Duty Clinicians – Application Form

Duty Clinicians – Application Form

Please complete the form below in full. We’ve tried to make it as short as possible, but given the nature of the work, it will probably take you 10
minutes to complete. Before you start, make sure you have the following items to hand, as you will be asked to upload them as part of the
application form.

  • Medical Indemnity Certificate
  • Medical Performers List (letter of confirmation)
  • Current DBS, previously CRB (within the last 3 years)
  • Basic Life Support Certificate – Adults & Children (within the last 3 years)
  • Safeguarding Adult Certificate (within the last 3 years)
  • Safeguarding Children Level 3 (within the last 3 years)
  • Hepatitis B Status
  • Varicella and measles immune status
  • Supervisor/Trainer – London Deanery Approval Letter (if applicable)
  • Curriculum Vitae
  • Date of last GP Appraisal