Pre Appraisal Checklist - glospgme.nhs.uk

PRE APPRAISAL CHECK LIST FOR APPRAISEEInformation for Appraisal PortfolioEVIDENCE REQUIREDGeneral• GMC Registration Number• Evidence of Licence to Practice• Medical Qualifications• Previous years Form 4 and PDP• Description of Practice• Title• Role• Job Summary includingresponsibilities and activities overthe last 5 years• Job PlanGood Medical Care• Clinical activity data relating toindividual and team.• Outcome measures or NationalRegistry InformationMaintaining Good Medical Practice• CPD activity• Audit• Mandatory Training• Clinical GovernanceHINT• Have review meeting with ClinicalDirector and sign off current JobPlan• Discuss draft PDP for followingyear at meeting with CD• Advise appraisal administrator ofdate agreed for appraisal• Number of patients operated –major minor, details ofcomplications• Outpatients – numbers seen ofold/new• Provide comparators of thesewithin directorate (anonymised)and also college benchmarks.• Copy of legible notes• Programmes, notes and certificatesand evidence that is relevant toyour practice. Include CPD for allyour roles.• State College minimumrequirement.• Lists of audits undertaken(minimum of one example per year)and topics discussed indepartmental audit meetings andhow this has changed yourpractice.• Evidence of completion of elearning programmes (ChildProtection, Equality and Diversityetc)• Documentary proof of attendanceat mortality and morbidity meetingse.g. forms, minutes together withattendance rates.May 20101

• Attendance at discrepancymeeting, significant events reviewWorking relationships withColleagues• Colleague feedback 360 MSF• Evidence of Team work• Five yearly cycle• Committee minutes/letters detailsof projectsRelations with Patients• Details of complaints • Significant events or cases reviewand ACI’s• Anonymised example of reply• Thank you letters• Example of letter to patientTeaching and Training• What has been delivered • Feedback Forms, log of lecturesgiven, details of who taught andhow often.• Copy of presentation• Educational Supervisors FormProbity• Self declaration • Interests and gifts• Written consentHealth• Confirmation of registration with GPManagement Activity• Current posts • Aspirations for the futureResearch • Details of abstracts, publicationsetcMay 20102