Medical Support Services

1. Please complete a Registration and Declaration Form.

    Email your Registration and Declaration Form to gpappraisal@nimdta.gov.uk

2. Post £550 payment (Cheques should be made payable to NIMDTA) to GP Appraisal Department, NIMDTA, Beechill House, 42 Beechill Road, Belfast, BT8 7RL. Your application will not be processed until payment has been received.

3. An Appraiser will contact you to arrange a suitable time and date for your appraisal.

4. Print off your appraisal documentation, Health Form and Probity Form. Forward your appraisal documentation to your Appraiser at least 4 weeks prior to your appraisal date.

  • Appraisal Documentation
  • Health Form
  • Probity Form
  • Form CP (2A) - This form should be completed by GPs employed in extended roles. It should be completed by you and your employing authority. A different form should be completed for each role you are employed in. If you are unable to complete Form CP (2A) you should complete a self declaration - Form CP (2B)

CP (2A) or CP(2B) should be forwarded to your appraiser with your pre-appraisal documents OR given to your appraiser at your appraisal.

5. Your Appraiser will forward a copy of your Form 6 to NIMDTA to enable us to send you an Appraisal certificate.

Appraisal Team Contact Details

  • Catherine Hamilton-Cooper, tel: 028 90 400032
  • Mandy Clements, tel: 028 90 400021
  • Site design and development by Lairdesign