LMCs call for revalidation and appraisal overhaul

GPs who have had five consecutive 'successful' appraisals should only be required to participate in a full appraisal every three years and the revalidation cycle should change from five to six years, LMC leaders say.

A motion listed for debate at this year's UK LMCs conference, which takes place in Belfast on the 19 and 20 March, will call on the GPC to work with the GMC and other NHS bodies to overhaul revalidation and appraisal.

LMCs leaders will argue that the appraisal system should return to a formative rather than summative process and say the emphasis should shift ‘from information gathering meetings to pastoral care and mentorship by appraisers’. They will also say that appraisal should provide opportunities to offer 'practical support and assistance to colleagues in distress'.

The motion, which will be put forward by Nottinghamshire LMC, calls for the appraisal process to be 'streamlined' so that those GPs who have had five consecutive successful appraisals should only be required to undertake a full appraisal every three years, although annual probity statements would continue.

LMCs conference

Other motions up for debate include:

  • A demand that payments under the GP contract to reflect the number of patient contacts practices undertake as well as list size.
  • For the GPC to negotiate employment rights for salaried GPs working in roles outside GP practices, including non-clinical roles
  • Whether primary care networks will undermine the autonomy of GPs
  • Calls for IT solutions to be tested and approved in line with other medical and surgical interventions and that IT developers should be held legally and financially responsible if their product results in adverse outcomes for patients.
  • That the GPC should negotiate for GPs to be able to adjust their percentage contribution to the NHS Pension Scheme on an annual basis and seek changes to the scheme help retain older GPs
  • ‘Radical’ changes to GP training that would see trainees spend more time in general practice

LMCs will also call for policymakers to prioritise improving GP continuity of care over extended access, arguing that there is mounting evidence that this would be a more cost-effective way of achieving positive health outcomes. A study published last year found that GP continuity of care was directly linked to lower death rates.

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