GP - ADVERT REQUEST FORM

For guidance notes press F1 whilst in the relevant field

All data fields within relevant sections and documentation must be completed/attached prior to submission to enable the Employment Services Team to process without rejection. Employment Services can only accept electronic copies of the forms.

Once completed, please email along with the vacancy related documents

(Job description and person specification)to:

JOB REFERENCE NUMBER (Employment Services use only)

Part One - Vacancy Details
Job Title / Practice Nurse
Surgery Name / Presteigne Medical Centre
Base / Presteigne
Base Post Code / LD82RJ
Hours
Speciality/Function of the Vacancy / Practice Nurse
Department / General Practice
Band of Vacancy / 5
Salary of Vacancy
Tenure of Vacancy / Permanent Please selectFixed TermSecondmentBank
Duration if Fixed Term Contract
Hours / 7-15
All jobs will be considered for job share unless otherwise stated. If this vacancy is not to be considered for job share then please state the reason below.
Does this Vacancy Require a DBS (CRB) check? / YesPlease selectNo
What level of DBS check does this Vacancy require? / EnhancedPlease selectStandard
Which Barred List is relevant for this Vacancy? / Childrens and Vulnerable AdultsPlease selectChildrens OnlyVulnerable Adults OnlyNot Applicable
Closing Date / 10 daysPlease select7 days14 daysOther
Other:
Interview Date (Optional)
Does this Vacancy have any specific requirements? / NMC registration
Contact Details
Recruiting Manager - Email Address /
Recruiting Manager - Telephone Number / 01544 267985
Contact Name if different to Recruiting Manager
Contact Email Address if different to Recruiting Manager to appear in the Advert (Optional)
Contact Telephone Number to appear in Advert (include area code) / 01544 267985
Advert Text No more than 200 words
We are looking for an enthusiastic practice nurse to join our friendly team on a part time basis (one to two days a week). The ideal candidate would have previous core practice nursing experience in chronic disease management, immunisation, healthcare advice, cervical smears etc but training could be provided for the right candidate. We are a small and friendly progressive training practice based in the beautiful Welsh Borders.
Optional - Additional Reviewer for Short Listing
Name
Email address
Declaration by Recruiting Manager
By submitting this form you are confirming that the appropriate authorisation for advertising this Vacancy has been obtained in line with your Organisation’s vacancy approval process.
Name / Cath Mahon
Job Title / Practice Manager
Date / 10/05/16
Manager’s Name on Invoice / Cath Mahon
Telephone Number / 01544 267985
Invoice Address or E-mail Address /

Once completed, please email along with the vacancy related documents(job description and person specification)

Submission Checklist

Advert Request Form

Job Description

Person Specification

GP Advert Request Form, May 2014