Scope of work Scope of work

Annual appraisal should cover every role a doctor undertakes. Similarly, when the Responsible Officer (RO) makes a recommendation to the GMC regarding a doctor's revalidation, the RO must be assured of the doctor's fitness to practise in all the roles he or she undertakes. Doctors, therefore, need to provide such scope of work (previously called "scope of practice") information for their appraisal.

Our clinical lead for Hull and East Riding, Dr Sanjeev Kapur, has put together the following guidance regarding what you should include in your appraisal documents for various roles. This is not an exhaustive list and if you have any questions please discuss them with your appraiser in the first instance.

Important note: if you need to provide an appraisal, letter or audit, there's no need to get a letter specifically for your appraisal; please use the most recent copy you hold. For example, if you usually receive your annual OOH audit in July each year, but your appraisal falls in December, use your audit from July.


Undergraduate teaching:

  • Your student feedback
  • The results of your peer review (if done in the year)
  • If at all possible, a scope of work letter1

GP trainers:

  • Your last approval/ re-approval letter and any relevant information from that process
  • Evidence of development in this role (e.g. attendance at trainer's workshops, TQA seminars, deanery workshops). Training can be recorded as CPD credits.

GP appraisers:

  • The most recent scope of work letter1 from the RO
  • Collated feedback from your cohort of doctors
  • Any feedback or formal review with appraisal lead


  • Annual performance data/ review from provider
  • Performance review and/ or appraisal with provider

Prison work:

  • If this is a GP role only, we will need confirmation that you don't perform an extended role as well as confirmation from your employer that there are no performance concerns
  • If your role is classed as ‘extended' you will need a scope of work letter1


  • Clinical executive members should provide a scope of work letter1 from the clinical chair
  • Clinical chairs should obtain a scope of work letter1 from the accountable officer

GPs with a special interest

  • We will need a scope of work letter1

Substance misuse:

  • Scope of work letter1


1A quick note on scope of work letters

A scope of work letter should be provided by an appropriate clinical supervisor or manager and should cover the following (taken from the RCGP guide to revalidation version 8):

  • How you qualified to take on this role. This should include prior experience, education and qualifications
  • How do you keep up-to-date in this role. This should include reference to all new and refresher education or development and training undertaken for this role within the revalidation period, including any learning credits recorded.
  • How you can demonstrate that you are fit to practise in this role. This should include appropriate audits of care delivered and reflections or service outcomes as appropriate.