign of progress, but actually a question that I feel is going to be even tougher to answer.

The next stage now is to await the outcomes of the Revalidation pilots, as this should actually highlight the main areas where work needs to be done to hone down the details of how we can actually collect 'evidence' for locum appraisal.
 
26th February 2009
Returning home now from today's RCGP Focus Group on Revalidation for Sessional GPs. On the one hand, a very exciting meeting. The college has done excellent job in assembling an eclectic mixture of Sessional GPs, and the 3-hour workshop certainly raised a lot of specific issues. But on the other hand, somewhat depressing! That's not a criticism at all; in fact, so effective was the format - a progress report on where the college is at with revalidation, an excellent overview by the GPC Subcommittee on issues faced by Sessional GPs and my own overview of the NASGP's aFGP Scheme and locum support teams - that the subsequent break-out groups were able to dig very deep into specific issues that locums may be facing over the next few years. The deeper one digs, however, the more complicated the solution seems to appear - at least to me. I have no doubt that a solution is deliverable, but suspect it's going involve a lot more development than we'd hoped.
20th February 2009
Now gearing up for next Thursday's meeting at the RCGP to discuss revalidation for locum GPs. last month I emailed all our groups seeking 6 delegates to join me, and received 10 very enthusiastic replies. For those that are unable to attend, we've 'buddied up' online in a collaborative file-share area to discuss papers, ideas etc. I think we're knocking on an open door here, but need to define a simple strategy that will actually deliver tangible support. The solution is going to cost, but who is going to pay for it...
 
7th December 2008
I'm becoming increasingly disheartened that Plan B for revalidation will simply be, for those who haven't got enough support to get through the 'conventional' route, to sit the MRCGP. And considering that it's the RCGP delivering revalidation, it's a somewhat disingenuous situation whereby we're potentially ending up lining the pockets of those who've left us in the lurch. I've written to the RCGP pointing this out, and have already had an acknowledgment that they will meet.
 
20th November 2008

I’ve just returned from the bi-monthly meeting of the RCGP’s Revalidation Stakeholder Group, so I thought I’d give you a brief update. Please bear in mind that a lot of what goes on in these meetings is still “under development” so I’m talking mostly in general terms.

When I’ve got my revalidation hat on, I talk mostly in terms of locums as, generally, salaried GPs will be covered by practice based systems:

  • Audit – probably looking like every GP – locums of course included - will have to do a clinical audit cycle twice every 5 years. In my opinion, locums who are spread among many practices and/or who are isolated from other locums could find this really tough. What I’d really appreciate here is your help – please, I’d love to hear from any of your locum members who’ve done some audit on their locum practise so that I can further develop the Audit For Locums section on the NASGP website at www.nasgp.org.uk/cpd/audit so that we’ve all got a central resource for ideas over the coming months and years.

  • MSF – I thought this was something to do with DIY before I realised it stands for Multi-Source Feedback or 360 feedback. Again – a couple of times possibly (I did say it was all still vague, didn’t I?) over the course of the 5 year revalidation cycle. As locums, we’re going to have to apply to colleagues –either other GP locums or GPs in practices where we’re “well known” – to formally provide us with feedback on our clinical ability and professional behaviour from up to 5 clinicians and/or other non-clinical staff. Again, any experiences from you in doing this as a locum would be really helpful.

  • I did get a tadge irritated today as yet again I felt we (all 15,000 of us!!) were being overlooked on the issue of complaints – not so much how locums are involved in the process, more the fact we’re often entirely overlooked and simply aren’t told about them – just not booked again! The solution, I fear, warrants a tidal shift in the attitude of many practices (which is why we so need the NASGP).

 

25th September 2008
  • The RCGP has assured locums that we will be involved in the piloting wave coming up over this winter.  If it’s something you would particularly like to be involved with, we will be happy to pass on your details to the RCGP.
  • All GPs will be required to submit at least five significant events a year as evidence for their revalidation – see our website for suggestions about this.
  • You will no doubt already know that we’ll have to provide evidence of having achieved 50 credits a year for participating in CPD – if you haven’t already done so, make sure your Sessional GP Group, and any informal journal clubs you belong to, applies to its local Deanery for approval to ensure that your participation is being counted!
     
 
If you have any questions, please direct them to the NASGP Discussion forum www.nasgp.org.uk/forum in the dedicated Appraisal & Revalidation section – I’ll answer them there, and create from this a ‘Frequently Answered Question' section.

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