GP leaders accused the GMC of 'shirking responsibility' after Professor Malcolm Lewis, representing the regulator, yesterday told the conference that how appraisal worked locally was not for the GMC to decide.
GPC revalidation lead Dr Dean Marshall said revalidation would be the GPC’s ‘big fight’. He said current proposals for revalidation will require an appraisal from the last year or 18 months as well as multisource feedback.
On appraisals he said: ‘The GMC is shirking from its responsibilities for not sorting this out. It is not acceptable. I would like you to ram that message home to them.’
He received a round of applause when he said LMCs see the doctors who are worried about revalidation and it is unfair of the GMC to say it will only be a problem for a few people.
Dr Marshall said: ‘This is their livelihood and their career. It is completely unacceptable. The GMC has made a complete hash of this.’
LMCs backed motions noting the ‘current attempts by some deaneries, strategic health authorities, primary care organisations and other NHS authorities within the British Isles to introduce enhanced appraisal for GPs by the back door’.
Dr Rachel Tinker from Derby and Derbyshire LMC said the attitude of some PCTs which claim that GPs should be doing ‘preparatory work’ now to prepare for enhanced appraisals needs to be challenged. Dr Tinker added: ‘There is no legal or contractual basis for GPs to produce this extra evidence.’
The conference voted unanimously for motions calling for revalidation not to go ahead ‘without adequate arrangements for remediation which are no more burdensome for GPs than other doctors, without proper arrangements for all types of GP, which will call doctors for revalidation on a random basis and will not result in an increase in GMC fees'.
A further block of motions put forward by Dr Paddy Glackin from Camden and Islington LMC were also voted through unanimously. They called for the role of the responsible officer to be separated from any performance manager role of GPs ‘contractual or otherwise’.