I read a very interesting article in the Guardian at the weekend which highlighted a plan announced by the health minister, Ben Bradshaw, to allow patients to rate their GP on an NHS website.

This would allow them to post comments on anything from their 'perceived competence to bedside manner'.

The article outlines the dangers of such an approach, whereby any anonymous person, with invariably little knowledge of good medical practice, could take exception to their treatment.

There is already an established method of appraisal and revalidation of GPs, as part of a mandatory process which ensures they are subject to the scrutiny of peers, supervisors, junior staff and patients where appropriate.

This is based upon a recognised and agreed framework of competencies, with due diligence given to performing a managed 360 degree feedback process, complete with a debrief with the GP/Consultant.

Not suprisingly, we feel this is the best method in which to approach appraisals; carefully implemented and managed with all consideration given to the recipient of the feedback.

Better this way, than a 'open season' on GPs, where any feedback can be posted and given weight - these are real peoples jobs, not game show contestants.

John