Appraisal
Governance arrangements for any GPwER role will need to be agreed and assured with the organisation commissioning the extended role service. The annual medical appraisal covers the whole scope of a GP’s practice ensuring GPs with an extended role maintain a high standard of care, engage in continuous professional development, and provide effective and safe services. It promotes accountability, improvement, and excellence in their specialised areas of practice.
The responsible officer will need to be assured that the governance arrangements are robust enough to provide timely information related to any concerns about the GPwER at any point in the revalidation cycle and be assured that there are no outstanding concerns in the period preceding the revalidation recommendation.
It is best practice for the GPwER to include a clear description of the governance arrangements for the service being provided in their appraisal portfolio and a reflective note on how they would respond to patient safety issues or concerns. The individual GPwER has a responsibility to ensure that they are working within appropriate clinical governance arrangements. They should reflect on the clinical governance arrangements in place to ensure that patients are not put at risk by the environment within which they work and that they meet all appropriate regulatory standards.
Patient safety
The environment or premises in which they're working should be appropriately regulated, suitable for the role being delivered, and safe for patients.
It is essential for patient safety that GPwERs are not put in a position where they are being asked to work outside their competence level or with inadequate support or facilities.