Page 1: Information Governance

This is a trainee form for those trainees who have been away from clinical practice for 3 months or more with an agreed HEE South West training post. It should be completed only when you have no access to a member of your future training team. This might arise if you are abroad, away from the region or haven’t yet been allocated a specific training location along with a designated SuppoRTT Champion (SC) or supervisor. If you know your training location (trust or GP trainer), please use one of the trainee/trainer joint forms.

This form allows Health Education England South West to know that you are returning to training after 3 or more months of absence from clinical practice.  It allows us to communicate with you and ensure that you are offered timely and appropriate support upon return.

The information collected in this form will be securely held by HEE and will only be accessible to those directly involved in SuppoRTT. These include: the SuppoRTT Champion/relevant administrator and other key members of the senior training team (Head of School, Training Programme Director, School Specialty Manager and relevant Postgraduate Medical/Dental Education Centre); HEE’s Professional Support & Wellbeing team; and the relevant Human Resources department. Data will not be shared wider without your explicit consent.

Please note that by using this form, you agree to HEE's latest privacy notice. 

Please click here for HEEs Privacy Notice in full. For information on how Jisc Online Surveys (formerly BOS) deals with your data in its capacity as “Processor”, please click here.

Last Updated: Nov 2020

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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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