Appraisal plan 'too bureaucratic' warns RCGP

Plans for strengthened appraisal as part of the revalidation process are too bureaucratic, the RCGP has warned.

Professor Pringle: asking doctors to map their evidence for strengthened appraisal is 'unnecessary' (Photograph: David Solomons)
Professor Pringle: asking doctors to map their evidence for strengthened appraisal is 'unnecessary' (Photograph: David Solomons)

RCGP revalidation lead Professor Mike Pringle told GP that asking doctors to map their evidence for strengthened appraisal against the 12 attributes set out in the GMC's Good Medical Practice guide was 'unnecessary and bureaucratic'.

'We should avoid asking doctors to map supporting information to the attributes,' he said.

The comments echo concerns raised by the Academy of Medical Royal Colleges in evidence to the House of Commons health select committee.

Professor Peter Furness, the academy's lead for revalidation, told MPs last week that current requirements were 'inefficient'.

The 12 attributes should only be used after concerns had been identified about an individual doctor, he argued.

He said the academy could back the strengthened plans if the GMC could agree that the 12 points 'slip into the background' unless a problem emerges.

But he warned: 'If it insists on those 12 attributes being ticked off at each appraisal then I think we are quite a way apart.'

Meanwhile, concerns were raised by the select committee about how long it has taken for revalidation to start.

GMC chief executive Niall Dickson said he would make no apology, arguing that the profession was not 'in the right place' 10 years ago.

'I don't think we are going to sit and defend the fact that it has taken this long to get where we are,' he said. 'In the past couple of years and last year we have made very significant process. I don't see crowds with placards saying: "Give me revalidation, now."'

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