Domain 4:

Maintaining Trust

Mandatory self declaration statements (required every appraisal)

In Domain 4, you are asked to complete 3 self declarations on:

  • Complaints / Critical Incidents (Core Element E)
  • Health (Core Element F)
  • Probity (Core Element G)

These self declarations are simple straightforward forms with a series of yes/no questions, and where appropriate, you will be asked to provide additional commentary (e.g. Are you registered with a GP?  If answered "no", a comments box will appear asking for additional information - perhaps you just moved to a new area, or perhaps you are situated in a rural area where the nearest GP is 90 miles away).

Similar to the other three domains, you can upload any supporting information to the form as you see fit.  Additional Reflective templates are also available if you wish to use them.

Related Documents

Significant Event Reflection (D2) | File Size: 560.96 KB | Date Updated: 21/03/2014

This template is designed to aid the user to reflect on a Significant Event they wish to discuss for their upcoming appraisal.

Maintaining Trust (D4) | File Size: 588.84 KB | Date Updated: 02/10/2014

This template is designed to aid the user to reflect on any issues surrounding Trust.

This page was last updated on: 15/05/2015