T12 Response to feedback and next steps — Worked example
2026 digital edition · Dr Naeem Aziz DGM FRCP · 2 min read
Hypothetical worked example
Read with chapter 18
Separate understanding the decision, correcting facts, further development and any formal review or appeal. Check deadlines immediately.
Decision
A hypothetical applicant is told that the evidence did not make their contribution to an improvement project clear. The example supplies no national appeal timetable and does not imply that this is the only reason for a decision.
Understanding the finding
The doctor asks whether the concern is unclear attribution, insufficient evidence of the work or a wider capability issue. These require different responses.
Evidence and correction
The existing project record distinguishes the doctor's tasks from those of the team. If that record was omitted or misunderstood, the doctor identifies the precise point and asks how a correction should be considered. No retrospective endorsement is invented.
Development response
If the evidence genuinely does not show the claimed capability, agree a proportionate opportunity and feedback plan. Repeating a course is not automatically the appropriate answer.
Formal process
Check the current route and time limit on receiving the decision. A request for clarification should not be assumed to pause a deadline. Seek appropriate advice if considering a review or appeal.
Review
Record what is being challenged and what is being developed. Keep the plan realistic and supported. An adverse decision should lead to a clearer next step, without a promise that further effort will guarantee a different outcome.