Candidate Pre-Screen Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Consultant NameCandidate NumberDatePersonal & Fact FindingNameSpecialityAdult NurseHealthcare AssistantChildren's NurseMental Health NurseODPMidwifeBand2345678PreferencesGeneralMental HealthAdult EDPaeds EDScrubRecoveryAnaestheticsITUNeonatesCommunityContact Email *Contact NumberContact Number (Alternative)AddressHow did they hear about usWhere do they work currentlySubstantive (Full Time)Substantive (Part Time)Agency (Full Time)Agency (Part Time)Bank (Full Time)Bank (Part Time)Work PatternDaysNightsWeekendsWhich AgencyHow much NHS experienceMode of TransportDriveDrivePublic TransportDistance of Travel (Time or Miles)ComplianceHave they lived outside of the UK in last 5 years for more than 6 months or more?NoNoYesCan candidate provide overseas police clearance from the country they lived in?'TrainingsDo they have valid online and practical training? YesYesNoFrom where they have these practical trainings from trust or private training provider? Healthier business groupAfter 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 certificatesDBSDo they have valid DBS?YesYesNoIt is on update service?Are they willing to pay for a DBS application?ReferencesCan they provide referee details (Business email of referee along with name and contact number) covering 3 years of your employment?YesYesNoWill referee details be from a NHS email address?ImmunisationsDo they have immunisations report covering HEP B, MMR, TB & Varicella? How PMVA or Payment TermUmbrellaPAYEName of UmbrellaConfirm the rates are including Holiday pay.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 InformationSubmit