Southwest Pre-Return Planning Form

If possible, this form should be completed by the trainee and their Educational Supervisor, before the trainee is due to go on absence.

The return to work scheme is required for absences of 3 months or more but can be opted into for absences less than 3 months if trainee or Educational Supervisor feel it is necessary.

The information collected by the form will be stored on a password protected database and will only be accessible to individuals directly linked to the Supported Return to Training programme and limited to the following:

• Associate Deans for Professional Support Units in Severn and Peninsula
• Key named administrators within HEE and employing trusts/GP schools
• SuppoRTT Champions related to the trainee's absence and return

Any data provided by a trainee will not visible to other trainees, consultants or employees within Health Education England unless the trainee gives permission for the data to be shared with named individuals.

Individuals who do not wish to provide sensitive information relating to their period of absence can select 'no' (below). This will limit the information required to basic demographics only. This will allow Health Education England to log the period of absence therefore enabling the trainee to benefit from the Supported Return to Training programme. 

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If you are completing this survey as a "trial run", please just enter your details as:

Trainee First Name: x

Trainee Last Name: x

GMC / GDC / Public Health Number: 123

This will enable us to delete any completed forms that make it into our database, but are not the official entries.

Please note that it is not possible to save drafts of these data entry forms and return to complete them at a later date.

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