Appendix A

Reviewee’s name / Reviewee’s Role
Reviewers name / Care Group / Directorate & Work Area
Date of Review

Our Vision: Leading the way with care.

Our Mission: Promoting health and quality of life for the people and communities we serve.

Our Values

  1. Passionate
  2. Reliable
  3. Caring and safe
  4. Empowering and supportive of staff
  5. Open, transparent and valued
  6. Progressive.

Our five Strategic Goals define the approach we are taking to deliver our Vision:

Our Strategic Goals

  1. To strive for clinical excellence
  2. To attract, grow and engage our people
  3. To deliver excellent services through sound financial management
  4. To work flexibly with partners to offer and deliver market-leading services
  5. To underpin high quality care with good governance and leadership

Section one –looking Back Review of Objectives from ……………………………………..

What have I achieved in the last 12 months?

Objectives from last PDR / Achieved / Not Achieved
(Comments on achievements and progress and the factors that have supported or prevented delivery of the objective)
Review of the post holders mandatory and statutory training matrix
Is the Post holder up-to-date with the relevant Statutory/Mandatory training requirements for their post?
Yes / No
If No, please list statutory/mandatory training required below and timescale for completion.
subject / Completion by
Is the Post holder up-to-date with specific training identified as essential to their job role?
Yes / No
If No, please list areas required for development and timescale for completion.
subject / Completion by
Clinical supervision(if applicable)
Recommended? sessions per year
Have you had clinical supervision
Yes/no
If yes how many sessions---
If no what was the reason and what plan is in place -----
From April 2016 all NMC registrants must engage with their regulatory body revalidation process to enable them to renew their registration to remain on the NMC register. Revalidation is to improve public protection by making sure that clinicianscontinue to remain fit to practice throughout their career. Revalidation reinforcesthe duty on clinicians to maintain their fitness to practice within their scope ofpractice and incorporate their relevant professional codes of conduct in day to daypractice and personnel development (NMC 2015).Therefore PDR processoffers an ideal forum for reflective discussion, challenge and evidence for staffaround revalidation and an opportunity to obtain practice-related feedback
Where applicable has this been discussed at your PDR
Evidence of plan in place

Section two - Post holder’s self- assessment

Please use this space to summarise your achievements, other than achievement of objectives. You should comment on what you have achieved, what has gone well and what hasn’t gone well and outline the factors that have supported or prevented achievements.
You may also want to comment on any development undertaken and how you have been able to apply new knowledge and skills in the workplace.

Section three - Reviewer’s assessment

Please use this space to summarise the achievements of the Post holder, other than achievement of objectives. You should comment on what has been achieved, what has gone well and what hasn’t gone well and outline the factors that have supported or prevented achievements.
You may also want to comment on any development undertaken and how it has been applied in the workplace.

Section four – Career & CPD discussion

Please use this space to summarise the outcomes of a discussion around job and career aspirations and Continuous Professional Development (CPD).

Section five –looking forward Objectives for the next 12 months

‘SMART’ Objectives for the Next 12 Months
Specific, Measurable, Attainable, Relevant and Time-bound / Which Strategic Goal does this objective support
1.Maintain compliance with all Statutory/Mandatory / Essential to Role training requirements / Excellence

RDaSH Strategic Goals

Excellence–To strive for clinical excellence

People - To attract, grow and engage our people

Financial Management– To deliver excellent services through sound financial management.

Partnership -To work flexibly with partners to offer and deliver market-leading services

High Quality Care–To underpin high quality care with good governance and leadership

Section six – Personal Development Plan

Please include development and support required for the objectives identified in Section four (career discussion) and Section five (objectives)

Skill/Knowledge identified for development / How will the skill /knowledge be developed (e.g. training course, specific task, shadowing, coaching) / How will success be measured? / Completion date

Please note

The Learning and Development Service will be happy to help with the identification of appropriate training to meet development needs.

The Learning and Development Programme can be found on the Learning and Development pages of the intranet, this contains an up to date list of training delivered in house.

If you have identified the appropriate training and it is not included in the Learning and development Programme because it is provided externally or requires funding please complete a Study Leave Nomination Form (copy in The Learning and Development Programme) for approval and send it to the Learning and Development Administration Team: The RED Centre, Tickhill Road Hospital, Balby. Doncaster DN4 8QN

Section seven – Comments and Sign off

In this section, both the Post holder and Reviewer have the opportunity to comment on the PDR review and note any outstanding issues.

Post holder comments:
Reviewer comments:

This is to confirm that the PDR is mutually agreed and this documentation reflects an accurate record of the PDR and on-going areas of development

Post holder
Sign:
Date: / Reviewer
Sign:
Date: