Nottinghamshire General Practice Phoenix Programme: Roving Team GP Support
Due to the uncertainty surrounding COVID-19, we are looking to launch an offer of support to those on the front line in GP practices. This comes in the form of a Roving Team of General Practice Colleagues whose skills and expertise can be utilised where practices are experiencing a workforce shortage. If you have availability and would like to offer your support, please complete the form below.
1. English / Welsh / Scottish / Northern Irish / British
3. Gypsy or Irish Traveller
4. Any other White background, please describe
Mixed / Multiple ethnic groups
5. White and Black Caribbean
6. White and Black African
7. White and Asian
8. Any other Mixed / Multiple ethnic background, please describe
Asian / Asian British
13. Any other Asian background, please describe
Black / African / Caribbean / Black British
16. Any other Black / African / Caribbean background, please describe
Other ethnic group
18. Any other ethnic group, please describe
This section helps us to know more about you as a person, your availability, any relative skills and interests which could be of use to practices in this challenging time.
e.g. Admin, Pharmacist, Nurse, ANP, HCA, Nurse Prescriber, Phlebotomist
Which GP practice in Nottinghamshire do you currently work in?
Which area in Nottinghamshire would you be happy to support through the Team GP Scheme?
Nottingham City boundary
North-Nottinghamshire e.g. Bassetlaw
How many hours do you work on average per week?
Days of the week you would be able to support a practice:
Please tick the systems you are confident using:
What type of support would you be happy to provide?
In person support
What is your current availability?
Fully available to work in practice
Self-isolating but able to work remotely
Unavailable at the moment but want to help.
How long have you been working in General Practice?
Prefer Not To Say
We need to gain your explicit consent about what we can do with your personal data. Please read the statements below and tick the boxes as appropriate.
I consent to my name, telephone number and email address being kept on the Phoenix Programme's database for administrative purposes. You can ask for your details to be removed at any point.
I consent to my name, telephone number and email address being shared with practices and PCNs in need of support. You can ask for your details to be removed at any point.
I consent to my name, telephone number and email address being kept on a database so the Phoenix Programme team can contact me to evaluate the success of the Roving Team GP scheme I registered for. You can ask for your details to be removed at any point.
We will only use any information that you provide consistent with the principles of the Data Protection Act 2018. Where we ask for your personal information (your contact details) this is to ensure we provide you with information that we believe is important for your participation in the scheme and to help us identify if the scheme has been beneficial and achieved its objectives. At no time will your personal information will your personal information be shared with third parties who have no right to it.
All registration forms will be confirmed via email.
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