Independent medical appraisal: when and why to choose one

An independent medical appraisal is an appraisal arranged outside your employer or designated body, usually with a self-employed appraiser you pay directly. This guide explains when doctors use one and what to check first.

The GMC’s rules decide whether you can use an independent appraiser:

• If you have a responsible officer (RO), your appraisal is normally arranged through your designated body, and you must use the system provided unless your RO asks you to use an alternative. Ask your RO whether an independent appraisal is acceptable before you book.
• If you have no designated body or suitable person, you arrange your own annual appraisal, and your appraiser completes the REV12 form for your annual return. See REV12 form explained.

• No designated body. Some doctors, such as some locums or doctors working only privately, have no designated body and need an appraiser of their own.
• Your RO has agreed. Some ROs accept an independent appraisal for a doctor with a connection, for example where the designated body’s system can’t offer a suitable appraiser or timing.
• Timing. If your date is close and your usual route can’t offer a slot, you may need to ask your RO about alternatives. Short-notice slots are listed on the fees page.
• Flexibility. Evening and weekend appointments, held by video, suit doctors with changing rotas.

An independent appraisal is still a GMC appraisal. It is a face-to-face discussion, in person or by video, covers your whole scope of practice and focuses on Good medical practice. You bring the same six types of supporting information, listed in our revalidation checklist.

• Has your RO or employer accepted it, in writing if you can?
• Who is the appraiser, and can they explain how they meet the GMC’s requirements? How to choose a GMC appraiser lists what to ask.
• What does the fee include? See what a medical appraisal costs.

It does not mean easier or lighter. Independent appraisals must meet the same standards, and your appraiser is expected to challenge and support you in the same way.

Fees are £550 for a standard appraisal and £700 for short notice (within 48 hours).