Clinical performance assessment

Below you will find details about our clinical performance assessment – its purpose, how it is carried out and how long it takes to complete.

The purpose of this assessment is to:

  • provide an independent view on the clinical performance of the practitioner, identifying both satisfactory practice and any areas of poor practice.
  • provide information to assist the referring organisation in decisions about the next steps in their management of the case.

The assessment is carried out through a clinical assessment visit by a trained team of assessors, supported by an Assessment and Remediation Manager. It includes:

  • Clinical record review: of a sample of patient records.
  • Direct observation of practice: the practitioner’s normal clinical work.
  • Case-based assessment: exploring clinical reasoning and decision-making about the practitioner’s own cases.

The assessors will have relevant clinical experience in the practitioner’s specialty, be familiar with the standards relating to that specialty and be able to apply them to assess the performance of a peer. Our assessments are underpinned by a range of quality assurance mechanisms to ensure that we continue to provide an expert and high quality service.  The result is a comprehensive report with fair, robust and evidence-based findings and conclusions in respect of the individual’s practice, which provide the basis for a clear way forward to bring the case towards a resolution.

It takes around 18 weeks to complete a clinical performance assessment – from the time we offer the assessment to the issue of the assessment report.  This can vary depending on the clinical specialty of the practitioner and the individual circumstances of the case but we always aim to deliver assessments as quickly as we can.


Our Insights publications share analysis and research which draw on our in-depth experience providing expert, impartial advice and interventions to healthcare organisations to effectively manage and resolve concerns raised about the practice of individual healthcare practitioners.

Our clinical performance assessment Insight presents the findings of 102 clinical performance assessments undertaken from April 2013 to March 2020, to share important insights from this core area of our work.

Contact us

To find out more about clinical performance assessments please refer to this information or contact us directly:

  • 020 7811 2600

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