Page 1: Information Governance

This form should be completed by the trainee in conjunction with their supervisor before the trainee is due to go on absence. The supervisor should be the trainer they have most clinical contact with prior to the period of absence, such as a named Clinical Supervisor (nCS) or Educational Supervisor (ES).

If the supervisor is not available, the trainee could complete the form with their current SuppoRTT Champion (SC). On occasions, it might be appropriate to use either a College/Specialty Tutor (CT) or Training Programme Director (TPD) if the SC were absent or the post vacant.

If you are a trainee completing a form alone, please use the ‘New Trainee Leave’ form. If you are a trainer completing a form alone, please use ‘Unplanned absence’ form.

The SuppoRTT programme is required for absences of 3 months or more but can be opted into for absences less than 3 months if the trainer feels it is necessary.

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 the trainee’s 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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