Appendix B - Risk Indicators

Insight into capability issues.

Performance difficulties are not serious or repetitive.

Does not attempt to perform tasks when not capable.

Takes responsibility for the task, and ensures that it is completed under supervision or completed by an appropriate colleague

Seeks advice and supervision appropriately.

Demonstrates   expected   improvement   in   areas   of weakness.

Demonstrates the ability to learn from experience.

Limited insight into capability difficulties.

May  attempt  to  perform  low  risk  or simple tasks when not capable, but then seeks advice and supervision.

Demonstrates   some   improvement   in areas of weakness.

Demonstrates some ability to reflect and learn from experience, but there are still concerns in this area.

Repeated sick leave often of short duration and possibly associated with on- call.

Repeated avoidance of acute situations.

No insight into lack of capability.

Performance    difficulties    are   serious   or repetitive.

Attempts to perform high risk task(s) when not capable.

Inability to communicate effectively.

Repeated inappropriate delegation of clinical responsibility.

Repeated     inadequate     supervision     of delegated clinical tasks.

Ineffective ingrained clinical team working skills.

Does    not    seek    appropriate    advice    or supervision, therefore putting patients at risk.

If  unable  to  complete  the  task,  does not ensure that it is completed by a colleague.

Seems unable or unwilling to improve in areas of weakness.

Does not demonstrate the ability to reflect and learn from experience.

May  make  formal  complaints  about colleagues  who  express  concern  about capability.

Insight into difficulties. 

Takes appropriate time off sick.

Insight into limitations caused by health issue.

Seeks help and advice appropriately (from own GP or occupational   health   or   appropriate   colleagues)   and follows this advice.

Responds to concern raised by colleagues and modifies behaviour appropriately.

Complies  fully  with  all  treatment  and  reasonable adjustments to workplace roles/conditions.

Limited insight into difficulties. 

Continues  to  work  whilst  moderately unwell.

Limited    awareness    into    limitations caused by health issue.

Seeks advice appropriately but appears reluctant to follow this.

Some appropriate response to concerns raised by colleagues.

Complies on the whole with remediation package.

No insight into health problem.

Continues   to   attend   work   even   when

obviously unwell.

No insight into clinical limitations caused by health issue; may jeopardise patient care.

Does not seek help or advice for health issue.

Unwilling or unable to respond appropriately to concerns raised by colleagues.

Does    not    comply    with    treatment    or reasonable adjustments.

One episode of minor misconduct only (N.B. need to check that there have not been any episodes in previous posts).

Individual agrees when challenged that conduct was inappropriate.

Demonstrates remorse for misconduct.

Demonstrates  the  ability  to  reflect  and  learn  from experience and there is no evidence of further misconduct.

Seeks advice appropriately on conduct and associated issues.

External     factor     present     (family/financial/ work related/evidence of stress).

Two    or    three    episodes    of   minor misconduct (check back to other posts).

Individual agrees when challenged that conduct was inappropriate.

Demonstrates  appropriate  remorse  for misconduct. 

Demonstrates the ability to reflect and learn   from   experience,   but   some   very minor concerns about conduct may remain. 

Sometimes seeks advice on conduct and associated issues.

Repeated  episodes  of  minor  misconduct,  or one or more episodes of serious misconduct.

Individual does not agree that conduct was inappropriate, or denies misconduct. 

No expression of remorse. 

Unable  to  demonstrate the  ability  to  reflect and learn from experience.

Unable   or   unwilling   to   accept   advice   on conduct-related issues.

No external contributory factors. 

Work    history    difficult    to    verify/previous concerns.