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NHS Mansfield & Ashfield and NHS Newark & Sherwood CCGs Appraisals Process CCG Vision and Values Strategic Aim 1: Ensure best quality within available resources (incorporating safety, effectiveness and patient experience Strategic Aim 2: Ensure best service design Strategic Aim 3: Ensure partnership working to achieve the safest and most effective services within available resources Team Objectives [To be inserted] NHS Mansfield & Ashfield and NHS Newark & Sherwood CCGs Appraisals Process

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NHS Mansfield & Ashfield and NHS Newark & Sherwood CCGs Appraisals Process

CCG Vision and Values

Strategic Aim 1: Ensure best quality within available resources (incorporating safety, effectiveness and patient experience

Strategic Aim 2: Ensure best service design

Strategic Aim 3: Ensure partnership working to achieve the safest and most effective services within available resources

Team Objectives

[To be inserted]

NHS Mansfield & Ashfield and NHS Newark & Sherwood CCGs Appraisals Process

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Review of past period

What has gone well over the past year? What have your achievements been?

What challenges have you faced over the past year? How did you overcome these?

What is the most rewarding part of your job? When did you feel most motivated?

What is the least rewarding part of your job? When did you feel least motivated?

Are there any issues at present that affect your work? If so how might they be resolved?

ONLY FOR CLINICAL ROLESPeer review of past period (if applicable) – what are the key themes? (see separate template)

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NHS Mansfield & Ashfield and NHS Newark & Sherwood CCGs Appraisals Process 3

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Objectives

Document your previous objectives here and how you have performed against each of them. Provide evidence for achievement along with comments or information on why objectives have not been met.

Objective How to measure achievement

Target date for completion / milestones

Date of 6 month review

Has objective been met?

Evidence of achievement / comments on progress or reasons why objective has not been met

Yes / No

Yes / No

Yes / No

Yes / No

Yes / No

Yes / No

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KSF Dimensions

Table 1: The Knowledge and Skills Framework (KSF) defines and describes the knowledge and skills that NHS employees need to apply in their work in order to deliver quality services. Managers are responsible for ensuring that each role in their team has a KSF post outline.KSF Dimension and level(insert relevant level)

Achieved*(O/M/S/I/U)

Evidence for decision Areas for Development Comments

Communication

Personal & people development

Health & safety & security

Service Improvement

Equality & Diversity

*the five categories for assessing if the key dimension has been achieved are;

O = Outstanding: Performance that exceeds expectations and is consistently outstanding.M = More than Satisfactory: Performance that consistently fulfils the job requirements and exceeds expectations.S = Satisfactory: Performance that consistently fulfils the job requirements.I = Improvement Needed: Performance that does not consistently meet the job requirements.U = Unsatisfactory: Performance that consistently fails to meet the job requirements

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Table 2:- The dimensions in the second table are those skills or behaviours that CCG staff may also need to have to deliver quality services. Not all of the behaviours will apply to all levels staff and should be agreed with your line manager ahead of the appraisal.

CCG Dimension and level(insert relevant level)

Achieved*(O/M/S/I/U)

Evidence for decision Areas for Development Comments

Personal responsibility

Team Work

Planning & Organising

Leadership

Innovation

Motivation

Resilience

*the five categories for assessing if the key dimension has been achieved are;

O = Outstanding: Performance that exceeds expectations and is consistently outstanding.M = More than Satisfactory: Performance that consistently fulfils the job requirements and exceeds expectations.S = Satisfactory: Performance that consistently fulfils the job requirements.I = Improvement Needed: Performance that does not consistently meet the job requirements.U = Unsatisfactory: Performance that consistently fails to meet the job requirements

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specificS measurableM achievableA relevantR timedT

Setting Future SMART Objectives

Set your SMART objectives here for the coming period. If you have objectives from the past period that are not yet completed, you may choose to carry these forward here.

Objective How to measure achievement Target date for completion / milestones

Evidence of achievement / comments (for completion at next review)

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Personal Development Plan

Development Need Is this training:a) Mandatory*b) Statutory*c) Required for the roled) Part of individuals

career or personal development

Options or most suitable option for achieving development need

Measure of achievement

Target date for achievement / review

a / b / c / d

a / b / c / d

a / b / c / d

a / b / c / d

a / b / c / d

a / b / c / d

*Mandatory and statutory training requirements depending on the job role are specified in the CCG Training & Development Policy. Information on the status of this training undertaken by the individual is available via ESR.

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Signing off the appraisal

Additional comments by the individual (if required)

Additional comments by the manager (if required)

Additional comments by the grandparent manager (if required)

Staff Signature …………………….………………………..

Date ………………………………………………………….

Line Manager Signature ……….…………………………..

Date ………………………………………………………….

NHS Mansfield & Ashfield and NHS Newark & Sherwood CCGs Appraisals Process 9

Completed and signed form to be made available to Line Manager and individual staff member.

Can the Line Manager please inform Corporate Governance Team that appraisal has been undertaken by emailing [email protected]