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.