GP Appraisal and Revalidation
This page is for information only and contains links to various documents and areas which we are sure you will find useful. If you have a query which is not covered here, please don't contact the School of Primary Care as they don't deal with GP appraisals. You should contact the appraisal team whose contact details are given further down this page. Please note that the NHSE NE and Cumbria appraisal website now hosts all the relevant information on appraisal and revalidation in the NE and can be found here.
Revalidation is the means by which all GPs must demonstrate on a 5 yearly basis that they remain up to date and fit to practice. Revalidation depends on satisfactory engagement in annual appraisal, and a sign off from the designated body with whom the GP has a 'prescribed connection' as defined by the GMC that there are no unresolved performance concerns.
All GPs in England have a prescribed connection to NHS England, which has responsibility for appraisal and revalidation of GPs. Any doctor who wishes to work as a GP in any capacity whether as a practice - based GP or as a locum or in remote consulting or telephone triage will have NHSE as their designated body, even if most of their work in non-GP roles. Appraisal is administered locally by NHS England, North Cumbria and North East. In this region there are currently 2500 GPs (including postgraduate doctors in training), One Responsible Officer (RO), one Medical Director/Deputy RO and one Clinical Appraisal Lead. The Current team is as follows:
Responsible Officer - NHS England North East and Cumbria - Dr Jonathan Slade
Deputy Responsible Officer - Dr Tim Butler
Clinical Lead - NHS England Cumbria and North East - Dr Di Jelley
Your Revalidation date is fixed by the GMC and can be found by looking at your GMC account on line. In the 12 month period before this date your appraisal documentation will be reviewed by the RO/Deputy RO. You will be recommended for revalidation by the GMC if you have engaged in annual appraisal, and submitted an approved patient and colleague feedback tool at least once in the 5 years prior to your revalidation), and if you have no unresolved performance concerns.
If there are any concerns about your engagement in the appraisal process, or if you are missing any documentation, someone from the NHS England (Cumbria and North East) team will contact you for further information. If your last appraisal prior to your revalidation is not fully 'revalidation ready', and you have been asked to submit additional information, please make sure you that is sent to NHSE at least a month in advance by emailing England.firstname.lastname@example.org.
All doctors in the UK are required to have an appraisal each year-for GPs this is one of the conditions GPs must fulfill in order to stay on the National Performers List (NPL).
GP Appraisal is administered using the Revalidation Management System (RMS). https://rms.england.nhs.uk/Account/Login This allows you to log on and view your appraisal documentation at any time and provides NHSE with a means to support and monitor the engagement of every GP in the appraisal process and to facilitate their appraisal every 5 years. You should have been sent personal log in details for the RMS system when you joined the NPL after qualifying as a GP.. If you haven't received these, then contact the NHSE admin team via email at England.email@example.com. To access RMS click here.
Your appraisal should take place in your birthday month.
If there is good reason why you cannot have your appraisal in your birthday month, e.g. maternity leave, sick leave or sabbatical then please contact NHSE using the postponement form which can be obtained from England.firstname.lastname@example.org
Your appraiser will be allocated to you via a random process linked to RMS that takes into account geography and any conflicts of interest. You will be allocated to an appraiser who has signed up to appraise in your area - although you and your appraiser can agree to carry out your appraisal remotely using a video tool such as Teams, Zoom or SKYPE. If you wish to have face to face appraisal, your appraiser should travel to you unless you agree to an alternative arrangement.
Once you and your appraiser have agreed a date for your appraisal, either you or the appraiser must enter your chosen date onto RMS. If this is not done, you will continue to receive reminder emails to book your appraisal from RMS every month.
Further information on appraisal for both Trainers and ST3 postgraduate doctors in training
We recommend that all newly qualified GPs use Fourteen Fish to submit their documentation for appraisal, as this is closely linked to your trainee e-portfolio.
Supporting information for annual appraisal
When appraisal was re-started in October 2020 after the first wave of the Covid pandemic, the process was re-focused with a primary focus of health and well-being, plus achievements, challenges and aspirations. A new simplified medical appraisal template was introduced, which has been incorporated in the on-line appraisal toolkits. There was a significant reduction in preparation time and no requirement to include additional written supporting informtaion except for MSF/PSQ. This revised process has been very well received by doctors and appraiser and will be continued from 2022 going forward.
The core supporting information requirements are as follows, and will be delivered by completing the pre-appraisal forms in the appraisal toolkit:
- Scope of work and any changes that have occured since your last appraisal, and any planned changes for the next year - doctors with multiple roles will need to discuss these roles and how their work in them is reviewed and kept up to date, with their appraiser. You will need to record all your places of work since your last appraisal (not every pratcice for locums but any where you have worked for a few weeks or more), but there remains no need for written sign offs for these additional roles.
- Review of your PDP - what aims have been acheived and for those not completed, whether they are to be brought forward - if not then explain why.
- Your achievements, challenges and aspirations, personally and professionally, over the period since your last appraisal.
- Reflections on your personal and professional well-being - you will be asked to consider how you have been affected by the period since your last appraisal, whether you have needed any support if this has been available, and what you have done to maintain your health and well-being.
- CPD, QIA and patient and colleague feedback - this invites you to reflect on what you have done to keep up to date across your whole scope of work, and to describe what has been your most significant learning both in terms of CPD and other activities such as significant events, challenging cases, any QI activities and formal or informal feedback etc. What actions you have taken, or changes you have made, in response to these reflections and how effective have these changes been. Also consider what are your ongoing learning needs, and have you identified any future changes that you want to make in your practice.
- Any complaints or serious untoward incidents since your last appraisal should be listed and briefly described in outline, with no patient identifiable data.
- Any possible PDP aims for the next year should be listed.
- GPs working fewer than 40 sessions a year, should complete and submit the low volume template, or at least be ready to discuss all the questions on this template, at the appraisal meeting.
Please note - if you have any questions or problems with appraisal or the online system, please do not contact the School of Primary Care as they do not deal with GP appraisal. You will need to contact the dedicated appraisal team via email or telephone 0113 824 7242.