Form 6 – Supporting Information Guidance [NB * Pertains to Partners or Affiliated Sessional GMS GPs] Form 6 Good Medical Supporting Information Suggested Practice Frequency Quality Domain 2 - Some examples of QIA include Annual Improvement Safety and Quality Clinical Audit Activity Review of clinical outcome data Condition based review Referral diary Impact of current guidelines on clinical practice Plan/Do/Study/Act (PDSA) cycles, reflective case reviews, Clinical Governance Plan* Annual as Prescribing action plan* available Compass Report* Sufficient Domain 1 – Last year’s PDP reviewed Annual Continuing Knowledge, Skills Proposed new PDP Professional and Performance Log/diary Educational Activities Development e.g. meetings attended including reflective learning log +/- case review CPR Certificate Every 18months SEA Domain 2 - Significant event audit Two every year Safety and Quality Complaints & Domain 3 - Complaints (if any) with Annual Compliments Communication, reflections template Partnership and Compliments (if any) with Teamwork reflections template PCF Domain 3 - Multi-source feedback with Every five years Communication, reflection templates Partnership and Patient survey questionnaire with Teamwork reflection templates
Form 6 – Supporting Information Guidance [NB * Pertains to Partners or Affiliated Sessional GMS GPs] Form 6 Good Medical Practice Supporting Information Suggested Frequency Quality Improvement Activity Domain 2 - Safety and Quality Some examples of QIA include Clinical Audit Review of clinical outcome data Condition based review Referral diary Impact of current guidelines on clinical practice Plan/Do/Study/Act (PDSA) cycles, reflective case reviews, Annual Clinical Governance Plan* Prescribing action plan* Compass Report* Annual as available Sufficient Continuing Professional Development Domain 1 – Knowledge, Skills and Performance Last year’s PDP reviewed Proposed new PDP Log/diary Educational Activities e.g. meetings attended including reflective learning log +/- case review Annual CPR Certificate Every 18months SEA Domain 2 - Safety and Quality Significant event audit Two every year Complaints & Compliments Domain 3 - Communication, Partnership and Teamwork Complaints (if any) with reflections template Compliments (if any) with reflections template Annual PCF Domain 3 - Communication, Partnership and Teamwork Multi-source feedback with reflection templates Patient survey questionnaire with reflection templates Every five years
Forms%201-6%20January%202018.docx