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Appraisal Form

Appraisee Details

Revalidation

Appraiser Details

Employment

Main clinical practice area/s, average no of hours per week worked. (Please detail other Organisation/s and Job Profiles/Bands if holds other posts in addition to that of Alert Health)

Roles & Resposibilities

How well does the candidate know their roles and responsibilities? Relating to area of employment, ensure candidate is aware of; CPP & HTE frameworks, RQIA Requirements, National Care Standards for Scotland, the NMC Code of conduct and Revalidation requirements.

Job Competency

Training & Qualificaitons

Please provide details of CPD, training, qualifications undertaken and/or gained in the last 12 months.

Communication Skills

Please comment on the candidates written and spoken English communication skills

Performance, Knowledge & Skills

Maintenance of skills and knowledge in line with latest evidence base

Clinical Skills Profile (Cross referenced to CPP & HTE – frameworks, RQIA Requirements, National Care Standards for Scotland )

Revalidation

Date: Time:
Date: Time:

Comments

Team

Consultant

Enough Shifts Available

Issues/Problems

Additional Information

Signatures

Email Distribution Group

The distribution group you must select for this clinical form is;
***COMPANY - TEAM (CLINICAL)***
(This will be sent to the relevant clinical team’s mailbox)

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Clinical Team