Page 1: Information Governance

This form should be used to report any variation to the period of Enhanced Supervision that takes place immediately following a trainee's return to clinical practice. It is for use if the trainee intends to undertake any variation to the standard 10 working days of Enhanced Supervision at the beginning of their return to work. This may include a change in duration, whether increased/decreased, or any change in level of trainee responsibility/supervision.

An increase in the period of Enhanced Supervision may be needed, particularly if there are issues around memory and skills fade or a need to focus on building confidence. Alternately, if a trainee has maintained some clinical practice such as a regular on-call or clinic during a research period, then it may be reasonable to reduce the Enhanced Supervision. However, this needs to be agreed by the SuppoRTT Champion.

This form should be completed by the trainee and their named Clinical Supervisor (nCS) or Educational Supervisor (ES) at the time of the Pre-return Planning Meeting. There are duplicate questions required for data verification purposes.

You must generate a PDF version of this form and send to your SuppoRTT Champion. Approval is required by the SuppoRTT Champion before any variation can proceed.

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

..........................................................................................................................

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.

...........................................................................................................................