Supporting doctors in difficulty

If your appraiser or your responsible officer think that your eligibility for revalidation is in doubt, they should inform you straight away so you have the opportunity to put things right; revalidation is a continuous process, not a high-stakes examination at a fixed point in time.

Support and guidance for doctors

If you are experiencing difficulties, you should talk to your appraiser at the earliest opportunity. If this is not possible, you should speak to your primary care organisation. In addition, you may find the following resources helpful:

RCGP – Doctors in Difficulty (Q & A)

The RCGP Revalidation Question and Answer (Q & A) Bank provides an easy-to-navigate information resource, containing questions and answers developed by the RCGP Specialty Advisers with sample scenarios and links to relevant resources in each section. These resources are available to RCGP members and Revalidation ePortfolio users, and can be accessed by non-members after a short registration.

Please refer to the Doctors in Difficulty Q & A category.

http://www.rcgp.org.uk/revalidation-and-cpd/revalidation-additional-resources.aspx

NCAS – Advice for Practitioners

The National Clinical Assessment Service (NCAS) provide some useful tips for doctors on what to do if their performance is challenged.

http://www.ncas.nhs.uk/accessing-case-services/advice-for-practitioners/

BMA – Websites for doctors in difficultly

The British Medical Organisation (BMA) provide a directory to a range of charities and support organisations, some of which are not specific to health professionals.

http://bma.org.uk/practical-support-at-work/doctors-well-being/websites-for-doctors-in-difficulty

Additionally, the BMA provide a confidential, nationwide telephone support service for doctors, helping with a range of issues including depression, stress, bullying and substance misuse. Tel 08459 200 169

NHS Practitioner Health Programme

This is a free, confidential service for doctors and dentists living in London who have mental or physical health concerns and/or addiction problems

http://php.nhs.uk/

Health for Health Professionals

Health for Health Professionals supports doctors with health problems, their families and those involved in their treatment

http://www.h4hp.co.uk/

What should I do if I have concerns about patient safety?

The General Medical Council provide information for doctors and other health professionals who have concerns about a doctor and provide a confidential helpline.

http://www.gmc-uk.org/concerns/making_a_complaint/14027.asp

Setting standards for local investigation

The RCGP has worked with external partners to develop quality standards for the initial investigation of general practitioners where there are concerns. It plans, at the earliest opportunity, to work with external partners to develop national standards for the remediation of general practitioners, which can then be applied to a general practice context.

RCGP quality standards for the initial investigation of general practitioners when there are concerns (PDF)

Useful resources

GMC Information on Revalidation 

NCAS Back on Track Framework for Further Training

NCAS How to conduct a local performance investigation

NHS Revalidation Support Team - Supporting Doctors to Provide Safer Healthcare (PDF)

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