MAG form by GMP domains
Susi Harris
Calderdale PCT GP Appraisal Lead
Domain 1 Intro and 1.1
• Brief outline of roles and context of GP work
• Update on progress with PDP Reasons for any not achieved
1.1 Maintaining professional performance
Essential:
• CPD for each role
• Comment on reflection
• Total amount (roughly)
• (MSF scores for clinical areas if available)
Desirable:
• Learning methods used
• How they identify learning needs
• Is some learning targeted to learning needs?
• Balance of CPD in relation to priority of roles
Domain 1 – 1.2
1.2 Apply knowledge and experience to practice
Essential
• Some demonstration of putting learning into practice eg
protocols, cases/data showing new practice
Desirable
• Demonstration of benefit to patients, eg case study/outline
Eg “learning on diagnosis of premalignant skin lesions, resulting
in two opportunistically detected BCCs”
Domain 1 – 1.3
• 1.3: Ensure that all documentation (including clinical
records) formally recording your work is clear, accurate and
legible
Essential
• Some commentary on notekeeping, what standard they set
themselves, what value they place on good notekeeping
• Remember MSF ‘medical record keeping’ score (if available)
Desirable/consider
• Notekeeping audit
• Audit of referral letters?
• (These could be QIA too – good ones for locums/sessional
GPs)
Domain 2 –Safety and Quality
2.1 and 2.2
2.1 Contribute to and comply with systems to protect patients
Systems include;
• Quality Improvement Activity
• Significant Event analysis
• Annual review of complaints
Essential
• Understanding of the processes in place
• Demonstration of participation in process
• Evidence presented relates to own practice
– (or if at practice level, reflection on implications for own practice)
Consider:
• Safeguarding/CPR/information governance training
• Evidence of responses to safety notices eg MHRA
Domain 2 – 2.2
• 2.2 Respond to risks to safety
Essential
For each of the systems (QIA/SEA/Complaints)
• Systemic response – ie
– for safety – “what I am doing differently to prevent this
happening again/on my watch”
– for quality “what I am doing differently to improve clinical
outcomes”
• For Quality Improvement “what I am doing to
demonstrate whether outcomes improved as a result
of the change”
Desirable
• “My demonstration of improved outcomes/safety”
(closing the loop)
Domain 2 – 2.3
• 2.3 Protect patients and colleagues from any risk posed by
your health
Essential
• Health declaration signed
• Fully immunised
• Registered with GP who is not family member (and different
practice??)
• No health problems which could pose a risk to patients
• MSF score: “not impaired by ill-health”
Desirable
• An opportunity to look at lifestyle and work life balance?
• How do they de-stress/relax
Domain 3: Communication, partnership and teamwork –
3.1 Communicate effectively
Essential:
Commentary on communication, what standard set themselves,
value placed on good communication
• Specific communication scores in MSF and PSQ
• (if available)
– MSF: ‘Communication with patients and relatives’
– PSQ: ‘Listening to you’ ‘Explaining your condition and
treatment’
Consider:
• Meetings attended, teams/people
• Informal communications, awaydays, coffee meetings
• Difficulties in communication - ?Opportunity for challenge
Domain 3 – 3.2
3.2 Work constructively with colleagues and delegate effectively
MSF (if available) Comment on….
• Method used
No of respondents/roles covered/GMC approved method/does it
include main/current colleagues?
• What they make of it
– Overall scores, reflections (opportunity for
celebrationchallenge)
• what will they do differently
– Action plan – have they implemented? Outcome?
• Specific MSF Score (if available): ‘Working effectively with
colleagues’ ‘ Working within limitations’?
• Examples of teamworking/partnership working
• Minutes: evidence they attend, contribute, delegate
Domain 3.3
Establish and maintain partnerships with patients
PSQ (if available) Comment on….
• Method used
No of respondents/GMC approved q’airre/independent evaluation
• What they make of it
– Overall scores, reflections (opportunity for celebration/challenge)
• What will they do differently
– Action plan – have they implemented? Outcome?
• PSQ score for ‘involving you in decisions about your treatment
Consider:
• Patient participation group – any involvement?
• Developing a patient website
• Seeking patient opinion eg in CCG roles
Domain 4.1
Show respect for patients
Essential
• No evidence doctor does not treat with respect
Consider
• MSF and PSQ ratings for respect and confidentiality
• PSQ ratings for politeness
• Use of chaperones/policy
• Timekeeping measures
Domain 4.2
Treat patients and colleagues fairly and without
discrimination
Essential
• No evidence doctor does not treat fairly or
discriminates
Consider
• PSQ ethnicity (if present) and overall high
rating
• Equality and diversity training
Domain 4.3
Act with honesty and integrity
Essential
• Probity statement signed
Consider
• MSF and PSQ scores for “honest and trustworthy”
• Look through probity section of GMP
• CCG- conflict of interest declaration signed