Definitions |
For the purposes of appraisal and revalidation a significant event is any unintended or unexpected event, which could or did lead to harm of one or more patients.
They are also known as serious untoward incidents (SUI), critical incidents or patient safety incidents. (The learning opportunities that GPs historically called significant event analysis, [SEA], should be renamed learning event analysis [LEA].
Learning from events should be considered a normal part of review of practice and examples included in quality improvement activities.) |
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You must declare and reflect on every significant event you were involved in since your last appraisal. Your discussion at appraisal should focus on those significant events that led to a change in your practice or demonstrate your insight and learning.
You must be able to explain to your appraiser, if asked, why you have chosen these events. Your reflection and discussion should focus on the insight and learning from the event, rather than the facts or the number you have recorded. |
CPD credits
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Learning arising from significant events is eligible for CPD credits providing that you document your reflection on your learning from them appropriately.
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Confidentiality
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"Where your appraiser is bound by rules of professional confidentiality, it is appropriate and necessary to let your appraiser see the original documentation relating to a significant event or complaint so that they can comment on it in their summary.
It is not normally appropriate to include original documentation in your submitted appraisal portfolio, because it is likely to include third party identifiable information. The effort to redact it and anonymise it adequately for inclusion is likely to be disproportionate in many cases, and, in some circumstances, might make it unclear what the actual SE or complaint was about." |
National Reporting and Learning System
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Report a patient safety incident on the eForm (NHS Improvement) |
Statutory notifications to the CQC
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Registered providers and managers of NHS GP and other primary medical services are required to notify CQC about certain incidents, events and changes in their service.
This guidance tells you how to submit this information to CQC and what they do with it. |
Key documents
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GMP Framework for appraisal and revalidation (GMC, 2013)
Supporting information for appraisal and revalidation (GMC, March 2018) Guide to supporting information for appraisal and revalidation (RCGP, April 2018). Good medical practice (GMC, 29 April 2014)
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