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Fourteenfish vs Clarity vs Agilio: GP Appraisal Platform Comparison

A practical comparison of the main UK GP appraisal platforms: features, pricing, CPD tracking, and which one reduces the appraisal admin burden most effectively.

Review date
Mar 2026
Reading time
10 min read
Author
Dr Kola Tytler MBBS CertHE MBA MSt MRCGP
On this page
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Key points

  • All three platforms help you <strong>collect, organise, and present supporting information for NHS appraisal</strong>.
  • <strong>Fourteenfish</strong> is the most widely used. <strong>Clarity</strong> has strong CPD features. <strong>Agilio</strong> offers broader practice management tools.
  • The best platform is the one you <strong>actually use consistently</strong> — features matter less than habit.
GP appraisal requires you to present supporting information across multiple domains: CPD, quality improvement, significant events, feedback, complaints/compliments, and a review of your scope of work. Doing this manually is painful. These three platforms automate much of the collection, organisation, and formatting — turning a dreaded annual task into an ongoing, low-effort process. The question is which one fits your workflow.
1

Fourteenfish

The most established GP appraisal platform in the UK. Features: CPD logging, reflection templates, multi-source feedback (MSF) tools, significant event templates, and a portfolio builder that outputs an appraisal-ready document. Many appraisers are familiar with the Fourteenfish format, which reduces friction during the appraisal meeting. Pricing is subscription-based (annual). Strengths: wide adoption, appraiser familiarity, clean CPD logging. Considerations: the interface can feel utilitarian; some users find it 'functional but not inspiring'.
2

Clarity (by Magentus)

Clarity offers appraisal portfolio management with strong CPD features, including 'hot topic' learning modules and knowledge-update content. Some versions include prescribing safety quizzes and clinical update modules that double as CPD. Strengths: integrated learning content (reduces the need to find external CPD), clean workflow, strong in some regions/trusts. Considerations: check whether your appraisal system/region accepts Clarity outputs natively — in most cases they do.
3

Agilio (formerly iPlato / Clarity Appraisal)

Agilio offers appraisal tools as part of a broader GP practice management suite. If your practice uses Agilio for other functions (workforce management, compliance), the appraisal module integrates naturally. Strengths: integration with practice-level tools, compliance tracking, broader operational value. Considerations: the appraisal-specific features may be less refined than Fourteenfish for individual clinician use.
4

How to choose

If you want the simplest, most widely accepted appraisal portfolio tool: Fourteenfish. If you want integrated CPD learning content alongside appraisal: Clarity. If your practice already uses Agilio for other functions: Agilio's appraisal module for integration. If cost is the primary concern: compare current subscription pricing directly — all three offer annual subscriptions in a similar price range. Trial periods are often available.

The real appraisal tip

The platform is just a container. The habit that transforms appraisal from annual pain into easy maintenance is: log one piece of evidence per week (a reflection, a CPD activity, a SEA, a piece of feedback). 52 small entries per year is easier than 12 frantic days of retrospective documentation.

References

GMC — Supporting information for appraisal
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  • The most established GP appraisal platform in the UK. Features: CPD logging, reflection templates, multi-source feedback (MSF) tools, significant event templates, and a portfolio builder that outputs an appraisal-ready document. Many appraisers are familiar with the Fourteenfish format, which reduces friction during the appraisal meeting. Pricing is subscription-based (annual). Strengths: wide adoption, appraiser familiarity, clean CPD logging. Considerations: the interface can feel utilitarian; some users find it 'functional but not inspiring'.

    Return to this section

  • Clarity offers appraisal portfolio management with strong CPD features, including 'hot topic' learning modules and knowledge-update content. Some versions include prescribing safety quizzes and clinical update modules that double as CPD. Strengths: integrated learning content (reduces the need to find external CPD), clean workflow, strong in some regions/trusts. Considerations: check whether your appraisal system/region accepts Clarity outputs natively — in most cases they do.

    Return to this section

  • Agilio offers appraisal tools as part of a broader GP practice management suite. If your practice uses Agilio for other functions (workforce management, compliance), the appraisal module integrates naturally. Strengths: integration with practice-level tools, compliance tracking, broader operational value. Considerations: the appraisal-specific features may be less refined than Fourteenfish for individual clinician use.

    Return to this section

  • If you want the simplest, most widely accepted appraisal portfolio tool: Fourteenfish. If you want integrated CPD learning content alongside appraisal: Clarity. If your practice already uses Agilio for other functions: Agilio's appraisal module for integration. If cost is the primary concern: compare current subscription pricing directly — all three offer annual subscriptions in a similar price range. Trial periods are often available.

    Return to this section

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