Recurring concern
Unreliable staff appraisal and performance-review processes
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Request correctionFirst reported 19 Oct 2016•Latest report 17 Sep 2025
What this concern includes
Includes failures in staff appraisal or equivalent performance-review arrangements, including absence or inadequate operation of the process, failure to conduct appraisals, failure to provide relevant findings or feedback, and failure to link appraisal outcomes to refresher training, supervision or other safety-related development.
Not included
- Excludes general staff training, qualification, supervision or competence deficiencies where no appraisal or performance-review failure is identified.
- Excludes clinical or operational performance failures where the appraisal process itself is not deficient.
- Excludes generic audits or staff monitoring that are not appraisals or equivalent individual performance reviews.
- Excludes routine employee dissatisfaction or employment-management concerns without a safety-relevant appraisal or performance-assurance condition.
- Reports
- 6
- Individual concerns
- 7
- Date range
- 2016–2025
- Stated actions
- 3
Distinct published reports
A report can raise multiple concerns
First to latest report issue date
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
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Concerns raised1
Lack of appraisal and mandatory assessment of community urology clinicians
This report raised 10 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.5
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Position
The ICB does not employ clinicians and is therefore not responsible for their appraisal or mandatory assessment.
Stated by NHS Surrey and Sussex Integrated Care Board
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Position
Appraisal and mandatory assessment of clinicians are the responsibility of their employers, Sussex Medical Chambers and Goring Hall Hospital.
Stated by NHS Surrey and Sussex Integrated Care Board -
Position
The GMC is responsible for doctors’ registration and standards, while designated bodies oversee appraisals and related fitness-to-practise concerns.
Stated by Department of Health and Social Care -
Position
Primary-employer appraisals, annual SMC reviews and mandatory training checks are considered sufficient clinician assessment arrangements.
Stated by Sussex Medical Chambers -
Position
Existing appraisal and performance-review arrangements for Community Urology Service clinicians were considered consistent with nationally recognised independent-sector arrangements.
Stated by Care Quality Commission
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Concerns raised2
Failure to offer refresher training following annual driver appraisals
Failure to provide drivers with feedback on annual appraisal assessments
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
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Action
Provide new-driver training, supervised competency monitoring, annual driving assessments and additional reassessments where performance or concerns require them.
Stated by UPS Limited
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
It was incorrect to suggest that driver assessments provide no feedback, because the assessment process includes documented feedback and advice.
Stated by UPS Limited
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Concerns raised1
Failure to conduct staff appraisals appropriately
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
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Action
Improve supervision and appraisal through themed, observational and clinical supervision, addressing identified practice and training needs.
Stated by Four Seasons Health Care Group
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Concerns raised1
Lack of an employee appraisal system
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
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Action
Appraise workers daily, recommend further qualifications, and arrange workplace testing by outside agencies.
Stated by Wayne Clarey
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
The Principal Contractor’s training-matrix system, including appraisals and training-needs analysis, was considered sufficient for subcontractors.
Stated by Health and Safety Executive
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Concerns raised1
Failure to provide staff with necessary support, training, professional development, supervision and appraisals
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure to subject advanced nurse practitioners to stringent appraisal and revalidation processes
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
Existing statutory regulation and revalidation are considered sufficient to protect the public against risks associated with advanced nursing practice.
Stated by Nursing and Midwifery Council
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Position
The Nursing and Midwifery Council is responsible for nurses’ standards, registration, revalidation and professional regulation.
Stated by NHS England
Data last updated 7 September 2026