[Date]
[Name]
[Address] / Direct Dial: (01423) 553130
Direct Fax: (01423) 553262
Email:

Declaration relating to requirements of the Fit and Proper Persons Test

It is a condition of your contract thatyou meet the requirements of the Fit and Proper Persons Test. Initial outcomes from the checks will be reviewed by the Nomination Committee and you will be unable to take up the post until full assurance can be evidenced. The requirements of the Fit and Proper Persons Test are:

  • You are of good character;

(You are not of good character if:

  • you have been convicted in the United Kingdom of any offence or been convicted elsewhere of any offence which, if committed in any part of the United Kingdom, would constitute an offence as deemed by the Trust;
  • You have been erased, removed or struck-off a register of professionals maintained by a regulator of health care or social work professionals).
  • You have the qualifications, competence, skills and experience which are necessary for the relevant office or position or the work for which you are employed;
  • You are able by reason of your health, after reasonable adjustments are made, of properly performing tasks which are intrinsic to the office or position for which you are appointed (or to the work for which you are employed);
  • You have not been responsible for, been privy to, contributed to or facilitated any serious misconduct or mismanagement (whether unlawful or not) in the course of carrying on a regulated activity or providing a service elsewhere which, if provided in England, would be a regulated activity, and
  • None of the grounds of unfitness apply to you:
  • You are an undischarged bankrupt or a person whose estate has had sequestration awarded in respect of it and who has not been discharged;
  • You are the subject of a bankruptcy restrictions order or an interim bankruptcy restrictions order or an order to like effect made in Scotland or Northern Ireland;
  • You are a person to whom a moratorium period under a debt relief order applies under Part VIIA (debt relief orders) of the Insolvency Act 1986;
  • You have made a composition or arrangement with, or granted a trust deed for, creditors and not been discharged in respect of it;
  • You are included on the children’s barred list or the adults’ barred list maintained under section 2 of the Safeguarding Vulnerable Groups Act 2006, or in any corresponding list maintained under an equivalent enactment in force in Scotland or Northern Ireland;
  • You are prohibited from holding the relevant office or position or from carrying on the regulated activity, by or under any enactment.

If you agree to accept this declaration as part of your contract of employment, please sign and return one copy of this declaration to myself.

Finally, I would like to make you aware that the Trust reserves the right to carry out ongoing checks checks of insolvency and bankruptcy registers and the register of disqualified directors. Therefore, I must request that should any of your personal circumstances relating to the above criteria change during your period of office employment which you consider might be related to your ability to be considered a Fit and Proper Person, then you should disclose this information immediately to the Chief Executive.

Yours sincerely

Lee-anne Heath

Medical Workforce and Recruitment Manager

………………………………………………………………………………

I hereby confirm my acceptance of the above amendment to my contract of employment.

Signed……………………………………………………Date……………………..

Name:- [Name]