Appraisal and revalidation support for medical professionals

Other Quality Improvement

Most GPs will choose to undertake an audit once every revalidation cycle as part of their quality improvement activity. However, there are alternatives to the classical full-cycle audit. These include a review of a series of cases and a quality improvement project.

You can find the reflective templates for a series of cases and for a quality improvement project here.

Case Series

The RCGP recognises that a series of cases may be especially suitable for locum doctors who don’t have easy access to practice data fr audit purposes.

The idea is to use a series of cases, let’s say twenty patients, to analyse an aspect of practice: ideally an aspect covered by recognised guidance. For example, you may choose to analyse your next twenty referrals to see if you are following local referral guidelines. Here are some specific topics, suggested by the RCGP, suitable for case series analysis:

  • Pain Prescribing
  • Hypertension Management
  • Investigations, such as requests for imaging
  • Referrals, such as two-week rule referrals

Of course, you may think of others. These case series, or ‘action audits,’ as the RCGP also term them, provide excellent opportunity for colleague discussion. So by the time you have worked through and discussed the cases, it’s likely you’re going to have one or two points for improvement amongst your reflections.

Quality Improvement Project

You may be involved in implementing a quality improvement project. These often involve new care pathways. Doctors working for CCGs may well have a hand in designing local pathways. Even at a practice level, you may write a new patient management protocol or design a new pathway for handling same-day appointment requests. If you can demonstrate some improvement, then these types of projects are good material for your quality improvement reflections.

You can find the reflective templates for a series of cases and for a quality improvement project here.

All content © Bill Laughey 2015