Informing the development of a scoring system for National Health Service Clinical Impact Awards; a Delphi process and simulated scoring exercise.

For example, ‘an applicant scoring at the highest point on the scale would be seen to be making an outstanding contribution, which is substantially exceeding the expectation of job description, highly impactful, highly significant, and of national or international reach.’ (iv) For each score given, an evenly spaced larger number of possible scores should be allowed to permit more granularity than exists in current scoring arrangements, for example, 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10 (compared with the four-point scale (0, 2, 6, and 10) in present arrangements).

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