Managing performance: resolving problems

Overview

• the videoing and review of consultations
• PCT-based learning initiatives; these may be multidisciplinary 'protected time' sessions
• participation in multi-practice audit
• small group work with peer support
• comparative practice information which enables practices to assess themselves in relation to peers
• critical incident analysis.

Role of the Deanery

• The GP Director may help to arrange rehabilitation or remedial training placements. They may also be able to identify returner or refresher training for those who have had a career break.
• The GP Associate Director and/or the CPD tutor can give educational advice and information about local arrangements for supporting the development of GP's, including courses and workshops.
• The Career Development Unit offers personal coaching and supervision for remedial training.

NCAS resources

• Learning Resources

• Back on Track project

Help from RCGP

• Thames Valley Faculty RCGP has set up a mentoring system for newly qualified GPs.

• The RCGP offers a number of initiatives for both individual doctors and practice teams including:

1. Quality team development (QTD). This is designed to help practice teams improve both their quality of care to patients and their team working. QTD can support practices with difficulties by providing a comprehensive picture of their needs and helping to develop a practice development plan to which all staff are committed. External evaluation of QTD has shown that it does help to improve the quality of services, is a catalyst for change and improves team morale. More information can be obtained from www.rcgp.org.uk
2. Quality practice award (QPA). This mark of excellence recognises a high standard of patient care delivered by every member of a primary health care team. The assessment criteria are shared with those used for QTD, to enable practices to progress to QPA as their quality improves. More information can be seen at www.rcgp.org.uk/faculties/scotcoun/qpa.asp.
3. Membership by assessment of performance (MAP). This route to GP membership of the College by assessment of performance is designed as a supportive tool for individual GP's to develop their services. Help is provided by a local College advisor. Further details can be found at www.rcgp.org.uk/map/index.asp.

Further resources