Post accreditation

Annual appraisal and revalidation 

The evidence that a GPwER is keeping the requisite knowledge and skills up to date and maintaining their competencies should be reviewed through the doctor's annual whole scope of practice appraisal. This replaces the former process of re-accreditation for GPwSIs. 

We recommend that GPwERs participate in an annual speciality performance review that satisfies the following criteria:

  • It is best practice to include a clear description of the governance arrangements for the service being provided as a GPwER and reflective note on how the individual would respond to patient safety issues or concerns
  • Documentation demonstrating that the required competencies in the specialty specific framework for the GPwER role have been maintained, or improved, with evidence and reflection on:
  1. Continuing Professional Development (CPD)
  2. Quality Improvement Activity (QIA)
  3. Significant Events
  4. Patient feedback
  5. Colleague feedback
  6. Complaints and compliments
  • Specialty specific personal development plans 

Where possible the annual specialty performance review should be carried out by a clinical guide (a specialist working in the relevant extended role area, for example the main clinical supervisor involved in accreditation), who should also provide a structured reference. Once complete, the relevant documents should be uploaded to the GPwER’s appraisal portfolio for review as part of the whole scope annual appraisal. 

The Responsible Officer will need to be assured that the governance arrangements are robust enough to provide timely information about any concerns about the GPwER at any point in the revalidation cycle, and an assurance that there are no outstanding concerns in the period preceding the revalidation recommendation. 

The RCGP plans to work with providers of appraisal and revalidation e-portfolios to ensure that toolkits support the process of annual specialty performance review. 

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If you have questions about the GPwER frameworks, contact

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