L. Regulatory framework of general practice

By the end of the year, for each area the GPR should:	Where best to learn?
Be able to handle a complaint against themselves or another implying knowledge of in-house procedures, workings of PCOs, GMC, the law.	DRC
Be able to cope with physical or mental problems arising in themselves or a colleague implying knowledge of GMC stance on ‘fitness to practice’, sick doctors procedures and resources etc.	DRC
Be aware of the existence of national and local clinical standards, know how to access them and apply them to general practice. Know about NSF, NICE, PCT local policies etc.	Practice and Self-directed learning
Have a good understanding of the nature of the GMS / PMS contract including the impact the contract has on delineating clinical responsibilities, clinical and accessibility targets, and determining fiscal re-imbursements. See The New Contract DRC guide	Practice
Be aware of the national and local structures for re-validation and accreditation. Have developed their portfolios and know to update them. See Clinical governance and appraisal DRC guide	Practice
Be clear on how they should respond to ‘poorly-performing doctors’ they encounter. Know about GMC, PCT, as well as communication and ethical aspects.	DRC
Be aware of the structures for (and be well self-organised for) continuing education, appraisals and personal development. See Personal Development Plans DRC study guide	Practice and Self-directed learning

Across the curriculum probably far too much would be identified as ‘DRC’ for the latter to cope with, so it is important that the Trainer and Registrar know as soon as possible what will be covered on DRC so that they can avoid gaps and duplication

Transcribed by: Martin Searle

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Last update: 16 December 2003