Summary of GMC changes

Summary of changes to GMC guidance that inform changes to this guidance

  • The GMC has clarified that every doctor is required to engage with an annual medical appraisal that covers their whole scope of practice. However, there is no need to have five appraisals in a revalidation cycle if there are reasons why a doctor has an 'approved missed appraisal' or the revalidation cycle is not five years long. There is no need for 'catch up' appraisals.
  • The description 'scope of practice' is clarified to ensure that you are providing an appropriate level of detail for the responsible officer to be assured that all parts of your scope of practice have appropriate supporting information and reflection over the five-year cycle, and the contact details for the clinical governance review of any parts of the scope of practice outside your designated body have been shared.
  • The wide variety of types of quality improvement activities that are acceptable to demonstrate the regular review of practice – particularly for sessional GPs and those working in relative isolation - is emphasised so that it will be better understood.
  • There is no need to provide documentary evidence of reflection on all your learning. Quality not quantity is emphasised. You should be selective and provide high-quality examples of reflection on your most significant learning.
  • The GMC definition of significant events (SEs) as events that reach a significant level of actual or potential harm to patients is reiterated. Many GPs will not have been personally named or involved in any SEs needing declaration in any given year and should declare this where appropriate.
  • The GMC requirement that you seek formal feedback about your practice using appropriate tools for your scope of practice, that are accessible to the respondents and fully compliant with all the GMC requirements once in the five-year cycle from colleagues and patients or those to whom you provide medical services is re-emphasised. It is important to think broadly about who are your 'patients' and your 'colleagues' and to ensure that this formal exercise (or formal exercises) covers respondents from the whole of your scope of practice.

Next: Summary of RCGP changes >

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