DepartmentTLA
Candidate NameTEST TEST
Mobile Phone+447777777777
EmailEmail hidden; Javascript is required.
GradeBand 4
SpecialtyBMS
Please summarise your career over the last 3 years

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Have you ever been disciplined, suspended, or are you currently under investigation by an NHS Trust or other employer (including other agencies) – if yes, please give details

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Why have you chosen to register with The Locum Agency? *

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Tell me about a recent occasion when you were under pressure and handled it successfully. - What was the situation? - What actions did you take? - What was the outcome?

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What is your understanding of the Human Tissue Act 2004?

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What steps would you take, going forward if you become aware of an incident or complaint, which you were involved or implicated in?

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Please outline your understanding of Clinical Governance.

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Thinking about a recent difficult situation you’ve had with patient’s relatives – How did you handle this and the outcome

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Candidate NameTESTTEST TEST
Candidate Signature
Date of Candidate Signature15/02/2024
Date of Interviewer Signature15/02/2024