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Appraisal for Dental Care ProfessionalsIt is strongly recommended that you look at Standards for the Dental Team provided by the General DentalCouncil before you start. There is an interactive site available for you to access rds/cases/Pages/default.aspxSo that your Appraiser is able to get a proper idea of your current level of competence and ability you areasked to assemble a portfolio of material to support any statement you make in Part B which will be themain basis of your appraisal.The same headings will be used to summarise your appraisal discussion.The wording under each heading differs, but typically you are asked to provide:ooooa commentary on the work you currently undertakean account of how your work has improved since your last appraisal, if applicableyour view of your continuing development needs – what you need to do to improvea summary of factors which constrain you in achieving what you aim for.It is not expected that you will provide exhaustive detail about your work. But the material shouldconvey the important facts, features, themes or issues, and reflect the full span of your work as a DCPwithin and outside the NHS. The form is a starting point and framework to enable you and your appraiser tohave a focused and efficient discussion about what you do and what you need. It is a tool, not anexamination paper or application form, and it can be completed with some flexibility. Common senseshould be exercised if you feel you are repeating yourself, or if you want to include something forwhich there is no apparent opportunity. And if a section or a page really needs only a word or twothere is no need to do more. Complete as many sections as are relevant to your work.The work you put into completing this form is your main preparation for appraisal, and the value of yourappraisal will largely depend on it. It will also be an important part of your appraiser’s preparation and willassist them in making the appraisal discussion relevant to your needs.The form is fairly open-ended, although some prompts and suggestions are supplied to help you. Pleaseexpand the spaces available as necessary, or attach extra sheets.You are invited to submit documents in support of what you say in the form. You are not expected to“prove” your assertions about your work, but your appraiser will probably want to test some of them withyou through discussion. The documents will help both of you.The papers you assemble in support of the form should be listed in the appropriate spaces and supplied foryour appraiser in a folder, organised in the same order. If the same material is listed in the form more thanonce, to illustrate different points, do not include it twice in the folder but explain, on the formprovided, where it is to be found.You are invited to go through each Domain reflecting on your self-assessed abilities and working out from thisreflection where you have learning needs.This is called a SWOT analysis;Strengthswhere you are already working wellWeaknesseswhere improvements could be madeOpportunitieswhat is available to you to address your identified weaknessesThreatswhat constrains or stops you making the most of these opportunitiesPage 7

Section 1: Good Clinical CareDCP’s have a range of clinical skills reflected in their Scope of Practise. There is a duty of care to Patientsthat requires all Registrants to keep up to date in these skills.The questions you ask yourself as you reflect should be directed at all the operational duties you perform inthe surgery on a regular basis.This section focuses on your clinical role and invites you to ask the basic question “how good is my practiseand how can I show it?” What do I understand my main duties and responsibilities to be?Am I included in Team decisions? Can I offer more?What skills, capabilities and experience are required for me to be competent in my role within thePractice setting?What was the most helpful course I attended last year? What changes to my scope of Practice did Imake as a result?Have I in the past year provided/assisted in a course of treatment that concluded with a particularlygood outcome for the patient?Have I in the past year undertaken/been asked to undertake a course of treatment which, onreflection, was beyond my current knowledge, competence or ability?Have there been significant events/ near misses that have not been logged and/or changes made toreduce the risk of re-occurrence?Have you participated in any clinical audits that reflect a need for improvement in your clinical abilities orconfirm you are providing good quality treatments/service provision?Section 2: Communication –How Well Do I Relate to Patients and Keep Them Informed?Acting in the best interests of patients is fundamental to our work in the dental profession. How well do yourelate to the patients, whilst respecting their diversity and equality, and assist in keeping them informed ofall their choices?Before filling in this section, please read the relevant section of the GDC document “Standards for theDental Team.” You may also find it helpful to review their document “Principles of Patient Confidentiality.”(See www.GDC-UK.org)You may find it helpful to consider the following questions: Are the clinical records I write consistently clear and legible (if handwritten)? Have I had sufficienttraining in good record keeping?If writing for the Dentist, are they checked and signed?Have I in the past year, received a complaint against myself which I feel could have been handledbetter? What would I have done differently?Do I believe I assist consistently and readily in giving patients information when discussingtreatment options?Do I assist patients who have language difficulties?What do I understand about confidentiality, equality & diversity and human rights? Do I needtraining?Do I routinely apply administrative protocols (such as ensuring Patient’s sign the relevant NHSforms or are given a treatment plan for expensive treatments?Page 8

Section 3: Management and Leadership – Narrowing the Margin for ErrorBefore filling in this section, please read the relevant section of the GDC document “Standards for theDental .” You will also find it helpful to review the GDC document “Principles of the Dental Team Working”.(See www.GDC-UK.org)You may find it helpful to consider the following questions: Am I aware of any incidents when there has been a breach of confidentiality for one of the patients? Consider the other dentists and dental care professionals (dental nurses, hygienists, therapists,crown, bridge and denture technicians,) I work with or communicate with. Do I consider I have goodworking relationship with them? How do they feedback to me? Are there any examples of miscommunication in the past year (for example, between you and anyother member of the team)? Do I engage in regular, well documented, staff meetings? Is there staff training for all the team?Section 4: Professionalism –What Does it Mean to be a Dental Care Professional?Before filling in this section, please read the relevant section of the GDC document “Standards for theDental Team.”Clearly, this is a difficult area to provide objective, written evidence. In many ways the information andfeedback you’ve provided in the other sections will give an indication of your trustworthiness (patientconfidentiality for example).You may find it helpful to consider the following questions: What opportunities have I had to discuss my professional work with other colleagues in the pastyear? Has the section on good clinical care helped me identify areas for further study and training? Do I do as I ‘ought’, as well as do what I ‘must’? Has my professionalism or trustworthiness been questioned in work or out in the past year? Werethose questions justified?As we come to the end of your reflection it would be useful to consider the following non-clinical areas (thisis not meant to be a comprehensive list): Cross infection controlRadiological protectionHealth and safetyCommunication skillsPractice managementEquality, Diversity and Human RightsInformation technologyClinical governanceRisk managementAre there any areas where you feel further training would be appropriate?Consider your core CPD and those aspects yet to be completed.Page 9

Appraisal for Dental Care ProfessionalsPre-Appraisal Forms Part B2014Please keep the ORIGINALS of these forms in your folder and sendCOPIES to your Appraiser.The Pre-Appraisal Forms Part A should be read alongside theseforms to assist you in reflecting on your practise.AppraiseeAppraised ByDate signed offThe content of this form remain confidential to you and your Appraiser Please retain for your own recordsPage 10

Appraisal For DCP’sFORM 1: BASIC DETAILSNameRegistered address and telephone numberMain practice address and telephone number (if applicable)Any other practices that you perform your workProfessional Qualifications UK or elsewhere, with datesGDC Registration Type now held, registration number and date of first full registrationDate of appointment to current post of DCPPage 11

Appraisal for DCP’sFORM 2: CURRENT DENTAL ACTIVITIESThis form requires a brief and factual description of the work you do as a dental care professionalin general practice and in other posts. You will be able to give more detail later.NamePracticePlease summarise the ‘in-hours’ activities you undertake in general practicee.g. what do you do as a dental nurse (possibly with extended duties in sedation, orthodontics, or as an oral health educator), as atherapist, a hygienist etcBrief details of other clinical work which takes you away from the practice.eg Emergency Dental ServicesPage 12

Making a start as you reflect on your practiseHas the past year been good/bad/satisfactory or otherwise for you, and why?What do you consider to be your most important achievements in the last yearWhat do you like and dislike about your role?What elements of your job do you find the most difficult?What elements of your job interest you the most, and least?Page 13

Try and score your capability and knowledge relevant to your scope of practise against the following scale. This is quite asubjective process, but is to give you an idea of your strengths and weaknesses and will help you identify where you maywish to improve/develop skillsI regularlyThis isOf anI regularlyI aspire to Clinical Areafind thisoccasionallyacceptableachieve betterchallengingless thanstandard in thethan mysatisfactorymajority ofminimumcasesstandardRecord keepingTreating allpatients withdignity andrespectProduct/technical knowledge ofmaterialsTimemanagementReporting andAdministrationCommunicationskills (incl.telephone skills)Completingmundane tasksIT/equipmentmachinery skillsTeamwork (anddevelopingothers)Steadinessunder pressurePersonalAppearanceand ImageEthical practicedo you knowwhen to whistleblowRadiography (ifwithin scope ofpractice)Dental HealthEducation ifwithin scope ofpracticeOrthodonticnursing if withinscope ofpracticeYour aspirations may be to increase your scope of practise, or –in recognising a lack of competence in aparticular field - to improve your knowledge and skill in your current role.Page 14

NamePracticeSection 1: Good clinical careCommentary - what do you think are your main strengths as a DCP?How do you check that you have done everything possible to assist in a good patientoutcome?What do you consider to be your most important aims and tasks in the next year?What evaluation tools have you been involved in to quality assure your role as a DCP?(egRecord keeping audit where you write the records, patients satisfaction surveys which include reference toclinical support staff)Page 15

What factors in your workplace(s) or more widely, stop you achieving what you aim for in yourclinical work?It may be constructive to focus on those factors that can be addressed in your practice settingWhat aspirations do you have?This may be something you want to undertake for either personal or professional development, to improve your work, expandyour scope of practise or alter your work life balance.Page 16

Suggested material you may provide in support of your self-assessmentOnly include evidence that best supportsyour statementsLocation ofEvidence Providedby Appraisee inportfolioAudit Data (involving you eg radiography)Feedback from Colleagues/ peer reviewCritical Incident Reports or near missesChild Protection and Vulnerable AdulttrainingVerifiable CPD relating to scope ofpractice as appropriate – with learningoutcomes eg.;- Cross infection control- Medical emergencies- Handling patient complaints(ethical and legal aspects of care)- Radiography- Periodontal indices- IOTN training- PAR scoring(this is not a comprehensive list)Verifiable CPD relating to patient safetyeg vulnerable adult and child protectioncourses –with learning outcomesPage 17Comments by Appraiser inpreparation for Appraisal

Section 2: CommunicationCommentary – What measures are in place in you practise to ensure there is goodcommunication between; members of the team? The laboratories The patientsHow have you used the following written the data held within the record cards clearly and legibly according to best practice(please provide anonymised samples of your input where appropriate)? Use of Information leaflets for patients? Information Governance training?What discussions have you had within the Practice about confidentiality, diversity and equality/child protection and dealing with vulnerable adults? (eg storage of data, language difficulties,maintaining patient dignity/identifying those who are vulnerable and acting accordingly?)Page 18

What factors stop you communicating effectively in your role as a DCP;What measures are in place to assist you in developing your communication skills (if any)Do you receive constructive feedback from other team members in the workplace?What would you like to do better? What do you think are your current needs in this area?This is in preparation for agreeing a PDPPage 19

Suggested Documents in SupportWhilst it is not always the responsibility of the DCP to ensure the content of the record card iscomplete and signed off, your role may require you to accurately, legibly and contemporaneouslyrecord the outcome of examinations and treatment as appropriate.Communication How well do I input data relating to patients and keep them informed?Only include evidence that best supportsLocation ofComments by Appraiseryour statementsEvidence in Portfolioin preparation forprovided byAppraisalAppraiseeClinical record cards – clear and legibleClinical record cards – Informative andexplanatoryClinical record cards signed off by theappropriate RegistrantAnonymised Clinical records auditComplaints handling policy – any examplesof its implementation through youLab work – information on lab tickets writtenby youEvidence of inter-personnel communicationmethods in the practicePage 20

Section 3: Management and LeadershipHow –in your practice- are your absences planned to allow safe practice for the remainingteam?Do you actively participate in Staff meetings? How frequently do they occur, how are theyrecorded and how do you check that any action arising has taken place?Are you dependable? If you are asked to complete a task can you be relied on to see itthrough, or delegate it safely to someone else to complete?What factors in your workplace, or more widely, stop you achieving what you aim for in thisarea?What can be addressed in the practice?Page 21

Suggested Documents in SupportManagement and Leadership;Only include evidence that best supportsyour statementsLocation ofEvidence inportfolio Providedby AppraiseeStaff meetings – how often,documentation, action plan, follow-upComplaints process / feedback (evidenceof any received)Significant/adverse event reports involvingyouPatient feedback (include thank youletters/cards relating to you)Record of knowledge and involvement inmaintaining up to date practice policiesand protocols – to demonstrate how youare included in your practicePage 22Comments by Appraiser inpreparation for Appraisal

Section 4: ProfessionalismDo you know what it means to be a Dental Care Professional? How would you describe it?How does the public expect you to conduct yourself outside the Practice?How have you developed your relationship with the other members of the team in yourpractice? Has it reached the level you hoped to achieve?What professional or personal factors significantly constrain or compromise you in this area?What would you like to do better? What do you think are your current development needs inthis area?This is in preparation for agreeing a PDPPage 23

Documents in SupportIt is difficult to provide evidence of Professionalism as it encompasses so many intangible aspectsof your work. The GDC ‘Standards for the Dental Team’ states that you must always act in thebest interests of patients attending your practice. There is now a section of the Standards devotedto Professionalism and how your conduct and behaviour may affect patient’s confidence in theProfession.ProfessionalismWhat does it mean to be a Dental Professional?Location of Evidence Comments by Appraiser inOnly include evidence that best supportsin portfolio providedpreparation for Appraisalyour statementsby AppraiseeProfessional Indemnity – through thepractice or self-purchased?Peer review; opportunities to discussprofessional work with colleaguesMultisource feedback eg. 360 feedback,thank you cards, patient surveys, staffsurveysRegular Appraisal - PDP if one availablealreadyAny other additional informationPage 24

Appraisal for Dental Care ProfessionalsPost-Appraisal FormsPART CPlease keep the ORIGINALS of these forms in your folder and send acopy to your Appraiser who may be your Practice ManagerAppraisee:GDC number:Date of Appraisal:Appraiser:Signed Off Date:Page 25

FORM 4: SUMMARY OF APPRAISAL DISCUSSION WITH AGREED ACTIONThis form sets out an agreed summary of the appraisal discussion and a description of the actionsagreed, including those forming your personal development plan.The form will be completed by your appraiser and then agree by you.SUMMARY OF APPRAISAL DISCUSSION1. Clinical CareSummary of evidenceAction agreed2. CommunicationSummary of evidenceAction agreedPage 26

3. Management and LeadershipSummary of evidenceAction agreedProfessionalismSummary of evidenceAction agreedAny other relevant information eg work undertaken in another Primary Care Trust area.Page 27

Sign OffWe confirm the information provided is an accurate record of the documentation.We confirm that the above information is an accurate record of the documentation provided by theappraisee and used in the appraisal process, and of the appraisee’s position with regard todevelopment in the course of the past year, current development needs, and Print:Date:Page 28

PERSONAL DEVELOPMENT PLANUsing the template provided here, the appraiser and appraisee should identify key developmentobjectives which relate to the appraisee’s personal and/or professional development and to ensurethat mandatory GDC CPD requirements are met. They will include action identified in thesummary above but may also include other development activities agreed or decided upon inother contexts. Please indicate clearly the timescales for achievement.The important areas to cover are: action to maintain skills and the level of service to patients action to develop or require new skills action to change or improve existing practice Note: DCP’s with extended duties should provide:1) Evidence of how they have ‘achieved’ extended duties status.2) Evidence of how they keep up to date.3) Evidence of how they obtain high quality outcomes to maintain this status (ie, audit, PARscores/feedback).Mandatory CPD Summary:When did your CPD cycle begin?When does it end?What CPD have you undertaken so far?What mandatory CPD is outstanding for your current cycle?Page 29

PERSONAL DEVELOPMENT PLANNAME:DATE:This plan should be updated whenever there has been a change – either when a goal is achieved or modified or where a new need is identified.The original version should also be retained for discussion at the next appraisal.What developmentneeds have I?How will I addressthemWhat do you need to Explain how you willdo?take action, and whatresources you willneed?1.Date by which I plan toachieve thedevelopment goalThe date agreed withyour appraiser forachieving thedevelopment goal.2.3.Page 30OutcomeCompletedHow will your work inAgreement from your appraiser thatthe practice change as a the development need has beenresult of themet.development activity?

Sign offWe agree that the above is an accurate summary of the appraisal discussion and agreed action,and of the agreed personal development plan.Signed:AppraiseePrint:

b. A personal development plan c. Evidence of Continuing Professional Development d. Working in an accredited environment e. Examples of reflective practice More weight is to be given to verifiable CPD and its relationship with your scope of practice. Verifiable CPD is activity that meets the GDC definition of CPD and for which there is documentary