GPS associate application

GPS associate application

Please fill out the following form.

Position details

Post applied for *
Kindly indicate the title of the position for which you are applying.
Date of application *
Please specify the date on which you are submitting this application.

Personal details

Full name *
Please provide your full legal name as it appears on official documentation.
Address *
Kindly provide your complete residential address, including street, city, and county.
Postcode *
Please specify your postal code.
Home telephone number *
Please provide your home telephone number, inclusive of the area code.
Mobile telephone number *
Please provide your mobile telephone number.
Email address *
Kindly provide your primary email address.
National insurance number *
Please provide your national insurance number for identification and payroll purposes.

Eligibility to work in the United Kingdom

Are you legally eligible to work in the United Kingdom? *
Do you require a work permit or visa to work in the United Kingdom? *
If yes, kindly provide details
Please specify the type of visa or work permit you currently hold, including its validity period and any associated restrictions.

Educational background and qualifications

Please provide detailed information regarding your educational background, starting with the most recent qualifications. This should include degrees, diplomas, certifications, and any other relevant qualifications. Please click add new qualification to insert more information.

Professional development and certifications

Kindly list any professional development courses, certifications, or training programs you have completed. This may include workshops, seminars, and continuing education initiatives pertinent to the position for which you are applying. Please click add new certification to insert more information.

Professional registration

Are you currently registered with a professional body? *

Kindly provide details

Professional body
Please specify the name of the professional body with which you are registered.
Registration number
Kindly provide your unique registration or membership number.

Employment history

Current or most recent employment

Please provide comprehensive details regarding your current or most recent employment, including a summary of your key responsibilities and achievements.

Employer name
Please provide the name of your current or most recent employer.
Job title
Kindly specify your official job title.
Key responsibilities and achievements
Please describe your primary duties, responsibilities, and any notable accomplishments in this role.
Dates of employment (From - To)
Please provide the start and end dates of your employment or indicate if your employment is ongoing.
Reason for leaving (If applicable).
Kindly provide an explanation as to why you left or are considering leaving this position.

Previous employment

Please provide a detailed account of your previous employment, beginning with the most recent. This should include all relevant positions that demonstrate your experience and qualifications for the role. Please click add previous employment to insert more information.

Gaps in employment

Kindly provide an explanation for any significant gaps in your employment history. This may include periods dedicated to study, travel, illness, or other personal circumstances.

Please describe your primary duties, responsibilities, and any notable accomplishments in this role.

Skills and competencies

Please provide a detailed overview of the skills and competencies you possess that are relevant to the position for which you are applying.

Clinical skills (if applicable)
Kindly describe any specific clinical skills you have acquired, including any relevant procedures, technologies, or patient care practices.
Languages spoken
Please list any languages you speak, along with your proficiency level (e.g., fluent, intermediate, basic).
Other relevant skills
Kindly include any additional skills pertinent to the role, such as proficiency in IT, project management, or communication skills.

References

Please provide the contact details of two professional referees who can attest to your work experience and character. One of these referees should be your current or most recent employer. Kindly note that character references will not be accepted.

Reference 1

Name
Kindly provide the full name of your referee
Job Title
Please specify the referee's job title.
Organisation
Kindly provide the name of the organisation where the referee is employed. 
Relationship to you
Please describe your professional relationship with the referee (e.g., line manager, colleague).
Phone number
Kindly provide a direct telephone number at which the referee can be contacted.
Email address
Please provide the referee's professional email address.

Reference 2

Name
Kindly provide the full name of your referee
Job Title
Please specify the referee's job title.
Organisation
Kindly provide the name of the organisation where the referee is employed. 
Relationship to you
Please describe your professional relationship with the referee (e.g., line manager, colleague).
Phone number
Kindly provide a direct telephone number at which the referee can be contacted.
Email address
Please provide the referee's professional email address.

Additional information

What motivates you to work for our organisation?
Kindly elaborate on your reasons for applying to our organisation and how your skills and experience align with the role.
Which clinical systems are you proficient in?
What is your preferred working arrangement?
What is a reasonable one-way travel time for you to one of our primary care locations?
Do you hold a valid UK driving licence?
Do you have a personal computer that is in working order?
If yes, is your device Mac or Windows-based?
Do you have VPN access?
If yes, is your VPN HIPAA compliant?
(Please leave blank if unsure.)
Do you have clinical access to SystmOne or EMIS Web?
Do you possess a working smartcard?
This card is used to log into clinical systems.
If offered a position, would you work exclusively for GPS, or alongside your current employment?
Kindly provide clarity on your intended work arrangement.
If offered a position, how many hours per week would you be able to commit?
Please indicate the number of hours you are able to commit.
Please provide details regarding your ideal work schedule for GPS assignments.
(e.g., Monday – Friday, 6 pm – 8 pm.)
What key strengths would you bring to our organisation?
Kindly outline the specific strengths, skills, and experiences that make you a suitable candidate for this role.
What are your career aspirations, and how does this role fit into your long-term goals?
Kindly discuss your long-term career goals and how this role aligns with your aspirations.
Do you require any adjustments to facilitate your interview or work?
Please advise if any accommodations are needed for the interview process or in the workplace.
Have you ever been convicted of a criminal offence? *
Please give dates and details.
This post is exempt from the provisions of the Rehabilitation of Offenders Act 1974, which means that applicants are not entitled to withhold any information requested about previous convictions even if, in other circumstances, they would be regarded as ‘spent’ under the Act.

Declaration

I hereby declare that the information provided in this application is, to the best of my knowledge, accurate and complete. I understand that any false statements or omissions may result in the withdrawal of any job offer or the termination of employment.

Privacy notice

The information provided in this application form will be used solely for the purpose of assessing your suitability for the role. It will be processed in accordance with the Data Protection Act 2018 and the General Data Protection Regulation (GDPR). The data will be stored securely and accessed only by authorised personnel involved in the recruitment process. Should you have any concerns about how your information will be used, or if you wish to request the erasure of your details following the submission of your application, please contact [email protected].

accurx
accurx
cyber-essentials
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Emis connecting healthcare
Emis connecting healthcare
General data protection regulation
General data protection regulation
General practice solutions are ICO registered
General practice solutions are ICO registered
General practice solutions are investors in people
General practice solutions are investors in people
Health and social care network compliant
Health and social care network compliant
Klinik access
Klinik access
NHS data security
NHS data security
NHS Digital
NHS Digital
NHS England
NHS England
Patchs Health
Patchs Health
Systmone one patient one record
Systmone one patient one record
Contact Us

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   [email protected]

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       London       
       WC2H 9JQ       
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