GP peer appraisal in Scotland: an ongoing and developing exercise in quality.

GP appraisal in Scotland is a strong and vibrant process. Not least this is due to NES's commitment to the ongoing development of its appraisers. Research suggests that the key to effective appraisal is the skill of the appraiser. Training in Scotland has developed using feedback from a wide range of sources. The move from information-based courses towards skills-based courses enhances appraiser development and allows the effective evaluation of appraiser competencies. With appraisal becoming a key element in the revalidation process the quality assurance of appraisal and appraisers becomes increasingly important.