GP Peer Appraisal in Scotland: an Ongoing and Developing Exercise in Quality

Abstract

GP appraisal in Scotland is a strong and vibrant process. Not least this is due to NES's commitment to the ongoing development of its appraisers. Research suggests that the key to effective appraisal is the skill of the appraiser. Training in Scotland has developed using feedback from a wide range of sources. The move from information-based courses towards skills-based courses enhances appraiser development and allows the effective evaluation of appraiser competencies. With appraisal becoming a key element in the revalidation process the quality assurance of appraisal and appraisers becomes increasingly important.

Quality improvement and person-centredness: a participatory mixed methods study to develop the ‘always event’ concept for primary care

“…The person-centredness and QI agendas 4 27 form a key (but underdeveloped) element of, for example, general practice specialty training, 28 medical appraisal and regulation, 29 the Scottish Patient Safety Programme, 30 the pay-for-performance Quality and Outcomes Framework, 31 and arrangements for continuing professional development in the UK, thereby providing a range of potential opportunities to introduce the AE method into routine healthcare practice as part of existing educational and QI obligations. However, it is clear that care teams will require educational support to develop processes to help them collect relevant data, identify AEs, measure compliance and make meaningful improvements in care within their own work contexts.…”

How should we train consultant appraisers? Description and evaluation of a pilot training model developed in Scotland

“…Design of the pilot training programmes was undertaken by NES in consultation with secondary care tutors and Scottish Government Appraisal Leads. NES has considerable experience of designing training courses for GP appraisers which informed the design of the piloted training for consultant appraisers [11].…”

Knowing me, Knowing you: personality and peer appraisal

“…To encourage reflection and learning by appraisees in Scotland, GP appraiser training is evolving to improve the skills of appraisers. 1 The aim is to encourage appraisee reflection and learning by providing appropriate personal and professional challenges and constructive feedback in preparation for enhanced appraisal for revalidation.…”