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Q J Med 2001; 94: 235-236
© 2001 Association of Physicians

Editorial

Consultant appraisal

C.G. Winearls

Oxford Kidney Unit, The Churchill, The Oxford Radcliffe Hospitals NHS Trust, Oxford

Consultant appraisal will be an annual contractual requirement from April 2001. Not only will it be part of the GMC revalidation process, but refusal to participate will be a disciplinary matter that renders the individual ineligible for Discretionary Points or a Distinction Award. There will be no exceptions, so all consultants had better know about it.

Why, after more than 50 years of the NHS, has this requirement now emerged? First, there is now no longer automatic acceptance that all consultants are satisfactory. As the Lord Chief Justice, Lord Woolf said, ‘the automatic assumption of beneficence has been dented’.1 Most consultants are competent and beneficent most of the . . . [Full Text of this Article]

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