General Practice CESR Portfolio Guide

This capability concerns your development of professional values, behaviours and personal resilience. It highlights the importance of maintaining your own health and wellbeing. It also includes having insight into when your own performance, conduct or health or that of others, might put patients at risk, as well as taking action to protect yourself and patients.

• Demonstrating the attitudes and behaviours expected of a good doctor
• Managing the factors that influence your performance
• Promoting health and wellbeing in yourself and colleagues

This capability is about practising ethically, with integrity and a respect for diversity.

• Treating others fairly and with respect and acting without discrimination or prejudice
• Providing care with compassion and kindness
• Promoting an environment of inclusivity, safety, cultural humility, and freedom to speak up

This capability is about communicating with patients, using recognised consulting techniques, establishing and maintaining patient partnerships, managing challenging consultation, managing triadic consultations, the use of interpreters, and consulting modalities across the range of in-person and remote methods.

• Establishing effective partnerships through a range of in-person and remote consulting modalities
• Managing the additional challenge of consultations with patients who have specific communication needs, or who have different languages, cultures, beliefs, and educational backgrounds, to your own
• Maintaining continuing relationships with patients, carers and families

This capability is about the gathering, interpretation and use of data for clinical judgement, including information gathered from the patient history, clinical records, examination and investigations.

• Applying an organised approach to data gathering and investigation
• Interpreting findings accurately and appropriately

This capability is about demonstrating competence in general and systemic examinations in the clinical curriculum areas.

• Demonstrating a proficient approach to clinical examination and performance of procedures
• Demonstrating a proficient approach to the performance of procedures

This capability is about having a conscious, organised approach to making decisions that are tailored to the particular circumstances in which they are required.

• Adopting appropriate decision-making principles based on a shared understanding
• Using best available, current, valid and relevant evidence

This capability is about recognising and managing common medical conditions encountered in generalist medical care, safe prescribing and approaches to the management of medicines.

• Providing collaborative clinical care to patients which supports their autonomy
• Using a reasoned approach to clinical management that includes supported self-care
• Making appropriate use of other professionals and services
• Providing urgent care when needed

This capability is about aspects of care beyond addressing straightforward problems. It includes a team-based approach to managing multimorbidity, acute and long-term conditions, as well as management of uncertainty and risk. This capability also encompasses appropriate referral, the planning, delivery and organising of complex care, and promoting rehabilitation and recovery.

• Enabling people living with long-term conditions to optimise their health
• Using a personalised approach to manage and monitor concurrent health problems for individual patients
• Managing risk and uncertainty while adopting safe and effective approaches for patients with complex needs
• Coordinating and overseeing patient care across healthcare systems

This capability is about working effectively with other professionals to ensure good patient care. It includes sharing information with colleagues, acting as an effective service navigator and using the skills of the multiprofessional team optimally in both primary and non-primary care environments.

• Working as an effective member of multi-professional and diverse teams
• Leading and co-ordinating a team-based approach to patient care

This capability is about continuously improving performance, undertaking self-directed learning and effective continuing professional development (CPD), both for yourself and to support the learning of others. It also includes leading clinical care and service development and participating in quality improvement and research activity.

• Continuously evaluating and improving the care you provide
• Adopting a safe and evidence-informed approach to improve quality of care
• Supporting the education and professional development of others

This capability is about understanding organisations and systems including the appropriate use of administration systems, the importance of effective record-keeping and the use of data and information technology for the benefit of patient care. It also includes development of relevant business and financial management skills.

• Advocating for medical generalism in healthcare
• Applying leadership skills to improve your organisation’s performance
• Developing the financial and business skills required for your role
• Making effective use of data, technology, and communication systems to provide better patient care

This capability is about being aware of and considering the physical, psychological, socio-economic and cultural dimensions of health. It includes understanding that each patient is an individual for whom you should non-judgementally and compassionately acknowledge their thoughts, feelings, values and behaviours in the following settings: health improvement, self-management during illness and recovery, and shared care planning with patients and carers. It also includes using skills and knowledge to take appropriate safeguarding actions.

• Demonstrating the holistic mindset of a generalist medical practitioner
• Supporting people through their experiences of health, illness, and recovery with a personalised approach
• Safeguarding individuals, families and local populations

This capability is about understanding how the health of individuals is shaped by wider social, economic, environmental and community factors. It involves recognising your role as a GP in addressing population health needs, promoting sustainability, and influencing health policy. It also includes understanding local community population and demographics, accessing services, and navigating the healthcare system while balancing the needs of individual patients with those of the wider community.

• Understanding the health service and your role within it
• Building relationships with the communities in which you work
• Promoting population and planetary health

Currency Window

Evidence of skills or experience should be from the last five years of your clinical practise WTE (whole time equivalent) and does not need to be consecutive. Greater weight is given to recent evidence and evidence where personal involvement is clearly demonstrated. Evidence of assessments and successful completion of training is likely to be dated more than five years ago but should still be included.

Evidence Volume

Around 500 to 600 pages of evidence (equates to around 80 electronically uploaded documents)