Appraisal / PDR review form (2023/2024)
Your PDR provides a chance for you and your manager to reflect on and learn from your experiences over
the last year and think about how you can put your learning into practice (part 1 of the form). It gives a
valuable chance to think about the coming year – identify objectives, possible challenges and opportunities.
This discussion will enable you to think about your wellbeing and your career with LGT (part 2 of the form).
Name: Deborah Mutyaba
Division : Caring for the elderly Department: Aspen Ward, UHL
Manager/Reviewer: Aderonke Okuneye Date completed: 02 December 2023
Part 1 - Reviewing 2023/2024
Performance objectives Manager comments on Individual comments on
achievement achievement
1. Recognising and understanding I have observed and shadowed team
deteriorating patient. members when dealing with patients
who are critically and completed
research outside on the signs of a
deteriorating patient.
2. To work with members of my team Through the use of communication, I
in order to improve patient care. am able to collaborate with the
multidisciplinary team using the S bar
tool.
I attended a training course, and I am
3. To be able to complete the able to complete the cannulation
intravenous cannulation procedure. process on a patient.
4. To improve understanding of how Whilst completing my preceptorship I
evidence-based practices can be was able to gain a greater
used in patient care. understanding of these practices with
my job role .
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Our Valuescom
This section gives you the opportunity to show how you are working towards the Trust values by giving
examples over the last year.
Value Evidence for 2023/2024 Areas for development
We treat everyone Respect and dignity are core values
with respect and for me.I always. I maintain a polite
compassion
manner with patient and their families.
Making sure I listen to their beliefs and
core values and adhere to a high
standard of confidentiality. I also seek
consent from patients prior to their
care.
We work as a team to Collaborative care coordination with
improve quality members of my team enables share
my ideas with others. When on shift
as nurse in charge I am able to
understand the skills and strengths of
my team to provide effective patient
care.
We take responsibility I always to use to evidence-based
for our actions practice methods when handling
patient care and complete all tasks
assigned to me before leaving work.
We work together for I ensure to communicate effectively
patients and with patients, my colleagues and other
colleagues
members of the multidisciplinary team.
If faced with a specific patient safety
issue, I escalate it with my team in
order to find a solution.
We learn, develop and I am eager to learn and benefit greatly
share knowledge from training sessions that allow me to
develop my knowledge and
understanding. I enjoyed attending a
training session on the procedure of
intravenous cannulation.
Manager overall comments
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Part 2 - Agreed Plan for 2023-2024
Name: Deborah Mutyaba
Division : Caring for the elderly Department: Aspen Ward, UHL
Manager/Reviewer: Aderonke Okuneye Date completed: 02 December 2023
Objectives/Goals
Your objectives and goals are for you to work toward in the year ahead to help you with your progression.
2023 – 2024 Objectives
Objective title SMART Objective/goal S.M.A.R.T
1. Master Course To be able to admit and discharge patients, Specific:
effectively and efficiently especially when Be specific and clear about
the objective.
wards are busy. Measure:
2. Time Management To ensure my documentation is completed What will success look like?
precisely and on time. Achievable
3. Managerial Tasks I endeavour to work on my leadership skills Is the objective within the
individuals remit and skillset?
specifically on shifts when I am nurse in Realistic/Resources
charge. What time and other
4. Mentorship I want to excel in being able to share my resource are involved is this
knowledge base to my colleagues as well realistic?
as students nurses, I may meet. Timescale:
Put clear timelines in
Personal Development Plan (PDP)
Use this space to discuss your development needs, both for you current role, but also to help you develop
in your career with LGT.
Personal Development Plan 2023 – 2024
Mandatory training falling A few more left
due.
Role specific development
agreed.
Do you think you are ready
for promotion?
Write your comments
Career aspirations and
progression plan
discussed.
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Additional Questions – Answers required
Have you and your No
manager discussed
flexible working?
Write your comments
Manager add comments
Have you had a caution or No
conviction since your last
Appraisal
Do you have any No additional comments at the moment
additional comments/
discussion you would like
to record as part of this
Review
Manager to notify [email protected] of staff member’s PDR date. Staff member and manager to keep a
copy of this form.
Please complete the wellbeing section below. Please note this section is at the end so that it can be
removed and saved separately for confidentiality if required.
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Confidential
Your wellbeing
This section is confidential between manager and staff member and is an important conversation which
should take place regularly as part of 1:1 meetings as well as at your appraisal. More resources to support
your wellbeing are available on the intranet at: https://lgnet.lewishamandgreenwich.nhs.uk/engagement-
wellbeing-and-staff-benefits
Name:Deborah Mutyaba
Division :Caring for the elderly Department: Aspen Ward, UHL
Manager/Reviewer: Aderonke Okuneye Date completed: 02 December 2023
Physical, emotional and psychological wellbeing
How would you describe your Currently my physical/emotional/psychological wellbeing at
physical/emotional/psychological the moment is good but I am struggling with working three
wellbeing at the moment? consecutive nights in a low.
What is working well to support Working with band 6 nurses as the manger that readily
your wellbeing? offer help and support when I need it.
What would help improve your A break within my night shifts will help to ensure that my
wellbeing? eyes don’t become red from the lack of adequate rest.
I maintain an approachable attitude and I am readily
How could you support your available to speak to team members if they are having
colleagues’ wellbeing? problems.
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