• Unity Health Partnership Application Form

    Fill the form below accurately indicating your potentials and suitability to job applying for.
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  • Do you have the right to work in the UK*
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    • Driving Licence 
    • Driving Licence Categories*
    • Licence Details*
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    • Convictions & Cautions  

    • As a general rule, no-one needs answer questions about spent convictions. However, this general rule does not apply to specified professions, employments and occupations. By virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Orders, the exemption rule does not apply to:

      a) any employment or other work which is concerned with the provision of health services and which is of such a kind as to enable the holder of that employment or the person engaged in that work to have access to persons in receipt of such services in the course of his normal duties, or

      b) any employment or other work which is concerned with the provision of care services to vulnerable adults or children and which is of such a kind as to enable the holder of that employment or the person engaged in that work to have access to vulnerable adults or children in receipt of such services in the course of his normal duties

      One or both above apply to work with Unity Health Partnership Ltd and covers all occupations. You are therefore requested to provide details of all convictions, including those which would otherwise be considered as “spent”. All applications for sub-contracting work will be considered carefully, and the disclosure of a conviction does not imply that this sub-contractor application will be rejected.

    • Do you have any convictions or cautions?*
    • Are you currently under any investigations (Internal / External) and are there any safeguarding concerns or investigations?*
    • DBS 

    • Sub contracting work with us is subject to checks under the Disclosure & Barring Service (DBS). You are required to submit your current DBS check with your application. We can assist you in gaining an enhanced DBS, at your expense, if you do not already have one which is on the update service.

    • Do you have a DBS*
    • Date of last DBS
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    • Next of Kin 
    • Format: 0000000000.
    • Bank Details 
    • Bank Account Details*
    • References 
    • Reference 1*
    • Reference 2*

  • Workplace History - Minimum of 5 Years

  • Previous Employer *
  • Previous Employer
  • Previous Employer

  • Equal Opportunities Monitoring Form

    Unity Health Partnership Ltd has an Equal Opportunities Policy: therefore, we need to be able to check that decisions are not influenced by unfair or unlawful discrimination. To help use to do this we would be grateful if you could complete this short questionnaire. Your answers will be treated with the utmost confidence and will be used for statistical purposes.

  • Disability

    The Disability Discrimination Act as incorporated in Equality Act 2010 defines a person as disabled if they have a physical or mental impairment which has substantial and long term (i.e. has lasted or is expected to last at least 12 months) adverse effect on their ability to carry out normal day-to-day activities. Adverse effects may arise from external barriers experienced by people with impairments. When you answer the question, you should not take into account the effect of any medication or treatments used or adjustments made (for example at work or at home) which reduce the effects of impairments.  Instead, you should think about the effect the impairment would have if these were not being used or made.
  • Do you consider yourself to have a disability?

  • Required Documents

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  • Training and Certifications

  • Sub-Contractors Agreement

  • This agreement is between Unity Health Partnership Ltd and the person named at the start of the form, and sets out the terms upon which the contractor will provide services to Unity Health Partnership Ltd.

     

    The subcontractor is required to provide the company with a formal copy of qualification documentation. The company will store paper or digital documents in a secure and confidential record system.

    Unity Health Partnership Ltd has reviewed your status, and you are considered self-employed.

    You will be expected to work within the usual standards of your professional practice and training. You agreed to ensure that the legal level of proficiency matches the exact standards of Unity Health Partnership Ltd. You further agree that Unity Health Partnership Ltd may carry out an observation audit at all reasonable times to inspect or otherwise evaluate the services performed. Such inspection or evaluation will not relieve you of your obligations under this agreement.

    You will be expected to always adhere to all Unity Health Partnership Ltd policies and procedures. Failure to do so may result in the termination of this contract without notice.

    Where agreed by Unity Health Partnership Ltd, you may provide your own medical kit, but you will be responsible for ensuring that it is always properly stocked in accordance with your scope of practice. The minimum kit requirements are Oxygen, an AED and a First aid kit. Unity Health Partnership Ltd reserves the right to inspect your bag at any time to ensure it meets the required standard.

    You will ensure all necessary paperwork required by Unity Health Partnership Ltd is completed at the end of each shift and returned to the company within 48 hours. You furthermore agree that Unity Health Partnership Ltd will deem any incomplete or missing paperwork to be a failure to complete a shift. Therefore, payment will be withheld until the correct paperwork is received.

    You will be paid at a rate stated in the company handbook, as per your grade or a day rate confirmed at the time of booking, unless otherwise agreed upon by both parties (e.g., taking a lower qualification shift). Payment will usually be made to the bank account nominated on your records, and barring any investigation of a complaint or other query, will usually be made on the 13th of the following month. Unity Health Partnership Ltd is not liable for any delay caused by the subcontractor’s bank.

    While operating within your clinical and professional scope as defined by Unity Health Partnership Ltd and professional body guidelines applicable, you will be covered by Unity Health Partnership Ltd insurance for professional negligence and public liability, and this will come into force on the start of your first shift.

    You will ensure full compliance with all applicable legislation, including codes, laws, and customer standards declared enforceable by statute/regulatory authorities during the term of this agreement, which remains in force. You also agreed to pay and maintain all necessary licences, registrations and permits required by law under the terms of this agreement.

    You agree to indemnify Unity Health Partnership Ltd from any claims, damages, losses, and costs caused by breach of contract, negligence, or any other professional wrongdoing.

    All subcontract workers have a statutory duty and are required to fully commit to Unity Health Partnership Ltd's health and safety rules. Subcontractors that contravene these regulations could have their contract terminated. The management of health and safety at work regulations 1999 are important in the company/ subcontract through a contract agreement. A copy of the company's health and safety policy will be made available to you.

    Suppose it is a requirement for you to be registered with an appropriate professional registration authority. In that case, your employment is conditional upon your continued registration throughout your tenure with the company and your adherence to the proper codes of professional conduct, competencies, and ethics, as well as any other standards required to be maintained as a condition of your continued registration. Proof of renewal must be provided, and failure to do so within the specified period may result in dismissal.

    You agree to keep confidential all Unity Health Partnership Ltd confidential information (whether written or oral) which you have obtained or received because of the discussions leading up to or the entering into, or obtain or receive in performance of, this agreement.

    You further agree not to disclose Unity Health Partnership Ltd's confidential information in whole or in part to any person without Unity Health Partnership Ltd's written consent, save to agents or sub-contractors involved in the implementation of the agreement and who have a need to know the same and are bound to keep it confidential.

    You agree to use Unity Health Partnership Ltd's confidential information solely in connection with the performance of the agreement and not otherwise or for the benefit of any party.

    This agreement also binds you to comply with the statutory requirements, which are:

    The Data Protection Act 2018

    The Human Rights Act 1998

    Copyright designs and patents act 1990

    The Freedom of Information Act 2000

    The Computer Misuse Act 1998

    Common law duty of confidentiality

    Furthermore, all Unity Health Partnership Ltd subcontractors agree that they shall not solicit or accept work from clients or contracts of Unity Health Partnership Ltd, either for themselves or others, both during the lifetime of this agreement and for a period of 24 months following its termination. Neither shall they pass on information, nor shall they assist another in any other way, in soliciting work, any client or contact of Unity Health Partnership Ltd, for the same period.

    The confidentiality clause has been established to protect both subcontractors and Unity Health Partnership Ltd, ensuring that the correct procedures are consistently maintained. For the avoidance of doubt, it is Unity Health Partnership Ltd's policy to take appropriate action against the subcontractor if found to have breached the confidentiality clause.

    Upon termination of this agreement for whatever reason and at other times when reasonably requested to do so by Unity Health Partnership Ltd you will deliver up to Unity Health Partnership Ltd all working papers or other material in whatever format it stored and all Unity Health Partnership Ltd confidential information and copies provided to them pursuant of this agreement or prepared by themselves either in pursuance of this agreement or previously in connexion with this agreement.

    In the events that either Unity Health Partnership Ltd or you serves notice to end this agreement a period of 14 days must always be provided.

    Neither party to this agreement will be liable to the other party for the direct or indirect costs resulting from delays that may result from acts of God, government authorities’ extraordinary climate conditions, natural catastrophes or any other situation beyond the reasonable control of either party.

    The restrictions contained in this clause shall continue to apply after the termination of this agreement without limit in time.

    Unity Health Partnership Ltd may use photos taken at an event to promote the business on social media and other marketing items, some of which may feature staff members. If you wish not to be included in any marketing items, please speak to a senior manager.

    I agree to the above terms and confirm that I will be responsible for my own income tax and National Insurance liabilities.

  • By signing you agree to the Sub-Contractors agreement above
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