Guidance for commissioners and appraisers

  • The RCGP Framework for GPs with Extended Roles (GPwER) defines what a GPwER is and provides a generic set of principles to underpin the governance of General Practitioners, regardless of the setting in which they work. 
  • The process of RCGP accreditation is about the individual and not the service. It is the responsibility of commissioning organisation to make sure that the service and premises meet the required standards, and ultimately decide whether a GP is competent to deliver an extended role. For more information refer to the 2018 RCGP Guidelines for Dermatology and Skin Surgery
  • For DES/LES (and other) models of skin surgery please refer to the relevant FAQ Q3
  • Successful candidates will be provided with one of the following  certificates:
    • Group 1 – GPwER in General Dermatology (the diagnosis and management of inflammatory skin disease, the diagnosis of skin lesions, and the non-surgical management of pre-cancerous lesions  and low-risk basal cell carcinoma)
    • Group 2 – Skin lesion management (the diagnosis and management of skin lesions, including low-risk BCC, using both surgical and non-surgical techniques)
    • Group 3 – Combines groups 1 and 2

The management of suspected melanoma, squamous cell carcinoma, and high-risk basal cell carcinoma sit outside of the remit of GPwER work, and should be managed only in consultant-led clinics. 

  • Maintaining good medical practice
    • Successful candidates are expected to work at least one session a month with their clinical guide (consultant or RCGP accredited GPwER)
    • Under the new RCGP framework, accredited GPwERs no longer require reaccreditation; the RCGP now advises that they participate in an annual speciality performance review carried out by their clinical guide, which should be fed in to the whole scope annual appraisal document (to be discussed at their annual medical appraisal)

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