Professional Documents
Culture Documents
(6 Months)
Thank you for choosing MedicsPro Ltd as your preferred agency to work for. Due to the high volume of candidates to
appraise I would like to give you this opportunity to complete this self-appraisal form. Should you require a follow up
call or a meeting please tick the appropriate box and we will contact you. All your comments are valuable and will be
reviewed. The forms will give us a clear indication of any training and development you may require that will help
towards your revalidation and the work you do for us.
Name:
1. Outline the main Clinics/Hospitals/Prisons/Care Homes you have worked at during the last 12 months,
prioritising the establishments with the most hours worked and state if you are Permanent/Full Time/Part
Time/Bank/Agency etc.
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5.
2. What is your main speciality or preferred area of work? E.g. A&E, Respiratory wards etc…
1. 2.
3. 4.
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3. How for you would you rate the past 6 months working for Medicspro Ltd?
Good / needs improvement / satisfactory / otherwise and Why?
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Are you able to carry out your nursing duties to the best of your ability? E.g. Administering medication, data
input, completion of documentation etc.
Personal Wellbeing and Health – Do you have any medical conditions you would like to disclose.
Non-clinical admin issues (such as Payroll) – Have you ever had any issues? If so, please specify what action was
taken, has it been resolved or still pending?
Are you satisfied with your records keeping and documentation or using the IT system at work?
If not please disclose with which hospitals/wards/care homes/prisons etc you are experiencing difficulties.
Complaints – Have you received any complaints from any place of work that you have done recently or have you
any investigations with the NMC or any cautions/convictions on your CRB?
Feedback – Have you received any positive feedback forms? If so, please disclose…
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Reflection statement
I would like you to complete a Reflective Account that you have experienced in the last 6 months working for
MedicsPro Ltd. This could be an example you may want to include as part of your revalidation. Minimum 100
words there is no need to mention names or hospitals.
Reflective Account:
Select a theme: Prioritise People –Practice Effectively-Preserve Safety-Promote Professionalism and Trust
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How would you rate your knowledge or capability in the following areas, in terms of your current role? (Score:
1-3 = Poor; 4-6 = Satisfactory; 7-9 = Good; 10 = Excellent)
Clinical Skills
Punctuality
Reliability
Communication skills
Hand writing skills
Honesty/discretion
Coping under pressure
Planning
Timekeeping
Documentation and record keeping
Able to think critically and analytically
Here are some courses that you could do during the next 12 months.
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1.
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Size uniform
Appearance
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Are you satisfied with all the contents that you have outlined? YES/ NO
Would you like any of the following?
- A Skype meeting
- A confirmation email
If so, please email Bilqees.Mauthoor@medicspro.com or Eloise.Hall@medicspro.com or you can call us on 0208 505
6600 ext 227/202
Please put your name in the box below labelled Appraisee and sign and date.
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