Milton Keynes University Hospital NHS Foundation Trust is a medium-sized district general hospital employing around 3,000 staff. In late 2012 the GMC set out its requirements for medical practice and appraisal, supported by guidance from the medical royal colleges and faculties. The trust decided to move from using paper records and spreadsheets to capturing information about revalidation and appraisal to using a software solution. Andrew Kerr, Business Manager, Medical Directors Office has been working with MedicAppraisal to help clinicians to complete their appraisal within the specified timescales. From slow engagement to changing culture When Andrew first started working with the Responsible Officer the number of cases in which appraisal completion could be evidenced was

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