Cumbria and the North East
Medical Appraisal & Revalidation
NHS England
Contact Cumbria and the North East Medical Appraisal and Revalidation

GP Medical Appraisal

Medical appraisal is the appraisal of a doctor by a trained appraiser, in which the doctor demonstrates that they are practising in accordance with the GMC Good Medical Practice Guidance across the scope of their practice.

To complete the Medical Appraisal process satisfactorily and subsequently be in a position to be positively recommended for revalidation by your Responsible Officer, you are required to gather a portfolio of evidence each year. The General Medical Council has defined the minimum requirements for this, GMC Guidance and Supporting information, and these are summarised in the one-page guide  developed by Cumbria and the North East.

Please consider which vehicle you want to use to collect and submit your appraisal information. The MAG Form is widely used but there are IT and other difficulties and limitations that are likely to increase over time. There are three electronic on-line systems and information on these is included here.

Full details of the allocation system, the timing of your appraisal and a step-by-step guide to all the requirements of the appraisal process can be found here.

Appraisal postponement/Deferment

If for any reason you are unable to complete your appraisal within your birth month, in line with NHS England's Appraisal Policy, please complete the postponement form and submit to Your request will be considered by the Team and you will be notified of the decision within 5 working days.

Please note when making a request for a postponement or deferment, this must be accompanied by a valid reason to support your request.


GP's working limited clinical sessions - low volume of work

There is no fixed minimum number of sessions stipulated by the GMC that a GP must work each year.  NHSE has recently produced guidance in relation to 'Low Volume of Work'

In this guidance all GP's working fewer than 40 sessoins of clinical GP work per year are asked to complete a reflective template (see templates list opposite).  This is to encourage the GP to reflect on how they keep up to date and avoid professional isolation with the template to be discussed at the appraisal meeting.  The final decision on whether the GP is providing adequate clinical sessions in order to be recomended for revalidaiton will rest with the RO, but will be guided by responses on the SRT and the outcome of the appraisal discussion. 

Career break guidance

If you plan to take some time out of UK general practice to work, travel, live abroad, take maternity/paternity/adoption leave or are in ill health, which may affect the completion of your annual appraisal; please inform the Team of your plans. NHS England Cumbria and the North East will support you during this time, directing you to appropriate supporting services and ensuring that your appraisal is postponed/deferred if necessary.

However, if you are absent from general practice for a period in excess of 12 months, and the Appraisal and Revalidation Team are not informed of the reason for this absence, NHS England may start proceedings to remove you from the Medical Performers List in accordance with the NHS (Performers Lists)(England) Regulations 2013 (as amended). Therefore, the Team urge you to advise of any planned absence or any period of sick leave to enable the agreement of a postponement of your appraisal or authorise a Technology Assisted appraisal (TAA) (please note this would be dependent upon individual circumstances), and for a period of absence less than two years. Guidance on TAA's are included here. Full details of this is detailed within the Career Break Guidance and information sheets, at the right of this screen.

Should you be absent from general practice for 24 months or more, there is a requirement that you complete the Induction and Refresher Scheme, which is designed to provide a supportive environment in which a GP can return safely to NHS general practice. Further information in relation to the scheme can be located at;


If you are planning a career break, please access the relevant information sheet as below, according to your circumstances;

Information sheet 1 - Support for GP's on Sick Leave

Information sheet 2 -  Planning a non working career break

Information sheet 3 -  Support for GP's on maternity or adoption leave and appraisal

if you have any queries please do not hesitate to contact the Team. 


Retirement from general practice

If you are planning on retiring from general practice and wish to either resign from the Medical Performers List or to commence an alternative medical post, please access the Approaching retirement guidance to ensure you follow the process to inform all relevant parties of your retirement or future plans.


Available support

If you would like further information about Core contacts for Doctors in difficulty or what to do if you have a complaint about your apprasial please see below links or view our useful information page to acess the downloadable documentation.

For more information please contact us and we will be happy to help.

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