nhsp substantive assignment amendment form

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Substantive Registration/Appointment Form - NHS Professionals

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<strong>Substantive</strong> <strong>Registration</strong>/<strong>Appointment</strong> <strong>Form</strong><br />

Nursing & Midwifery Staff Group<br />

Dear Colleague<br />

Welcome to the <strong>Substantive</strong> <strong>Registration</strong> process - we are delighted that you are looking to<br />

join <strong>NHS</strong>P’s Staff Bank as a <strong>Substantive</strong> Worker.<br />

In order to make the process as simple as possible, you will need to do the following:<br />

• Complete page 3 of this registration form – please use capital letters when completing this<br />

form.<br />

• Take the form to your line manager and ask him/her to complete page 5 (line manager<br />

details/authorisation) and the assignment codes on page 6.<br />

• Make an appointment with your local Trust Liaison Co-Ordinator – do NOT send your<br />

paperwork until your documents have been verified by your TLC.<br />

• Attend appointment with your TLC and bring with you this completed registration form and<br />

the following documents:<br />

Proof of ID/Right to Work + Photocopy<br />

Valid Passport (any nationality) + valid Visa or Work Permit - if applicable<br />

Foreign Nationals – if your visa is in an expired passport, you will need to bring both the expired<br />

passport and your current one<br />

Valid Photo Identity Card (EU Countries only)<br />

OR (for full UK Nationals ONLY)<br />

UK Birth Certificate (Full/Long – issued within 12 months of date of birth. Short birth certificates<br />

are not acceptable)<br />

Certified evidence of name change if the surname is different to the Birth Certificate, e.g.<br />

Marriage/Adoption Certificate/Deed Poll<br />

Trust Payslip – dated within the last 3 months + photocopy showing all 4 corners of the payslip<br />

One passport sized photograph – name printed on reverse<br />

Working Time Directive Opt Out <strong>Form</strong><br />

P46<br />

Evidence of Professional <strong>Registration</strong> (NMC, AHP, etc Pin Number) – if applicable<br />

Failure to provide your TLC with the above documents<br />

will prevent your application from being processed.<br />

This page has been<br />

intentionally left blank<br />

Personal Details – to be completed by the applicant (using CAPITAL LETTERS)<br />

Title: __________ Name: ________________________ Previous Name: ________________________<br />

Contracted Trust: _________________ Location: __________________ Ward: _______________________<br />

Present Post: _______________________________ Contracted Hours: _____________________________<br />

Date of Birth: _____________________________ E-mail Address: _______________________________<br />

Home Telephone Number: ____________________ Mobile Number: ______________________________<br />

Address: _________________________________________________________________________________<br />

___________________________________________ Post Code: _________________________________<br />

NI Number: Nationality: __________________________________<br />

Male Female<br />

Bank Details<br />

Bank/Building Society: _________________________________ Branch: _______________________<br />

Account Holder’s Name: ________________________________<br />

Account Number:<br />

Emergency Contact Details<br />

Roll Number: ___________________<br />

Sort Code:<br />

Name: __________________________________ Relationship: ____________________________<br />

Telephone Home: _________________________ Telephone Work: _________________________<br />

Telephone Mobile: _________________________<br />

Declaration<br />

I declare that the information provided on this form is correct and that I will advise <strong>NHS</strong> <strong>Professionals</strong> of any changes in writing.<br />

I consent to the disclosure of the information from this form between <strong>NHS</strong> <strong>Professionals</strong> and <strong>NHS</strong> Shared Business Services for HR<br />

and Payroll purposes.<br />

I understand that the details on this form will not become valid until I have successfully completed the registration process.<br />

Signed: _____________________________________________________________ Date: _____________________________<br />

If your status changes for any of the following reasons you MUST advise us immediately in writing:<br />

� Leave contracted post<br />

� Change in contracted hours<br />

� Change of name, address, telephone numbers<br />

If you should need to contact us by telephone, the number can be found by visiting www.contact.nhsprofessionals.nhs.uk and choosing<br />

the Trust that you work at.<br />

FOR COMPLETION BY <strong>NHS</strong>P<br />

Job Title Flexible Worker Enclosed<br />

Staff Role <strong>Form</strong> P45 �<br />

Assignment(s) Codes <strong>Form</strong> P46 �<br />

<strong>Registration</strong> Process completed by <strong>Form</strong> P38S �<br />

Date SD502 �<br />

FOR COMPLETION BY SBS PAYROLL<br />

Input onto ESR by Date<br />

.<br />

Check List - to be completed by <strong>NHS</strong>P Representative<br />

Name of <strong>Substantive</strong> Employee: ___________________________ Trust: _________________________<br />

NI Number: _____________________________<br />

Valid Passport (any nationality) + valid Visa or Work Permit (if applicable)<br />

Foreign Nationals – if the visa is in an expired passport, gain copies of both the expired passport<br />

and the current one, including Bio pages<br />

UK Birth Certificate (Full/Long – issued within 12 months of date of birth. Short birth certificates are not<br />

acceptable)<br />

Certified evidence of name change if the surname is different to the Birth Certificate,<br />

e.g. Marriage/Adoption Certificate/Deed Poll<br />

Assignment Code <strong>Form</strong> – signed by Line Manager. Review codes with applicant and refer to Line Manager<br />

if necessary<br />

Signed copy of the Flexible Worker <strong>Registration</strong> document – name, address, signature<br />

and date completed on front page<br />

Pin Number: ___________________________ Expiry Date: _____________________<br />

<strong>NHS</strong>P Verification<br />

Name: _________________________________________<br />

Position: _________________________________________<br />

Signature: _________________________________________ Date: __________________<br />

If you have any questions relating to any of the above, please call the<br />

<strong>Substantive</strong> <strong>Registration</strong> Team on 01923-699929<br />

Manager Details – to be completed by Ward/Line Manager<br />

Manager’s Name: ________________________________________<br />

Job Title: ________________________________________<br />

Ward: ________________________________________<br />

Trust: ________________________________________<br />

Contact Telephone Number: ________________________________________<br />

E-Mail Address: ________________________________________<br />

Name of <strong>Substantive</strong> Employee: ________________________________________<br />

NI Number: ________________________________________<br />

I can confirm that the person named above as a <strong>Substantive</strong> Employee has an <strong>NHS</strong> contract<br />

with the Trust and that the following checks were completed on their appointment/registration:<br />

Two Satisfactory References<br />

Occupational Health Screening Completed<br />

Enhanced CRB Disclosure carried out<br />

Mandatory Training completed in the last 12 months<br />

(Fire, moving & handling, infection control and CPR)<br />

I can confirm that the assignment codes selected over are correct.<br />

Signature: _______________________________ Date: ________________<br />

(Please see over the page to select the assignment codes)<br />

Nursing & Midwifery Staff Group – to be completed by Line Manager<br />

Please select the assignment type/s from Box 1 and then all appropriate codes in Box 2, including General<br />

Acute (00) if the <strong>Substantive</strong> Worker has the relevant experience/qualifications.<br />

<strong>Substantive</strong> Employee Name: _____________________________________<br />

Line Manager Name: _____________________________________<br />

Line Manager Position: _____________________________________<br />

Line Manager Signature: _____________________________________<br />

Box 1 Assignment Type √ √ √<br />

Care Support Worker (CSW) Nurse Advanced (NAD) Registered Midwife (RM)<br />

Care Support Worker Higher (CSWH) Nurse Associate Practitioner (ASP) Registered Nurse (RN)<br />

Community Psychiatric Nurse (CPN)<br />

Nurse Associate Practitioner Higher<br />

(ASPH)<br />

RM Preceptorship (RMP)<br />

Dental Nurse (DN) Nurse Consultant (NC) RN Preceptorship (RNP)<br />

Dental Nurse Team Leader (DNTL) Nurse Modern Matron (NMM) Senior Community Support Worker (SCW)<br />

Emergency Nurse Practitioner (ENP) Nurse Team Leader (NTL) Theatre Practitioner (TP)<br />

Health Visitor (HV) Nurse Team Manager (NTM) Theatre Practitioner Entry Level (TPEL)<br />

Health Visitor Specialist (HVSP) Nursery Nurse (NN) Theatre Practitioner Higher (TPHL)<br />

Midwife Modern Matron (MMM) Project Worker (PW) Theatre Practitioner Team Manager (TPTM)<br />

Midwife Team Manager (MTM)<br />

Box 2 Area of Work<br />

Acute<br />

Code √ Code √<br />

Accident & Emergency 04 Neurosurgery 48<br />

Cardiology 13 NICU 62<br />

CATS Recovery 135 Oncology 24<br />

Child Health (Hospital) 60 Ophthalmology 49<br />

Coronary Care Unit 05 Orthopaedics 54<br />

Day Surgery 43 Paeds A&E 63<br />

Elderly Care 17 PICU 61<br />

Endoscopy 16 Plastic Surgery & Burns 51<br />

ENT 44 Prisons 131<br />

Family Planning 68 Renal 29<br />

General 00 Sexual Health 95<br />

Genitourinary 19 Theatre Anaesthetics 40<br />

Gynaecology 45 Theatre Circulator 57<br />

High Dependency Unit 07 Theatre Recovery 52<br />

Infection Control 36 Theatre Scrub 55<br />

Intensive Care Unit 08 Theatres General 59<br />

Liver Unit 22 Trauma & Outpatients 94<br />

Maternity 66 Urology 56<br />

Neurology<br />

Community<br />

23<br />

General 102 Child Health (Community) 100<br />

Schools<br />

Mental Health<br />

111<br />

General 03 Older Persons Learning 79<br />

Adult – Rehab 72 Disabilities 77<br />

Adult - Continuing Care 71 Forensic 76<br />

Adult – Acute 70 Substance Misuse/Addictions 74<br />

Child & Adolescent 73 Community Mental Health 120<br />

Agreement to work more than 48hrs per week<br />

In addition to the paragraph detailing your normal hours of duty in your terms and conditions of<br />

engagement with <strong>NHS</strong> <strong>Professionals</strong>, you specifically agree to work such hours, including such hours<br />

over 48 hours over any seven day period as is required of you to carry out your duties. You therefore give<br />

your consent to waive your right under the Working Time Regulations to have your working time limited to<br />

an average of 48 hours per week over the reference period as it may be defined from time to time. You<br />

further agree that, in the event that you wish to withdraw this consent, you will give to <strong>NHS</strong> <strong>Professionals</strong><br />

three months’ written notice of the withdrawal of your consent.<br />

It is the duty of <strong>NHS</strong> <strong>Professionals</strong> to generally monitor your working hours including hours that you work<br />

for a person, firm, health service body or company other than <strong>NHS</strong> <strong>Professionals</strong>. You therefore agree<br />

that within two weeks of the day on which you sign these terms you will inform <strong>NHS</strong> <strong>Professionals</strong> of the<br />

following:<br />

• Any other work you carry out for any other person, firm, health service body or company, other than<br />

<strong>NHS</strong> <strong>Professionals</strong><br />

• The days on which you carry out such work<br />

• The hours that you work for such person, firm, health service body or company and the times at which<br />

you carry out such work.<br />

In addition, you agree that within two weeks of any change to work you carry out for a person, firm, health<br />

service body or company, other than <strong>NHS</strong> <strong>Professionals</strong>, you will notify <strong>NHS</strong> <strong>Professionals</strong> of such<br />

change whether it involves a change in the total hours of such work, the times at which you perform such<br />

work or, indeed, where you commence work for a different person, firm, health service body or company.<br />

I have read and understood the terms set out above and agree to them. I also agree that the terms set out<br />

above form part of my overall terms and conditions of engagement with <strong>NHS</strong> <strong>Professionals</strong>.<br />

Name (capitals): ________________________________________________<br />

Department/Trust: ________________________________________________<br />

Signed: ________________________________________________<br />

Dated: ________________________________________________<br />

Section one To be completed by the employee<br />

P46: Employee without a form P45<br />

Your employer will need this information if you don’t have a form P45 from your previous employer. Your employer may ask you<br />

to complete this form or provide the same information in another format. If you later receive your P45, hand it to your present<br />

employer. Use capital letters when completing this form.<br />

Your details<br />

National Insurance number<br />

This is very important in getting your tax and benefits right<br />

Title – enter MR, MRS, MISS, MS or other title<br />

Surname<br />

First name(s)<br />

Gender. Enter 'X' in the appropriate box<br />

Your present circumstances<br />

Read all the following statements carefully and enter 'X'<br />

in the one box that applies to you.<br />

A – This is my first job since last 6 April and<br />

I have not been receiving taxable Jobseeker's<br />

Allowance, Employment and Support Allowance<br />

or taxable Incapacity Benefit or a state or<br />

A<br />

occupational pension.<br />

OR<br />

B – This is now my only job, but since last 6 April<br />

I have had another job, or have received<br />

taxable Jobseeker's Allowance,<br />

Employment and Support Allowance or<br />

taxable Incapacity Benefit. I do not receive<br />

B<br />

a state or occupational pension.<br />

C – I have another job or receive a state or<br />

C<br />

Date of birth DD MM YYYY<br />

Address<br />

House or flat number<br />

Rest of address including house name or flat name<br />

Postcode<br />

Student Loans (advanced in the UK)<br />

If you left a course of UK Higher Education before last<br />

6 April and received your first UK Student Loan<br />

instalment on or after 1 September 1998 and you have<br />

not fully repaid your Student Loan, enter 'X' in box D.<br />

(Do not enter ‘X’ in box D if you are repaying your UK<br />

Student Loan by agreement with the UK Student Loans<br />

Company to make monthly payments through<br />

D<br />

your bank or building society account.)<br />

Signature and date<br />

I confirm that this information is correct<br />

Signature<br />

Date DD MM YYYY<br />

P46 Page 1 HMRC 01/11<br />

Section two To be completed by the employer<br />

Almost all employers must file employee starter information online at www.hmrc.gov.uk/online<br />

Guidance for employers who must file online can be found at www.businesslink.gov.uk/payingnewemployees<br />

Employers exempt from filing online should send this form to their HM Revenue & Customs office on the first payday. Guidance<br />

can be found in the E13 Employer Helpbook Day to day payroll.<br />

Employee's details<br />

Date employment started DD MM YYYY<br />

Job title<br />

Employer's details<br />

Employer PAYE reference<br />

Office number Reference number<br />

/<br />

Employer name<br />

Tax code used<br />

If you do not know the tax code to use or the current National Insurance contributions (NICs)<br />

lower earnings limit, go to www.businesslink.gov.uk/payeratesandthresholds<br />

Enter 'X' in the appropriate box<br />

Box A<br />

Emergency code on a cumulative basis<br />

Box B<br />

Emergency code on a non-cumulative<br />

Week 1/Month 1 basis<br />

Box C<br />

Code BR unless employee fails to<br />

complete section one then code 0T<br />

For employees who complete Box A or Box B starter notification is not needed until their earnings reach the NICs<br />

lower earnings limit.<br />

Page 2<br />

Works/payroll number and department or branch (if any)<br />

Building number<br />

Rest of address<br />

If Week 1 or<br />

Month 1 applies,<br />

enter 'X' in this box

• More documents
• Recommendations

<strong>Substantive</strong> <strong>Registration</strong>/<strong>Appointment</strong> <strong>Form</strong> Nursing & Midwifery Staff Group Dear Colleague Welcome to the <strong>Substantive</strong> <strong>Registration</strong> process - we are delighted that you are looking to join <strong>NHS</strong>P’s Staff Bank as a <strong>Substantive</strong> Worker. In order to make the process as simple as possible, you will need to do the following: • Complete page 3 of this registration form – please use capital letters when completing this form. • Take the form to your line manager and ask him/her to complete page 5 (line manager details/authorisation) and the assignment codes on page 6. • Make an appointment with your local Trust Liaison Co-Ordinator – do NOT send your paperwork until your documents have been verified by your TLC. • Attend appointment with your TLC and bring with you this completed registration form and the following documents: Proof of ID/Right to Work + Photocopy Valid Passport (any nationality) + valid Visa or Work Permit - if applicable Foreign Nationals – if your visa is in an expired passport, you will need to bring both the expired passport and your current one Valid Photo Identity Card (EU Countries only) OR (for full UK Nationals ONLY) UK Birth Certificate (Full/Long – issued within 12 months of date of birth. Short birth certificates are not acceptable) Certified evidence of name change if the surname is different to the Birth Certificate, e.g. Marriage/Adoption Certificate/Deed Poll Trust Payslip – dated within the last 3 months + photocopy showing all 4 corners of the payslip One passport sized photograph – name printed on reverse Working Time Directive Opt Out <strong>Form</strong> P46 Evidence of Professional <strong>Registration</strong> (NMC, AHP, etc Pin Number) – if applicable Failure to provide your TLC with the above documents will prevent your application from being processed. 1

• Page 2 and 3: Substantive Registration/Appointmen
• Page 4 and 5: Substantive Registration/Appointmen
• Page 6 and 7: Substantive Registration/Appointmen
• Page 8 and 9: Substantive Registration/Appointmen
• Page 10: Section two To be completed by the

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• Assignment codes

NHSP Rapid Response assignment codes

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Adding Assignment Codes to NHSP:Online

April 2021 - nhsp online system update – adding assignment codes.

In April 2021, NHS Professionals updated their NHSP: Online portal.

From the above date, all users who have access to the NHSP: Online portal can now add assignment codes to candidate profiles.

How to Add an Assignment Code

• You will need to access the NHSP: Online portal
• Using your Agency User account – log into the portal
• From the main menu, go to “Edit Agency Worker”
• Using the filter access the candidate profile
• From the list of assignment codes, select the correct code
• Click on “Update Worker”

Please Note

If asked for a Unique ID, please update this field. This is a free text field and can be used for any information your agency requires.

If the assignment code requires a Registration Body, PIN number, or these details require updating, this must be completed before any codes can be added.

If you require further assistance or support, please contact the NHSP Agency Support Team.