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You must use this form to record five written reflective accounts on your CPD and/or practice-related feedback and/or an event or experience in your practice and how this relates to the Code. Please fill in a page for each of your reflective accounts, making sure you do not include any information that might identify a specific patient, service user or colleague. Please refer to our guidance on preserving anonymity in Guidance sheet 1 in How to revalidate with the NMC. Reflective account: What was the nature of the CPD activity and/or practice-related feedback and/or event or experience in your practice? Annual appraisal discussion with my line manager – health & safety manager. I rated each of my objectives and my line manager agreed on the rating and suggested an upgrade to one of the objectives on ‘healthy company’. The most constructive feedback was how to manage my head of department who does like to get involved with lots of initiatives and then needs me to provide information, advice and support on top of day job. The organisation has an online performance management system that is completed by the employee, reviewed by the manager and allows for comments on performance as part of end of year discussion. The discussion lasted about 45 minutes and we ran through each of the objectives, what has been achieved and how it was achieved. We then reviewed my competencies against the Competency Framework, reflecting on current and required level. Any gaps would then form part of ongoing development. We also discussed the development plan and agree learning needs. What did you learn from the CPD activity and/or feedback and/or event or experience in your practice? I have a lot of work to do and need to close out the systems work I have been doing to start concentrating more time on the three key projects that have been identified for occupational health of the next 2-3 years Finally I have learnt how to more effectively manage the expectations of our Head of Department, in terms of my time and ability to deliver on the priorities. He does take push back well and usually allows me to make the final decision ie mental health providers, implementing health assessment standards and working with the alcohol network. How did you change or improve your practice as a result? I developed my skills in the area of audit; air quality and fatigue through the attendance at courses, conferences and self-directed learning. 17 of 22

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