Useful information and additional reading for Appraisers.
This section includes:
- Medical Appraisal Support-kit
- Wales Appraisal Exceptions Management Pathways
- GP Exceptions - Operational Procedures
- Medical Appraisal Exceptions Management Guidance
- CARE (Low volume clinical work)
- ABEL Tool (an aid in assessing the quality of a Quality Improvement (QI) activity)
- ADAM (Appraisal Discussion Assessment Method)
- EVE (Evaluating the Evidence’)
Medical Appraisal Support-kit
The aim of the Support-Kit is to provide Appraisers, and the doctors and colleagues they support, a central resource for NHS, external and local wellbeing support.
Wales Appraisal Exceptions Management Pathways
The Wales Appraisal Exceptions Management Pathways provides a recap of some of the key principles of medical appraisal in Wales, its links with revalidation and its management in that context. It focuses on how the minority of situations which diverge from the normal appraisal route will be managed by the relevant organisation, i.e., the Revalidation Support Unit, HEIW and / or the Designated Body (DB).
This document is of key interest to:
- Appraisers
- Designated Body Appraisal and Revalidation Teams
Wales Appraisal Exceptions Management Pathways
Wales Appraisal Exceptions - GP Operational Procedures
The GP Operational Procedures document supplements the ‘Wales Appraisal Exceptions Management Pathways document and is of key interest to:
- Revalidation Support Unit (RSU)
- GP Appraisal Co-ordinators
- GP Appraisers
- Designated Body Revalidation Teams
The document provides a recap of some of the key principles of medical appraisal in Wales, its links with revalidation and its management in that context. It focuses on how the minority of situations which diverge from the normal appraisal route will be managed by the relevant organisation i.e., the Revalidation Support Unit (RSU), HEIW and/or the Designated Body (DB)
The GP Operational Procedures document and associated letters can be found below:
- Wales Appraisal Exceptions Management Pathways - GP Operational Procedures
- GP Exceptions/Agreed Letter Templates
Wales Medical Appraisal Exceptions Management Guidance
This document supplements the Wales Appraisal Exceptions Management Pathways agreed by the Wales Revalidation Oversight Group (WROG) and contains routes that may be followed by Designated Bodies (DBs), along with an appendix of suggested correspondence that can be used for the different
exceptions that may arise.
Wales Medical Appraisal Exceptions Management Guidance
CARE (Low volume clinical work)
The Unit has produced a framework called CARE to support doctors that may be undertaking low volume clinical work. A template called ‘Low Volume Clinical Work – CARE’ has been added to Whole Practice Appraisal on MARS to allow doctors to provide relevant information in this regard.
The discussion at appraisal should reassure you (and the doctor) of their ability to provide safe, quality care for patients by considering:
1. Patient safety.
2. Support for the doctor to retain and develop their skills across their scope of work.
3. Actions to enable the doctor to flourish within their scope of work.
This approach has the focus of supporting the professionalism and insight of the doctor with respect to their volume of clinical work.
ABEL Tool
Developed by Appraisal Co-ordinators, the tool is a guide for Appraisers in assessing whether a doctor’s Quality Improvement Activity (QIA) meets revalidation standards.
ADAM (Appraisal Discussion Assessment Method)
Two of the GP Appraisal Co-ordinators (Dr Mark Rowlands and Dr Lynne Rees) have developed an Appraisal Discussion Assessment Method (ADAM), since modified into a simplified form (rADAM). The original ADAM envisaged a peer review of the actual appraisal discussion (either recorded or in person – with permission from the appraisee). The simplified form can be used for self-assessment and potential development.
EVE (Evaluating the Evidence) – Promoting challenge in appraisal