Page 1: Information Governance

This is a trainer form only and should be completed when the trainee is absent, and a shared meeting is not possible.

It can be completed by the trainee’s named Clinical Supervisor (nCS), Educational Supervisor (ES), SuppoRTT Champion (SC), College/Specialty Tutor (CT), or Training Programme Director (TPD), on behalf of the trainee. For planned absences, such as sickness related to planned operations, please complete the pre-absence form in conjunction with the trainee. 

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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