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Nevertheless, they reported a high percentage (84.2%) on the item of support.
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The final item of supporting information that the prison GPs reported as not very easy to collect was review of complaints.
For significant event audits, the GPs were documenting significant events, but they were in the process of setting up meetings to discuss these events; once these meetings are established at the health care team level and the employers understand their purpose of GP self-development, collection of this item of supporting evidence may become easier.
In addition, one of the studies identified that as a group of participants, GP principals considered that the most difficult item of supporting information to source would be a sign off from an appropriate colleague to demonstrate competence for medical work they undertake regularly for remuneration outside their GP main role (ie. extended practice) [ 21].
(12)" Twenty GPs (40%) submitted items of supporting information to the research team.
The GPs submitted between one and 11 items of supporting information to the research team.
(iii) Forensic physicians The two forensic physicians submitted eight items of supporting information (not clinical audits, patient and colleague feedback).
Other limitations were the small size of the sub-groups that submitted items of supporting information and lack of evidence submitted by GPs working in immigration removal centres.
Our study has suggested that GP principals may be able to collect several items of supporting information in an extended practice role in secure environments.
Ease with which GPs had collected items of supporting information over the past 12 months Seventeen of the GPs (85%) who submitted items of supporting information completed a GP issues log: 14 prison GPs, two secure mental hospital GPs and one forensic physician.
Reasons given by the GPs for not submitting items of supporting information included the brevity of the data collection period, significant life events and the commercial and personal sensitivity of their supporting information.
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