Getting started Getting started

Choosing a toolkit suitable for revalidation

There are a number of GMC-approved toolkits available; many doctors tend to use the MAG form, Clarity or FourteenFish toolkits. We've put together some tips on using the MAG, Clarity and FourteenFish: please click here.

Our three-minute guide to appraisal - or what you should aim to include: 

No matter which appraisal form you decide to use, the sections you need to complete will be broadly the same. Here is a quick guide to the minimum requirements - this reflects the latest RCGP and NHS England guidance:

General advice:

  • You need to use an approved electronic format.The MAG 4.2 is intended as the benchmark but other well-designed toolkits are available. Gather material and reflect throughout the year.

    Your commentary and evidence needs to cover all your professional roles - so called “scope of work” information. See our separate guide.

  • There needs to be evidence of reflection, learning and any consequent changes in practice (examples rather than just a statement or certificate). Keep reflections concise - meaningful reflection is possible in three sentences: What? (simple description) So what? (How is it relevant to you) What next? (Your resulting action).

  • There needs to be personal involvement in these activities, but other members of the practice team will often be involved too.

  • Contact your appraiser or your local appraisal team in good time if you have any questions and send your portfolio to your appraiser at least two to three weeks before the appraisal meeting.

  • Remember your appraiser is interested in what you think the supporting information says about your practice and how you intend to develop or modify your practice as a result of that reflection. Present your achievements, challenges and aspirations. This is the most important part - give it thought.

Specific requirements (these are the minimum)

  • Commentary on progress on last year’s PDP. What you learned, what changes you made as a result.

  • 50 CPD credits. One credit = one hour of learning activity demonstrated by a reflective note on the lessons learned and any changes made. Doubling of CPD credits for “impact” has been removed but you can claim for time spent on additional activities as a result of CPD - e.g. an audit. There is no need to include certificates.

  • Quality improvement activities (e.g. audits, SEAs, case reviews, prescribing analysis, referral analysis, outcome data) with reflection and learning and any consequent changes in practice. Both the GMC and RCGP ask that doctors demonstrate and reflect upon representative quality improvement activities every year. For most GPs we would recommend that the easiest way to meet this requirement is by including two SEAs along with some other type of QIA for each appraisal.

  • Colleague and patient feedback, formal GMC-compliant feedback with reflection once in each revalidation cycle. Other informal and formal feedback with reflection every year as available.

  • Review of any complaints and learning points from them.

  • A PDP for the coming year, normally with a minimum of three objectives, which are “SMART

Guidance on completing these sections can be accessed via the links on the left-hand side of this page.

You can download a copy of our 3-minute guide to appraisal here.

Reflection, learning, and changes in practice

These are the key words to bear in mind. Above all, you need to demonstrate evidence of reflection and learning, and any consequent changes in practice throughout your supporting evidence.