What to Include
It is important to include evidence of learning, reflection and outcomes ie improvement in practice or patient care. Please do not include copies of journals or papers you may have read – it is more relevant to demonstrate what you have learned from your reading/attendance at a course and how you have changed your practice as a result of that learning.
The following is a guide of the evidence that should be included in your appraisal paperwork.
Continuing Professional Development
Extent and nature of CPD – including a minimum of 50 credits per year (with one credit being broadly equivalent to one hour of learning).
Critical Incidents and Complaints
These are especially useful if they have been discussed in the practice and have identified a learning need or led to a change of practice
Knowledge 'holes' identified in clinical practice
Sometimes known as 'puns' and 'dens' or sticky moments. Times when you know that having a wider knowledge or a particular skill would have enabled you to deal more effectively with the situation.
Audits carried out personally or in the practice
Personal involvement in the process and 'ownership' of the outcome makes this a useful discussion point. It is less useful if it has been done by someone else and you do not fully understand the results
Prescribing and QoF Data
Significant changes in the practice
New buildings or extensions. New equipment such as telephone systems and computer systems. Retirement of and recruitment of new partners. Changes of dynamics in the team.
Constraints on effective working
Most of us face problems with funding but the biggest problem appears to be recruitment of doctors and practice nurses. A number of colleagues have highlighted cramped space as preventing the development of effective services.
Patient Survey
These are most useful if they are Dr specific. National survey data is available if a local survey has not been undertaken.
CPR/Child Protection
Evidence of keeping up to date in these fields is essential.
Multisource Feedback 360 degree appraisal
Referrals or relations with secondary care
Reflection/Appraisal in other roles eg GPwSI. PCT or training roles
Particularly of relevance is how your other role links in with or affects your role as a GP