Pre-requisite Questions

Sadly, we are only able to recruit agency workers who are authorised to work in the European Economic Community (EEC) and have current, unrestricted NMC or HCPC pins (excluding healthcare assistants). If you would be interested in work opportunities outside of the EEC, please do not carry on with this application instead send us your CV to [email protected] and we'll get back to you ASAP.

Personal Details

Contact Details

Passport & Other Details

Next of Kin Details

CV & Experience

You can upload your CV OR manually input your work experience at the bottom of this step, either is fine.

Professional Qualifications

This is for Bachelor Degrees, Diplomas., etc. Please provide as much information as possible.

Your Work History

Please input your work history since leaving school with no gaps. Use the plus button to add further records. Please explain any gaps in your history. Note: if your CV (as uploaded before) provides a full work history, you can skip this section.

Please note: we require NO GAPS in your work history.

Experience Checklist

Please tick which areas you have worked and have relevant experience for agency work:

Professional Conduct

Criminal Records

All healthcare workers must have an enhanced DBS check in England / Join PVG Membership scheme in Scotland. Please note that under new filtering rules - certain offenses may be removed from your criminal record after 11 years (5.5 years if you were under the age of 18). Cautions will be removed after 6 years (2 years if you were under the age of 18); providing that this was your only offence and did not result in a custodial sentence. Serious offences will never be filtered. If you are unsure of whether your conviction/caution/reprimand is filtered, please see the DBS / PVG website for more information before signing the declaration. If you do not declare a conviction/caution/reprimand that later appears on your DBS / PVG this could result in dismissal or non-employment. Please tick:

DBS Enhanced Disclosure (CRB) / AccessNI:

Professional References

References need to cover 3 years of employment with no gaps. A minimum two references ideally, if you need to add more simply click the plus button below. If you had the same employer for 5+ years, then this is an exception. If applying for NHS work, references must be from clinical professionals. Referees emails must be NHS or company email - we cannot accept Outlook, Gmail, Hotmail, etc.

Occupational Health Questionnaire

Tuberculosis

Clinical diagnosis and management of Tuberceulosis, and measures for its prevention and control (NICE 2016)

Do you have any of the following? Please provide more details if you answer yes:

Immunisation History

Have you had any of the following immunisations? Please provide dates

Proof of immunity

Please send the following by attaching the files in PDF or Word format

Exposure Prone Procedures

Consent

Consent is a process rather than a one off decision, for consent to be valid, it must be voluntary and informed. You have the right to withdraw your consent at any stage of the process, either verbally or in writing.

Equal Opportunity Monitoring

Declarations

• 1. I have been advised by the registration office of Nurses On Call of the importance of having the Hepatitis B vaccine
• 2. I acknowledge that I have been/ am being vaccinated against Hepatitis B and will continue to maintain my immunity
• 3. I accept responsibility for my decision and will ensure that I take all precautions to avoid contracting the illness and avoid accepting work within environments which are hazardous
• 4. I confirm that the information given in this application is accurate
• 5. I am permitted to work in the UK
• 6. I understand that my registration is subject to the receipt of at least two satisfactory references and enhanced disclosure from the DBS for England or PVG for Scotland.
• 7. I undertake to inform Nurses On Call should I be convicted of an offence in the future
• 8. I undertake to inform Nurses On Call immediately if I am engaged through their introduction, including the offer of permanent employment following a temporary assignment
• 9. I agree to respect the confidentiality of patients and any other information I may have access to at all times
• 10. I have read, understood and agree to the conditions of work for temporary nurses / workers, of which I have been given a copy.
• 11. I have received a copy of the induction information letter and can confirm that I am aware that more detailed information on the Staff Handbook and Policy and procedures can be obtained directly from Nurses On Call’s website:
• 12. I have completed the Bank Details Form and confirm they are complete and correct. I hereby understand that any incorrect or incomplete details can result in a delay of my payment.
• 13. I agree that Nurses On Call retains the right to hold this application and any other data required to process it and to pass on to any authorised third party the details held within and also to retain these details for as long as reasonably necessary in accordance with GDPR.
• 14. I agree for Nurses On Call to obtain an original sighted copy of my DBS Disclosure and give my continued consent to Nurses On Call to carry out DBS Update online Status Checks for the duration of my employment.
• 15. I give permission for my employment file to be audited by the clients of Nurses On Call for the purposes of compliance with legislation, regulations and Clients requirements.

For the purpose of the Working Time Regulations 1998 (as amended), I consent to work in excess of an average of 48 Hours per week. I understand that I may withdraw this consent by giving Nurses On Call not less than three months’ notice. I understand that my registration with Nurses On Call can be terminated at any time following unsatisfactory work reports.