Challenging aporia in the performance appraisal of consultants: a stakeholder systems response

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The paper uses stakeholder analysis to examine issues of effectiveness and equity in the performance appraisal of NHS Consultants and academic staff in UK Universities. While the primary focus is on Consultants, the cases discussed show how many dilemmas in consultant appraisal are generic to the performance management of public sector professionals who enjoy significant autonomy and discretion in their work roles. Concepts of accountability and organisational justice are related to the philosophy and practice of performance management to produce a stakeholder systems model of consultant appraisal. The model enables performance appraisal systems to be considered in a holistic way; and confirms the benefit of stakeholder involvement at design, operation, evaluation and reporting stages. Conclusions from the paper address research agendas in performance management as well as the concerns of those involved in consultant appraisal.


Document Type: Regular Paper

Publication date: December 1, 2004

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