Low volume of clinical work

Low volume of clinical work Structured Reflective Template (SRT) (RCGP, August 2018)​


Supporting doctors who undertake a low volume of general practice clinical work (NHS England, June 2018)
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Supporting doctors who undertake a low volume of general practice clinical work (RCGP, August 2018)

​​Factors for consideration template​ (AoMRC, April 2020) for doctors wishing to reassure themselves that they are competent across the whole scope of their work.

​"During the annual appraisal, the GP should declare that they have worked fewer than 40 clinical sessions in the 12 months since their last appraisal (or pro rata).

The GP should include within their discussion of their scope of practice a low volume of clinical work SRT to demonstrate their reflection on their continued ability to provide safe, good-quality patient care in their clinical role, or roles.

This low volume of clinical work SRT [Standardised Reflective Template] should form the basis of a professional discussion with the appraiser.

The appraiser should make a record of the reflective discussion relating to the low volume of clinical work SRT in the appraisal summary.

​The reflection and discussion should provide appropriate supporting information to allow the appraiser to make affirmative output statements at the end of the appraisal.
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In the rare circumstance that the reflection and discussion does not provide immediate  reassurance that the GP is able to provide safe clinical care, relevant output statements will be disagreed, an explanation must be given and any issues addressed through appropriate PDP goals.

In these cases, the responsible officer will need to be informed.

​In extreme cases, the GP will need to relinquish their clinical practice."
(RCGP, August 2018)