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Appendix 1: Assessment blueprint with capability standards

● = Assessments that can provide strong evidence of capability for CCT
○ = Assessments that can provide some supporting evidence of capability but require triangulation
– = This assessment does not provide evidence of capability

Area of capability: Knowing yourself and relating to others


CAT / CbDCOTMiniCEXCEPSPSQMSF / LMSFCSRPrescribingQIP / QIA / LAWPBA - AllAKTSCA
Fitness to practise
Demonstrating the attitudes and behaviours expected of a good doctor












Managing the factors that influence your performance












Promoting health and wellbeing in yourself and colleagues












An ethical approach
Treating others fairly and with respect and acting without discrimination or prejudice












Providing care with compassion and kindness












Promoting an environment of inclusivity, safety, cultural humility and freedom to speak up












Communicating and consulting
Establishing effective partnerships through a range of in-person and remote consulting modalities












Managing the additional challenge of consultations with patients who have particular communication needs, or who have different languages, cultures, beliefs and educational backgrounds, to your own












Maintaining continuing relationships with patients, carers and families












Area of capability: Applying clinical knowledge and skill


CAT / CbDCOTMiniCEXCEPSPSQMSF / LMSFCSRPrescribingQIP / QIA / LAWPBA - AllAKTSCA
Data gathering and interpretation
Applying an organised approach to data gathering and investigation











Interpreting findings accurately and appropriately











Clinical examination and procedural skills
Demonstrating a proficient approach to clinical examination and procedural skills












Decision-making and diagnosis
Adopting appropriate decision-making principles based on shared understanding












Using best available, current, valid and relevant evidence












Clinical management
Providing collaborative clinical care to patients that supports their autonomy












Using a reasoned approach to clinical management that includes supported self-care












Making appropriate use of other professionals and services












Providing urgent care when needed












Area of capability: Managing complex and long-term care


CAT / CbDCOTMiniCEXCEPSPSQMSF / LMSFCSRPrescribingQIP / QIA / LAWPBA - AllAKTSCA
Medical complexity
Enabling people living with long-term conditions to optimise their health












Using a personalised approach to manage and monitor concurrent health problems for individual patients












Managing risk and uncertainty while adopting safe and effective approaches for patients with complex needs












Co-ordinating and overseeing patient care across healthcare systems












Team working
Working as an effective member of multiprofessional and diverse teams












Leading and co-ordinating a team-based approach to patient care












Area of capability: Working well in organisations and systems of care


CAT / CbDCOTMiniCEXCEPSPSQMSF / LMSFCSRPrescribingQIP / QIA / LAWPBA - AllAKTSCA
Performance, learning and teaching
Continuously evaluating and improving the care you provide












Adopting a safe and evidence-informed approach to improve quality of care












Supporting the education and professional development of colleagues












Organisation, management, and leadership
Advocating for medical generalism in healthcare












Applying leadership skills to improve your organisation’s performance












Making effective use of data, technology and communication systems to provide better patient care












Developing the financial and business skills required for your role












Area of capability: Caring for the whole person, the wider community and the environment


CAT / CbDCOTMiniCEXCEPSPSQMSF / LMSFCSRPrescribingQIP / QIA / LAWPBA - AllAKTSCA
Holistic practice, health promotion and safeguarding
Demonstrating the holistic mindset of a generalist medical practitioner












Supporting people through their experiences of health, illness and recovery with a personalised approach












Safeguarding individuals, families and local populations












Community health and environmental sustainability
Understanding the health service and your role within it












Building relationships with the communities in which you work












Promoting population and planetary health












Appendix 2: Core capabilities mapped to GMC generic professional capabilities

GMC generic professional capability (GPCs)
Core capabilities for general practice mapped to the GPCs
Professional values
Fitness to practise
An ethical approach
Professional skillsCommunicating and consulting
Data gathering and interpretation
Clinical examination and procedural skills

Medical complexity

Decision-making and diagnosis

Professional knowledgeClinical management
Community health and environmental sustainability

Health promotion

Safeguarding

Holistic practice, health promotion and safeguarding
LeadershipOrganisation management and leadership
Team working

Research

Safety and quality improvement

Education

Performance, learning and teaching

Appendix 3: Core curriculum capabilities and learning outcomes mapped to GMC’s Good medical practice 2024

Domains1. Knowledge, skills and development2. Patients, partnership and communication3. Colleagues, culture and safety4. Trust and professionalism
Knowing yourself and relating to others
  • Demonstrate the attitudes and behaviours expected of a good doctor (applies to all GMP domains)
  • Establish an effective partnership through a range of in-person and remote consulting modalities
  • Manage the additional challenge of consultations with patients who have communication needs, or who have different languages, cultures, beliefs and educational backgrounds, to your own 
  • Maintain a continuing relationship with patients, carers and families
  • Treat others fairly and with respect, acting without discrimination
  • Promote health and wellbeing in yourself and colleagues
  • Promote an environment of inclusivity, safety, cultural humility and freedom to speak up
  • Provide care with compassion and kindness
  • Manage the factors that influence your performance
Applying clinical knowledge and skill
  • Apply a structured approach to data gathering and investigation 
  • Interpret findings accurately to reach a diagnosis
  • Demonstrate a proficient approach to clinical examination and performance of procedures
  • Provide general clinical care to patients of all ages and backgrounds
  • Provide collaborative clinical care to patients that supports their autonomy
  • Use a reasoned approach to clinical management that includes supported self-care 
  • Make appropriate use of other professionals and services
  • Adopt a structured approach to clinical management
  • Provide urgent care when needed
  • Adopt appropriate decision-making principles 
  • Use best available, current, valid and relevant evidence
  • Apply a scientific and evidence-based approach
  • Provide urgent care when needed
Managing complex and long-term care
  • Manage concurrent health problems within an individual patient
  • Manage risk and uncertainty while adopting safe and effective approaches for patients with complex needs
  • Enable people living with long-term health conditions to optimise their health
  • Use a personalised approach to manage and monitor concurrent health problems for individual patients
  • Adopt safe and effective approaches for patients with complex health needs 
  • Work as an effective team member 
  • Lead and coordinate a team-based approach to the care of patients
  • Support continuity of care
  • Coordinate and oversee patient care across healthcare systems
Working in organisations and systems of care
  • Adopt a safe and evidence-informed approach to improve quality of care
  • Make effective use of data, technology and communication systems to provide better patient care
  • Support the education and development of colleagues
  • Apply leadership skills to improve your organisation's performance
  • Advocate for medical generalism in healthcare 
  • Continuously evaluate and improve the care you provide
  • Develop the financial and business skills required for your role
Caring for the whole person, the wider community and the environment
  • Demonstrate the holistic mindset of a generalist medical practitioner
  • Support people through experiences of health, illness and recovery with a personalised approach
  • Build relationships with the communities in which you work
  • Safeguard individuals, families and local populations 
  • Promote population and planetary health
  • Understand the health service and your role within it

References

  1. ^ Royal College of General Practitioners. Definition of a GP. Consensus statement September 2023. www.rcgp.org.uk/about
  2. ^ NHS England. Standard General Medical Services Contract 2024/25. NHSE, 2024. www.england.nhs.uk/publication/standard-general-medical-services-contract-24-25/
  3. ^ Royal College of General Practitioners. Continuity of care work at RCGP. RCGP, 2021. www.rcgp.org.uk/blog/continuity-of-care-work-at-rcgp
  4. ^ Training the future GP
  5. ^ Adapted from an original image published by the GMC in “Generic professional capabilities framework” (https://www.gmc-uk.org/-/media/documents/generic-professional-capabilities-framework_pdf-108338152.pdf) © 2017 General Medical Council
  6. ^ General Medical Council. Good medical practice. GMC, 2024. www.gmc-uk.org/professional-standards/the-professional-standards/good-medical-practice 
  7. ^ NHS England. The NHS Long Term Workforce Plan. NHSE, 2023. www.england.nhs.uk/publication/nhs-long-term-workforce-plan. The plan is an NHS England initiative, and does not apply to all four UK nations.
  8. ^ This is indicative – the Statutory Education Bodies (SEBs) in the four devolved nations have flexibility in how they approach this.
  9. ^ Modified from principles in Anderson LW, Krathwohl DR (eds). A Taxonomy for Learning, Teaching, and Assessing: A Revision of Bloom’s Taxonomy of Educational Objectives. New York: Longman, 2001.
  10. ^ As found in “Good medical practice” https://www.gmc-uk.org/professional-standards/the-professional-standards/good-medical-practice/the-duties-of-medical-professionals-registered-with-the-gmc
  11. ^ Freeman, Thomas R., McWhinney's Textbook of Family Medicine, 4 edn (New York, 2016; online edn, Oxford Academic, 1 Apr. 2016), https://doi.org/10.1093/med/9780199370689.001.0001, accessed 4 Jan. 2025.
  12. ^ Marinker M (1989) General practice and the social market (Social Market Foundation, London)
  13. ^ Kemper KJ. Holistic pediatrics = good medicine. Pediatrics 2000; 105:214–18 https://doi.org/10.1542/peds.105.S2.214
  14. https://www.susqi.org/the-susqi-education-project