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Candidate Pre-Screen Form
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Consultant Name
Candidate Number
Date
Personal & Fact Finding
Name
Speciality
Adult Nurse
Healthcare Assistant
Children's Nurse
Mental Health Nurse
ODP
Midwife
Band
2
3
4
5
6
7
8
Preferences
General
Mental Health
Adult ED
Paeds ED
Scrub
Recovery
Anaesthetics
ITU
Neonates
Community
Contact Email
*
Contact Number
Contact Number (Alternative)
Address
How did they hear about us
Where do they work currently
Substantive (Full Time)
Substantive (Part Time)
Agency (Full Time)
Agency (Part Time)
Bank (Full Time)
Bank (Part Time)
Work Pattern
Days
Nights
Weekends
Which Agency
How much NHS experience
Mode of Transport
Drive
Drive
Public Transport
Distance of Travel (Time or Miles)
Compliance
Have they lived outside of the UK in last 5 years for more than 6 months or more?
No
No
Yes
Can candidate provide overseas police clearance from the country they lived in?'
Trainings
Do they have valid online and practical training?
Yes
Yes
No
From where they have these practical trainings from trust or private training provider? Healthier business group
After checking their trainings by compliance team, If the trainings are not valid or verification of third-party trainings is not possible are they willing to pay for the training?
Mental Health – Confirm PMVA is Bild accredited and if they have history of previous certificates
DBS
Do they have valid DBS?
Yes
Yes
No
It is on update service?
Are they willing to pay for a DBS application?
References
Can they provide referee details (Business email of referee along with name and contact number) covering 3 years of your employment?
Yes
Yes
No
Will referee details be from a NHS email address?
Immunisations
Do they have immunisations report covering HEP B, MMR, TB & Varicella?
Payment Term
Umbrella
PAYE
Name of Umbrella
Confirm the rates are including Holiday pay.
Will they more
Closing
Make your sell! – What are you going to do with them? What’s the plan?
Can touch on compliance depending on how the conversation is going and what you can realistically do with them.
Wrap up with ‘lovely speaking with you’ (something of that ilk).
What’s the next step? - Will be either you send them an e-mail (if you haven’t already done it on the call) or they will send you compliance docs.
Always finish the conversation with ‘what will happen next?’ – For example (so, you will send me C.V, DBS, NMC and immunisations this evening and I will get the Sign Now documents over to you asap).
Additional Information
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