Appendix 3: Evidence and standards
  1. Medical records
Collecting the evidence Evidence criteria Standards
  1. Observation
Collecting the evidence Evidence criteria Standards
  1. Management plan
Collecting the evidence Evidence criteria Standard:
  1. Case report
Collecting the evidence: Evidence criteria Note: The relevant patient’s record (anonymised) should be available, as supporting evidence
 
  1. Analysis of prescribing data
Collecting the evidence: Evidence criteria Standard:
  1. Account of records transfer
Collecting the evidence: Evidence criteria Standard:
  1. Patient satisfaction survey
Collecting the evidence: Evidence criteria Standard:
  1. Peer review questionnaire
Collecting the evidence: Evidence criteria Standard: Note: to ensure anonymity, the team review questionnaire will be administered externally by Tayside Audit Resource for Primary Care.
 
  1. Team work account
Collecting the evidence: Evidence criteria b) for the team.
 
Standard:
  1. Complaints handling
Collecting the evidence: Evidence criteria Standard: Note: GPs working within out-of-hours organisations such as co-operatives will also have to submit the co-operative complaints procedure and ensure they complete the above process in respect of complaints received against them, while working in the co-operative.
 
  1. Significant event analysis
Collecting the evidence: Note: a significant event is defined as any event where patient care was or may have been sub-optimal as a result of problems in organisation of care or delivery of care.

Evidence criteria

Standard:
  1. CPR skills
Collecting the evidence: Evidence criteria Standard:
  1. Clinical audit
A clinical audit involves measuring an area of medical activity undertaken by the doctor and comparing his/her performance to accepted standards of good practice. The doctor will determine what % of his/her work should meet the agreed standards. If the doctor’s performance falls below his/her defined standards, he/she will determine reasons for this and barriers to change, and then proceed to make changes that will enable him/ her to meet the defined standard. The doctor will then re-measure his/her performance to see what improvement has taken place.

Collecting the evidence:

Evidence criteria

The audit process will include:

Standard:
  1. Referral letters
Collecting the evidence: Evidence criteria Standard:
  1. Miscellaneous forms of evidence
There are numerous other forms of evidence suggested in the models for which we did not specify specific requirements or standards. However, we believe GPs could equally well submit such evidence for revalidation purposes. Sometimes, the evidence is simply too personal and it would be inappropriate to set down standards, eg a reflective diary. In other cases, the standard is implied by the course/evidence, eg RCGP PEP. Other evidences are simply relevant documentation,eg a health and safety policy or NHS target figures.
 
These evidences include: