Medical appraisal FAQs

Appraisals will take place annually between

April and December.  The Appraisal process now involves both assessment of a Doctor’s performance and a formative Appraisal with the development of the Personal Development Plan for the following year.

The Responsible Officer (RO) is accountable for signing off your Appraisals every 5 years for Revalidation with the GMC.  Your Appraiser is responsible for confirming to the RO whether or not you are progressing towards Revalidation.

I would highly recommend that you look at the list of links below which you will be able to use as references to support you through the Appraisal and Revalidation process.

Appraisal leading to Revalidation is mandatory for all Doctors.  Doctors in Training are appraised by Deanery’s or their equivalents and it will be linked in to the Annual Review of Competency Progression (ARCP).

Appraisers will be trained to undertake the new Appraisal including the assessment of Supporting Information.  We will be seeking feedback from yourselves on the quality and the Appraiser and the Appraisal process.

It is mandatory for all Doctors within the organisation to undertake training in appraisal and revalidation.

The Trust Responsible Officer is Dr Karl Marlowe, Chief Medical Officer.  

If there are concerns about who you believe your Responsible Officer is because you have other work outside the Trust for example you may have private practising rights in other hospitals, you may have work with the University, within another hospital, or may have other external roles for example within the Deanery process, Strategic Health Authority, Royal College etc.

If there are any concerns then please contact myself, Dr Jane Hazelgrove, Lead for Appraisal and Revalidation who will help you clarify your situation/position as to who your Responsible Officer is.

The GMC have revised their guidance on Supporting Information which I believe is far more straight forward and it will be much clearer what sort of information you need to produce annually and over a 5 year period.  I strongly recommend that you look at the GMC and Royal College of Physicians document outlining Supporting Information in the list of links. 

The GMC has now provided guidance for this Supporting Information so that it will fall under 4 broad headings. 

General Information - this provides a context about what Doctors do in all aspects of their work ie clinical and non clinical;

Keeping up to Date - which is about maintaining and enhancing the quality of a doctor’s professional work and will include Continuing Professional Development and peer group activity.

Review of a Doctor’s Practice - which is about evaluating the quality of a doctor’s professional work and will include Case Based Discussion Activity and Quality Improvement of Activity which includes audit and significant events ie Critical Incidents and the Doctor’s reflection on these events.

Feedback on a Doctor’s Practice - ie how others perceive the quality of Doctor’s professional work which will include feedback from colleagues, feedback from patients, all others where applicable for example users could be trainees, medical students etc and review of complaints and compliments.  This Supporting Information will link to the Good Medical and Good Psychiatric practice, frameworks and the 4 domains which cover the spectrum of medical practice; which are:

1)      Knowledge Skills and Performance
2)      Safety and Quality
3)      Communication, Partnership and Teamwork
4)      Maintaining Trust

As you are aware, each of these domains is described by 3 attributes.

The Lead for Appraisal for Revalidation is Dr Jane Hazelgrove, Deputy Medical Director (Medical Appraisal and Revalidation).

Dr Karl Marlowe can be contacted via Erica Lifford on 023 80 874319 or erica.lifford@southernhealth.nhs.uk

Some of you may know who your appraiser is going to be.  Some of you may not in which case there is a list of appraisers held by Erica Lifford which is available on the website.

You may have the same Appraiser for a maximum of 3 appraisals.

You will need to agree with your appraiser when you are going to meet.  Please be mindful of the requirement to have your supporting information reviewed and appraisal completed by the end of December each year. 

Before your Appraisal you will need to complete the documentation on the Allocate System 4 weeks before your Appraisal.

Your appraiser will confirm the date in writing to you.

In the Trust the supporting information for your portfolio will be reviewed by your Appraiser.  You will need to liaise with your Appraiser to identify a date at which point you will be able to send your Appraisal folder to your Appraiser for review of supporting information.  You will need to have a conversation with your Appraiser about the supporting information following the Appraiser review of your portfolio to discuss any points of clarification following on from this conversation you will be able to set an Appraisal date with your Appraiser.  It may well be that you set a number of dates for handing in your portfolio, setting a time for a telephone conversation face to face or e-mail review and a date for the Appraisal itself all at one time.  It is up to you and your Appraiser.

The Personal Development Plan is an important part of appraisal and there must be sign off of last years Personal Development Plan and the development of the next years plan.  The Appraiser has different paperwork to complete following on from the Appraisal as well as a number of documents to sign off.  The Appraiser will complete an Appraisal Summary of which you will be sent a copy and asked to sign as on previous years.

If the appraiser has concerns about your appraisal then they may wish to postpone the appraisal process or interrupt it and seek further guidance.  I hasten to add that this is an unusual phenomena as far as the revalidation pilots have been concerned.

You will also be able to feedback on your Appraisers performance throughout the Appraisal process.  Feed back forms are currently under development and will be available on the website shortly.