Invaluable workbook to help GPs and practice staff meet the requirements of continuing professional development (cpd)General practitioners, like all other health professionals, need to keep up-to-date with the latest developments in medicine and education. They also need to respond to changing technology and changes in the delivery of care. The environment in which GPs work is extremely dynamic but this book helps to keep GPs up-to-date with these advancements and with their professional skills.The Chief Medical Officer in the UK has recommended that the key to professional development is a Practice Professional Development Plan (PPDP) which, in turn, helps set objectives for individual GPs, the Personal Development Plan.This workbook takes the mystery out of professional development by explaining how to use existing information to analyse strengths and weaknesses, priorities and needs, and to develop a plan that will improve working life on all levels and leading ultimately to improved patient care.This book provides tangible methods for how to implement an abstract concept that is being foisted on busy professionals - a must read for every GP in the UK.

Dr Robin While MD, Jubilee Surgery, UK.

Mrs Margareth Attwood DMS MCIPD MIHM, National Office for Summative Assessment for General Practice Training, UK.

List of contributors

vii

Foreword

viii

Preface

ix

List of abbreviations

xi

PART 1: GETTING STARTED

1

(44)

How to use this workbook

3

(9)

The national perspective

4

(4)

Background to the NHS

8

(2)

Useful websites for How to use this workbook

10

(2)

The practice

12

(14)

The practice and links to other organisations

12

(3)

Review of your current situation

14

(1)

National initiatives that have an impact on the practice

15

(1)

nGMS

15

(1)

Quality and Outcome Framework (QOF)

16

(1)

Clinical Governance

17

(3)

National Institute of Clinical Excellence

20

(1)

National Service Frameworks

20

(2)

Funding

22

(1)

Maximising income

22

(3)

Useful websites for The practice

25

(1)

The patient

26

(11)

What patients want

26

(1)

The Patient Advice and Liaison Service (PALS) and your practice

27

(1)

Gaining patient feedback

28

(2)

Using complaints to improve practice

30

(1)

New NHS complaint procedure (2004)

31

(3)

Useful websites for The patient

34

(3)

The primary health care team

37

(8)

The GP's perspective -- counting the `beans'

37

(3)

The practice nurses' perspective

40

(3)

Useful websites for The primary health care team

43

(2)

PART 2: WHERE DO WE START

45

(90)

The practice professional development plan

47

(26)

The practice professional development plan (PPDP)

47

(1)

The personal development plan (PDP)

47

(1)

What are the best ways to learn?

48

(1)

The use of portfolios in learning

48

(4)

Reflective practice

49

(3)

Local delivery plans and health needs assessment

52

(21)

Creating a profile of your practice population

54

(2)

Key features of your practice population

56

(2)

Identification of top health problems in your practice

58

(4)

Prioritising the list

62

(2)

Planning interventions

64

(4)

Creating an action plan

68

(3)

New priorities

71

(2)

Developing the primary health care team

73

(10)

Primary health care teams (PHCTs)

73

(1)

How to get the most from the PHCT?

73

(1)

What are away days?

74

(1)

Why have away days?

74

(1)

What can be achieved?

74

(2)

Away day programme

75

(1)

Ground rules for away days

76

(1)

Running small groups

76

(1)

Tips on running small groups

77

(1)

Brainstorming

77

(2)

Practice SCOT analysis

79

(1)

Developing learning profiles for PHCTs

80

(1)

The Learning Styles Helper's Guide

80

(1)

Activists

80

(1)

Reflectors

81

(1)

Theorists

81

(1)

Pragmatists

81

(2)

Reflecting on learning style questionnaire

82

(1)

Skill mix of the primary health care team

83

(10)

What is skill mix?

83

(9)

Individual skills assessment (clinical)

84

(2)

Individual skills assessment (non-clinical team members)

86

(2)

Team skills assessment

88

(4)

Useful websites for Skill mix of the primary health care team

92

(1)

Appraisal

93

(14)

GP NHS appraisal

93

(4)

PHCTs appraisal

97

(6)

The heinz medical practice: formal record of staff appraisal

100

(3)

360 degrees feedback

103

(3)

Useful websites for Appraisal

106

(1)

Audit and research

107

(24)

Research and development (R & D) in primary care

107

(1)

Using evidence in the management of common diseases

108

(5)

Using evidence in the management of common diseases

111

(2)

Practice audit

113

(1)

Significant-event auditing (SEA)

114

(8)

Recording a significant event

117

(1)

Personal sea

118

(1)

Heinz medical practice -- recording a significant event

119

(2)

Minutes of significant event audit meeting -- heinz medical practice

121

(1)

Referral data

122

(2)

Prescribing analysis and cost (PACT) prescribing

124

(4)

The practice prescribing costs for the last quarter

126

(2)

Performance indicators -- thinking beyond the numbers

128

(2)

Useful websites for Audit and research

130

(1)

The practice professional development plan (PPDP)

131

(4)

Components of the plan

131

(4)

Practice professional development plan -- the heinz medical practice

132

(3)

PART 3: PERSONAL DEVELOPMENT PLAN

135

(56)

Framework for personal development plans (PDP)

137

(7)

Getting started

137

(5)

Past educational profile

138

(2)

Learning highlights

140

(2)

The self-audit and personal SCOT analysis

142

(2)

Methods of identifying educational needs

144

(30)

Sticky moments

144

(6)

Discovery page -- sticky moments

146

(2)

Identification of educational needs

148

(2)

Blind spots

150

(1)

Phased evaluation plan (PEP)

150

(1)

Phased Evaluation Programme -- Question Bank (PEP-QB)

151

(1)

Communication skills

151

(2)

Medical ethics

153

(1)

Resuscitation

154

(1)

Conflict in the consultation -- data entry vs caring

155

(3)

Stress and you

158

(4)

Daily stress log at work

160

(2)

Delegation skills checklist

162

(1)

Looking after yourself

162

(11)

Managing performance distractors self-evaluation

164

(2)

The work of general practice -- questionnaire

166

(7)

Useful websites for Methods of identifying educational needs

173

(1)

Meeting educational and developmental needs

174

(13)

Learning style

174

(1)

Learning skills -- getting the most out of your learning

174

(1)

Reflection

175

(1)

Your learning need

175

(1)

Your learning goal

176

(1)

What is available to you

176

(1)

Conclusion

176

(1)

Mentoring

177

(1)

Self-directed learning groups

178

(1)

Keeping up to date

178

(1)

Higher professional education (HPE)

179

(1)

Career pathways

180

(2)

GPs with special interest (GPSIs)

182

(1)

Teaching PCOs

182

(1)

GP retainer and flexible career schemes

183

(2)

GP trainer

185

(1)

For the more adventurous . . . career breaks

185

(1)

Useful websites for Meeting educational and developmental needs

186

(1)

Personal development plan

187

(4)

Appendix 1: Confidentiality declaration

191

(1)

Appendix 2: Websites

192

(7)

References and further reading

199

(2)

Index

201

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