GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST by a008Ty

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									       GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST


             APPRAISAL PROCESS FOR SENIOR MEDICAL STAFF

                                    APPRAISER
1. Background
Changes have been made to meet National Guidance by which Appraisal occurs for
Senior Medical Staff after publication of Assuring the Quality of Medical Appraisal
(July 2005) and Assuring the Quality of Training for Medical Appraisers (January
2007). An appraisal administrator was recruited and a new system for both allocation
and logging of appraisals was commenced in April 2008. A report for the Board is
produced on a yearly basis with updates on appraisals completed being provided
through the ESR system on a fortnightly basis.

Who are appraisers?
Appraisers are appointed from within the Senior Medical Staff. Appraisers are
required from every division. The appraisal administrator circulates an e mail asking
for interest in becoming an appraiser once a year. Interviews are held, with a panel
which includes a lay person. The successful applicants will need to attend training to
be an appraiser and will have a probationary period during which their first two
appraisals will be observed by a senior appraiser. There will be an annual review by
the appraisal lead (this will not necessarily be face to face)

Training
All appraisers need to be trained in Equality and Diversity and be proficient/up to date
with e learning.

   To be trained in 360° MSF feedback.
   Attend at least two Support Groups each year.
   Attend regular retraining.

What is expected of Appraisers?
Appraisers will be expected to carry out at least 10 appraisals per annum and to have
allocated 0.5 PAs of SPA time to do this in. Appendix 1 is a draft document showing
the competencies required to be an appraiser.             Medical appraisers should
demonstrate the highest standards of professionalism in all roles they undertake,
clinical and non clinical. They will normally be licensed clinicians registered with the
GMC. Appraisers should be able to demonstrate commitment to medical revalidation
by having undergone regular appraisal, the output from which demonstrates
satisfactory engagement with their own personal development in all domains of Good
Medical Practice (GMC 2004) thus being a good ‘role model’ for medical appraisal
and revalidation.

Appraisers should demonstrate that they take into account relevant general
legislation and guidance on dealing with other people, such as, but not restricted to,
equality and diversity, bullying and harassment, and data protection and
confidentiality. They should show awareness of their own internal values and be able
to make appropriate allowance for others of differing personal or medical
backgrounds.

2. How the process works
A database is maintained of all senior medical staff. This database holds the date of
the last appraisal and who appraised. Approximately three months before an



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appraisal is due the appraisal administrator contacts the appraisee with an allocated
appraiser. If for any reason the appraiser allocated is not suitable, the appraisal
administrator can allocate a different appraiser. An appraiser can be allocated for up
to three years in succession.

Appraisers will receive the completed paperwork and portfolio approximately 2 weeks
in advance of the appraisal date. Appraisees are given guidance about what should
be included within the portfolio (see LNC website) and if it is incomplete the
appraisee should be asked to update and return the portfolio to the appraiser.

Specific documents related to the Trust should be included within the portfolio;

 Sign off by the CD to show that job planning has taken place and that there are no
 issues of competency.
 Feedback from the Complaints Department
 Feedback from the Risk Department
 Feedback from the Audit Department

When should the appraisal discussion be stopped?
If during the discussion it appears that patient safety might be at risk, either due to
personal problems with the appraisee e.g. drug or alcohol dependence or due to
incompetence then the discussion must be terminated and advice sought from the
Medical Director or Appraisal Lead.

Post Appraisal
Form B should be completed as this is evidence that the process has taken place
and made be required for other places of work.

Form 4 (Summary) should be completed and sent to the Administrator for the same
purposes, where it will be stored anonymously and used for audit/ quality assurance
purposes.

The appraiser should fill in a self reflection form for quality assurance purposes.

Appraiser Appraisals
Reflection on the appraisal role should take place at each appraisal the doctor
undergoes.



November 2010




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Appendix 1




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