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Andrew Craig writes clearly and convincingly for a strong form of assessment. That is exactly what Revalidation will not provide.
Appraisal is all about knowing the latest guidelines and avoiding too many complaints. Five complete appraisals equals guaranteed revalidation.
There is not a single element of assessment of ability in it. Yes there is an occaisonal feedback form for colleagues and patients but that will just ask if you are a nice guy/girl, not whether those who know would let you treat their family.
I think it highly unlikely that CCGs have anywhere near enough maturity or resource to look to performance management of clinicians in the near future.
I don't know the right answer to rooting out poorly performing Doctors, but I do know that revalidation in its current form is certainly not the answer.