Human Resources
NHS Tayside
Ninewells Hospital
Level 9
DUNDEE DD1 9SY
Telephone Number (01382) 660111
Fax Numbers (01382) 632098 & 496237
www.nhstayside.scot.nhs.uk
Date
Your Ref
Our Ref
Enquiries to
Extension
Direct Line
Email
As Postmark
FS/11/13
Miss Fiona Small
34186
01382 660111 ext 34186
fiona.small@nhs.net
Dear Doctor
POST OF LAT SPECIALTY REGISTRAR IN HIGHER PSYCHIATRY TRAINING PROGRAMMES
Further to your enquiry regarding the above post, I am now pleased to provide you with an information and
application pack.
Your application should be submitted by e-mail to medicalrecruitment.tayside@nhs.net in the form of the
following documents:




1 copy of your CV, including the names and e-mail addresses of 3 referees, including your current
or most recent employer.
Your completed Immigration Status Form and a copy of your passport/current immigration status
documents. NB British and EEA Nationals must also enclose a copy of their passport to verify
nationality.
Your completed Declaration Statement in respect of Fitness to Practice and Criminal Convictions.
Equal Opportunities Form. (see below)
If you do not include all the above documents your application will not be accepted.
As an Equal Opportunities Employer, it is NHS Tayside’s policy to ensure that all applicants are given the
same consideration in relation to job selection, promotion and treatment. In this connection, I enclose an
Equal Opportunities Form which you should return with your application. This information is for statistical
purposes only and will be kept in strict confidence.
Please quote reference number FS/11/13 when submitting your application. It would be helpful if you could
indicate which Specialty you are interested in. If you are unable to submit all the above documents by e-mail
you can post them to the address at the top of this letter.
The closing date for receipt of completed applications is Friday 12 July 2013. Owing to the number of
applications received and to make the best use of resources, we are unable to acknowledge receipt of
applications.
Yours faithfully
Fiona Small
Workforce Services Adviser
Specialty Registrar (Locum Appointment for Training)
Higher Psychiatry Training Programmes
Applications are invited for Specialty Registrar (LAT) posts at ST4 level for various specialties in
Psychiatry. These posts are based in the East of Scotland and are available from 7 August 2013 to 4
February 2014 in the first instance. The posts available are:
Child and Adolescent Psychiatry
General Adult Psychiatry
Old Age Psychiatry
Psychiatry of Learning Disabilities
The Postgraduate Dean has confirmed that these posts have the required educational and staffing
approval.
Please quote reference number FS/11/13 when applying and indicate which specialty you are
applying for.
Closing date for receipt of completed application forms – Friday 12 July 2013.
Person Specifications
Person Specifications for these posts can be downloaded from the Scottish Medical Training
website at:
http://www.scotmt.scot.nhs.uk/applying-to-specialty-training-(hospital)/how-to-apply/personspecifications.aspx
IMPORTANT NOTICE
IMMIGRATION STATUS
Please be aware that all job applicants, including British and EEA nationals must enclose photocopies of their
passport (outside front cover, page containing personal details and resident permit/visa stamps). If you have been
issued with a Biometric Residence Permit, a photocopy (front and back of card) must also be enclosed.
Shortlisted applicants will be required to bring their original documents with them, for inspection, when attending for
interview.
1
Are you a national from Austria, Belgium, Cyprus,
Denmark, Finland, France, Germany, Greece,
Iceland, Ireland, Italy, Liechtenstein, Luxembourg,
Malta, Netherlands, Norway, Portugal, Spain,
Sweden, United Kingdom or Switzerland?
YES
NO
2
Are you a national from the Accession States (A8
Countries) – Czech Republic, Estonia, Hungary,
Latvia, Lithuania, Poland, Slovakia or Slovenia?
YES
NO
3
Are you a national from the Accession States (A2
Countries) – Bulgaria and Romania?
YES
NO
If you have circled ‘NO’ to the above sections please tick the box which relates to your current
immigration status, and provide expiry dates:
Tick
Status
I hold a Tier 1 (General) Visa as a highly skilled worker
I require a Certificate of Sponsorship
I hold refugee status
I have indefinite leave to remain in the United Kingdom
I have right of abode
Any other immigration status – please specify:
Print Name: ………………………………….........................
Signature:…………………………………………………….
Date: ………………………………………………………….
Expiry
Date
APPOINTMENT AND REVIEW PROCEDURES
Declaration Statements and Statements of Policy
Statement of Policy regarding fitness to practise proceedings by a licensing/regulatory body and
relating to criminal investigations in the UK or overseas.
Registration with the General Medical Council or General Dental Council imposes on doctors and
dentists the duty to provide a good standard of medical care for, and to behave appropriately,
towards patients. NHS Employers also have a duty to ensure that patients receive a good
standard of medical care and ensure as far as possible the safety of patients. We therefore need
to establish if you have been found guilty of a criminal offence, been bound over or cautioned or
are currently the subject of proceedings which might lead to a conviction, an order binding you
over or a caution, in the UK or any other country.
Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974.
Application forms will include a declaration for applicants to complete declaring any previous or
pending prosecutions or convictions, including those considered ‘spent’ under this Act. Forms will
also include a declaration of any cautions or bind overs.
We also need to establish if you have been the subject of any fitness to practise proceedings in
the past, or any fitness to practise proceedings are being contemplated, by a licensing or
regulatory body in the UK or another country and this is also reflected in the declaration.
This information will be treated in confidence and will not debar you from appointment unless the
selection panel considers that it renders you unsuitable for appointment. In reaching such a
decision we will consider the nature of the conviction/action, how long ago it took place and any
others factors that may be relevant.
Failure to disclose a criminal offence, having been bound over or cautioned or that you are
currently the subject of criminal proceedings which might lead to a conviction, an order
binding you over or a caution, or fitness to practise proceedings undertaken or being
undertaken by an appropriate licensing or regulatory body, may disqualify you from
appointment, or result in summary dismissal/disciplinary action and referral to the General
Medical Council [General Dental Council] for consideration if such a discrepancy came to
light.
If you would like to discuss what effect any previous convictions, police investigations or fitness to
practise proceedings taken or being taken either in the UK or by an overseas licensing or
regulatory body might have on your application, you may telephone the Employment Services
Adviser, Medical Staffing, on 01738 473302, in confidence, for advice.
Model Declaration Statement regarding
(a) any criminal offence, being bound over or cautioned, or current proceedings which might lead
to a conviction, an order binding you over or a caution and
(b) fitness to practice proceedings taken or being currently contemplated by a licensing/regulatory
body
1. Have you been convicted of a criminal offence, been bound over or cautioned or are currently
the subject of any police investigations, which might lead to a conviction, an order binding you
over or a caution in the UK or any other country?
YES / NO
Note: Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974.
You are required to declare prosecutions or convictions, including those considered ‘spent’ under
this Act.
If yes, please provide details of the criminal offence, order binding you over or caution or details
of any current proceedings which might lead to a conviction, an order binding you over or a
caution, including approximate date, the offence, and the authority and country which dealt with
the offence.
2. To the best of your knowledge have you been or are you currently subject to any fitness to
practise proceedings by an appropriate licensing or regulatory body in the UK or any other
country?
YES / NO
If yes, please provide details of the nature of proceedings undertaken, or contemplated, including
approximate date of proceedings, country where proceedings were undertaken and the name and
address of the licensing or regulatory body concerned.
I hereby declare that the information given here is true.
Signature:______________________________________________
Date:__________________________________________________
EQUAL OPPORTUNITY MONITORING FORM
Job reference number:
FS/11/13
Equal opportunities monitoring
We want to ensure that our job opportunities are open to all. The only way we can ensure
there is equal opportunity is to monitor applications we receive, and compare the profile of
people who apply with those appointed. Therefore this form asks you for your ethnic
origin, gender, disability, religion, sexuality and age. The information you provide is
confidential and is not used in the selection process. It will be separated from the
rest of your application when we receive it.
1) If you are currently an employee of this NHS Board, will getting this job be a
promotion?
Yes

No

2) You are:
Female 
Male 
3) Have you undergone, are you undergoing or do you intend to undergo gender
reassignment? For example, this includes having changed your sex (gender).?
Yes

No 
Prefer not to say 
4) What is your age?
I am ___ years old, and my date of birth is: _ _ / _ _ / _________
5) Do you have a physical or mental health condition or disability that:


Yes

has a substantial effect on your ability to carry out day to day activities?
has lasted or is expected to last 12 months or more?

No 
If you answered ‘yes’ please tick if it is either of the following:
Learning Disability
Long standing illness
Mental health condition
Other (please describe):

Prefer not to say 



Physical impairment
Sensory impairment


Again, if yes, please describe any particular arrangements you would need for your
work location:
(Continued on next page)
o
2-
6) What is your ethnic group?
Choose one section from A to F, then tick the appropriate box to indicate your cultural
background
A: White
 Scottish  Irish
 Gypsy Traveller
B: Mixed
 Any mixed background
 Other British
 Polish
 Any other White background
C: Asian; Asian Scottish; Asian British
 Pakistani
 Indian
 Chinese
 Bangladeshi  Any other Asian background
D: Black; Black Scottish; Black British
 Caribbean
 African
 Any other Black background
E: Other ethnic background
 Any other background
F: Prefer not to answer 
7) To which religion, religious denomination or body do you actively belong?
 (Christianity)- Church of Scotland
 (Christianity) - Roman Catholic
 Hinduism
 Sikhism




 Judaism
 Islam
 No religion (none)
Christianity (Other)
Other faith / belief
Buddhism
Prefer not to answer
8) Which of the following best describes your sexual orientation?
 Bisexual
 Heterosexual
 Other
 Gay Man
 Lesbian/Gay Woman
 Prefer not to answer
9) Where did you see the Advertisement for this Post?
Newspaper (which one?)
Professional Journal (which one?)
Vacancy Bulletin
SHOW (NHS Scotland Website)
Job Centre Plus
Other (please specify)
Thank you.
equaloppsmonform