I work in two UK countries - do I really need to have two NHS Appraisals a year?

Not really - what would be the point in that? And what an incredible of NHS resources! Unfortunately, a small-minded interpretation of the 'rules' could lead one to think otherwise.

NHS appraisal was introduced in England 2001. The systems in Wales, Scotland and Northern Ireland are indeed slightly different being based on the needs of doctors in the individual administrations' areas and building on what was done in England first.

John Cowles, NHS Appraisal Portfolio Manager at the Department of Health, has informed us that the requirement in England is that all NHS doctors should be appraised annually, and normally where a doctor is employed in more than one location, there will be some kind of local arrangement to identify a lead appraiser who will coordinate the appraisal in whatever way meets the needs of the doctor and the organisations in which they work. However, "it is for NHS employers to decide how best to arrange appraisal in individual cases" (our bold/italics).

Our advice - should you find yourself in this predicament - is to arrange for your designated appraisers from both countries to talk to each other, about you, with the aim of one of them agreeing to accept the outcome of the other's appraisal.

The CMO for England has established a review of appraisal and the functions of the GMC, and the Dept of Health are considering whether the arrangements will need revising in the light of his report, which is expected at the end of 2005.

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