Written evidence from NHS Highland (REV
ENHANCED APPRAISAL - NHS HIGHLAND
- Scottish Government contracted NHS Highland in
December 2009 to pilot enhanced appraisal of consultants employed
by NHS Highland.
- Interim report presented on 26 October 2010 to
Scottish Government's 3rd Annual Regulation Conference, with final
report due December 2010.
- Pilot led by Consultant Orthopaedic Surgeon and
supported by the Academy of Medical Royal Colleges and Faculties
in Scotland and by the Scottish Government's National Appraisal
- 28 consultant volunteers recruited and trained
by NHS Education Scotland (NES) in enhanced appraisal, and are
currently in the process of each appraising one other consultant.
- 360 degree multi-source feedback (MSF) has been
undertaken with patients and colleagues.
- Volunteers are feeding back on their experience
of delivering enhanced appraisal and the challenges involved.
- Quality review being undertaken by NHS Quality
Improvement Scotland (QIS).
1. The Scottish Government was keen to "effectively
implement within Scotland the UK policies set out in the Government
White paper on Regulation of Health Professions, taking account
of the differing needs of, and structures, services and agencies
within, a devolved health service in Scotland".
2. NHS Highland was contracted in December 2009
to pilot the feasibility of enhanced appraisal across a cohort
of consultants from different specialties. The pilot is supported
by the Academy of Medical Royal Colleges and Faculties in Scotland
and by the Scottish Government's National Appraisal Leads Group.
3. The documentation which is being piloted was
developed by the Scottish Government's National Appraisal Leads
Group, designed by the Medical Director NHS Fife, and building
on the GMC's Good Medical Practice framework of four generic domains
with 12 attributes.
4. 28 consultants across 13 specialties have
completed enhanced appraisal training delivered by NHS Education
Scotland in conjunction with GP and Secondary Care trained tutors.
Only two of these consultants subsequently had to drop out of
5. 360 degree multi-source feedback from patients
and consultants is being analysed by Peninsula Group, and quality
assurance is being undertaken by NHS Quality Information Scotland.
6. The final report will be available from the
Scottish Government by the end of December 2010.
1 Programme Initiation Document - "Trust, Assurance
and safety - The Regulation of Health Professional in the 21st
Century" Implementation in Scotland. Scottish Government.
December 2009. Back