How Appraisal Works

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Medical appraisal is a structured professional process required for revalidation. For doctors working outside standard NHS employment, appraisal often requires additional care to ensure accuracy, proportionality, and regulatory defensibility.

 

Our approach is deliberately calm, structured and grounded in governance rather than volume.

 

Before the appraisal

Before the appraisal takes place, we clarify the foundations:

• Your current roles and scope of practice

• How your work is structured across organisations or sectors

• Your designated body and revalidation position

• What evidence is proportionate and relevant

This early clarity prevents misunderstanding later and ensures the appraisal reflects your actual professional work, not assumptions.

 

During the appraisal

The appraisal itself focuses on:

• Professional activity across your full scope of practice

• Governance, systems, and risk relevant to your roles

• Development and learning appropriate to your work

• Regulatory alignment with GMC requirements

The discussion is structured but proportionate. It is not a generic template exercise and is not driven by speed or volume.

 

After the appraisal

Following the appraisal:

• Documentation is completed clearly and accurately

• Outputs are aligned with GMC expectations for revalidation

• Any actions or recommendations are proportionate and explicit

The emphasis is on producing a record that stands up to scrutiny and supports future oversight, not on unnecessary complexity.

 

A proportionate approach

Not all doctors require the same level of appraisal input. Where roles are complex or non-standard, greater care may be required. Where practice is straightforward, unnecessary burden is avoided.This proportionality protects doctors, patients, and organisations alike.

 

Boundaries

We do not offer:

• Tick-box or volume-driven appraisals

• Pre-determined outcomes

• Appraisals that compromise regulatory standards

 

Where a different appraisal route or governance structure would be more appropriate, we will advise accordingly.