Organising your Appraisal

Registering for your Appraisal
The first step in organising your appraisal is to complete and submit a Registration & Declaration Form:

On receipt of your Registration and Declaration Form, NIMDTA will:

  • Send you a confirmation email within 2 working days. Please contact us on 02890 400015 if you do not receive this.
  • Contact an appraiser on your behalf.  Your appraiser will contact you to arrange a suitable date, time and venue.

Please do not arrange an appraisal date with an appraiser before sending in your GP Appraisal Registration and Declaration Form.

Please be advised, you may be entitled to a £300 payment towards your appraisal depending on your status.  Please see Guidance to Appraisee document for further details.

Guidance on how to download a Registration and Declaration Form
  • Click on the link above and save the form onto your computer by File and Save As. Close the website page.
  • Complete your saved form by typing on the grey boxes.
  • Save and Send the form as a MS Word or PDF attachment only; and send by e-mail to (Please note we are NOT able to open documents in Pages or through online document links) 

List of GP Appraisers and Out of Hours Appraisers

Documentation and Guidance
  • Scheduling your Appraisal in line with Revalidation
    Appraisal and Revalidation TimelineIf you are revalidating, you will be offered the opportunity to complete Patient and Colleague Feedback (PCF) six months before your revalidation date.(NB. Those GPs who have access to appropriate PCF completed within five years of their revalidation date will not always need to complete further surveys if the previous feedback is available for discussion at appraisal e.g. those doctors who took part in the PCF pilot or who have completed PCF as part of training).This process is co-ordinated by HSCB and PCF is provided by the Leadership Centre.It is important that your appraisal is used as a vehicle for discussion of the PCF completed.You need to arrange your appraisal prior to your revalidation date at a time which ensures that patient colleague feedback is available for discussion at this appraisal. Your appraiser and NIMDTA do not know your revalidation date.It is therefore imperative that you request your appraisal date whilst keeping this in mind.Ideally your appraisal should be at least six weeks before your revalidation date.PCF must be completed in a timely manner and should be made available for discussion at your appraisal.If PCF is not available for discussion at appraisal and you are revalidating; then this may result in a non-engagement statement being made to GMC by the HSCB RO.If you have already scheduled your appraisal but have not taken these issues into consideration, please contact your appraiser to reschedule.
  • Guidance to Appraisee
  • New Appraisal Forms (Forms 1 to 6) - Updated January 2017These forms reflect the GMP Framework for appraisal and revalidation and, as such, are the preferred documents to be used for your appraisal.  Guidance on the completion of form 3 of these new forms is included below.  Please note, these forms must be sent to your Appraiser 4 weeks before your appraisal.  All forms must be typed – handwritten forms will not be accepted.
  • Letter from Chief Medical Officer - May 2014
  • Appraisal Process in a Nutshell - Guidance for appraisees
  • Form CP (2A)
  • Guidance for the Completion of CP2A Form
  • Letter from Responsible Officer regarding CP2a
  • New Form 3 Guidance
  • Forms 1-3 - worked example for guidance
  • New Form 6
  • Local guidance for appraisal and revalidation; following review of RCGP guidance - November 2016
  • CPD Guidance Framework for Appraisers and Appraisees
  • Probity Form
  • Health Declaration Form
  • PDP Guidance – Please bring with you to your appraisal an outline PDP for the next year.
  • Appraisee Template for PCF Reflection: If you have completed Patient Colleague Feedback in this appraisal cycle, this template can be used to document reflection on the feedback.
  • Independent Clinical Post Form - used for roles outside GMS where you have no supervisor or employer
    Independent Clinical Post Form – The Responsible Officer has considered the issue regarding GPs working in clinical areas for whom they have no supervisor or employer.  This will include private work such as Botox and voluntary work done such as that for sports teams etc. As some assurance is required with regard to delivery of these services, the link to the form below has been developed by the revalidation team at HSCB.This form should be used if you undertake this kind of work. It is essentially a self-declaration but includes reflection. This area should be included in the appraisal and highlighted on the form 6We would ask that you retain these forms following your appraisal; the appraisal team at NIMDTA do not require a copy.

The appraisal documents are used to either prepare for, or act as a basis for discussion at appraisal. Your appraiser can advise you on the completion of these and the most suitable supplementary information to be attached.

After your Appraisal
Following your appraisal you should retain:

  • All information brought to the appraisal including Forms 1-3
  • Completed Form 4 and PDP
  • Completed Form 6
  • All completed Form CP 2a

All of the above should be signed and dated. Please complete the following surveys:

For your information, following your appraisal your Appraiser will submit the following forms to NIMDTA:

  • Form 6 – It must be signed and dated by both yourself and your appraiser to confirm your appraisal has taken place.

Guidance for sessional doctors to claim payment for appraisal (May 2016):

Communications Protocol
The following document outlines the responsibilities of the Northern Ireland Medical and Dental Training Agency and the Health and Social Care Board regarding GP Appraisals in Northern Ireland.

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