It is important that the standard of medical appraisal across England is as uniform as possible so that all doctors benefit from a similar experience and level of review. In order to achieve this it is necessary to benchmark and quality assure the process. Systems are being developed to standardise managerial and administrative processes. Responsible officer (RO) and appraisal lead networks (as part of the national appraisal network) also contribute to benchmarking. The insight provided by this quality assurance process also aids the responsible officer in the support of the development of the medical appraisal programme.