Section 4

Required Documents/Information

We will need the following documents as part of your registration.

Please upload the relevant documents.

Section 5

Confidentiality and Trust Agreement 

I confirm that during every assignment and afterwards I understand:

• That I shall not share any client information with any other agency;
• I will only use information for the purpose of the work for which it was given;
• I will Not disclose to any third party or copy the information except as is required in the course of my duties;
• I will not accept a full-time position with any clients of 24hr Healthcare where I am sent by them to do some agency work. If I am offered a position, I must notify 24hr healthcare. If I am found to have taken on a position discreetly, with the client, I understand that 24hr healthcare will pursue legal action for loss, and dismiss me from their agency;
• I understand that I must also not work for the same client through another agency, nor self-book, and choose another agency to work for once I have taken up shifts with 24hr healthcare at the place of work I am booked in to work;
• I understand that I must not contact nor work directly for any of 24hr healthcare clients in the 6 months cooling period after the last shift with the client through 24hr healthcare;
• I have been explained the agreement is in place to protect 24hr healthcare agency from any disputes or conflicts that may arise;
• Any breach, either by me or a third party, may result in legal proceedings being bought by the Client against me to recover any losses that have occurred as a result of a breach.

Confidentiality Agreement

I confirm that during every assignment and afterwards I understand the importance of:

• Holding information relating to the client in the strictest confidence, ensure it is kept safely and securely when not in use.  I acknowledge that no information is to be removed from the client’s premises without the permission of the Client;
• Using such information only for the purpose of the work for which it was given;
• You must under no circumstances disclose any entry codes, security procedures, keep or make copies of any keys for any placement to any third parties without the express permission of the place of work, and 24HR Healthcare;
• Under NO circumstances must you use foul language, disruptive behaviour, use mobile phones during contracted hours, or sleep during contracted work hours, even during breaks;
• Please remember that all candidates must act professional at all times, and respect the wishes of the staff and clients;
• Not disclosing to any third party or copy the information except as is required in the course of my duties;
• Any breach, either by me or a third party, may result in legal proceedings being bought by the Client against me to recover any losses that have occurred as a result of a breach.

GDPR Compliance Form

Due to the new GDPR law we are now required to inform all candidates registering with 24hr healthcare how we process their data and how it is used.  Please be aware signing this form gives 24hr healthcare consent to supply third parties e.g. Nursing Homes with the data they require.

I hereby give my consent to the Company to process the following information:

Personal data

• [Name]
• [Date of birth]
• [Contact details, including telephone number, email address and postal address]
• [Experience, training and qualifications]
• [CV]
• [National insurance number]
• [Include any other relevant personal data]

Sensitive personal data

• [Disability/health condition relevant to the role]
• [Criminal conviction]
• [Include any other relevant sensitive personal data]

I consent to the Company processing the above personal data for the following purposes:

• For the Company to provide me with work-finding services e.g. phone calls, text messages etc.
• For the Company to process with or transfer my personal data to their client/s in order to provide me with work-finding services.
• For the Company to process my data on a computerised database in order to provide me with work-finding services.
• [For the Company to process my data using automated decision-making processes]
• [Include any other relevant purposes for processing personal data]

I also consent to the Company processing my personal data with third parties for the purposes of internal audits and investigations carried out on the Company to ensure that the Company is complying with all relevant laws and obligations. 

I am aware that I have the right to withdraw my consent at any time by informing the Company that I wish to do so.

48-hour Opt. Out Agreement

I agree that I may work for more than an average of 48 hours a week. If I change my mind, I will give my employer 1 Months’ notice in writing to end this agreement.

I understand I must comply with the home office rules. If, at any point, I am subjected to working over my allowed working hours, the 48 opt out agreement will cease to take effect.  I will inform my employer of my changes.

Night Workers Declaration

This declaration is to assess if you have any health conditions that may affect your ability to perform night work.

This assessment is now a requirement of the Working Time Regulations Act 1988.

Do you have any health factors that may affect your fitness to do you night work?

Criminal Conviction Form

If your application is successful and you take up employment with us, it is possible that you will be asked to verify the information given here by obtaining a Criminal Records Bureau Disclosure (Yes/No)

This information given by me on this form is, to the best of my knowledge and belief, true and correct.  I also understand that any misrepresentation by me will lead to the withdrawal of any offer of employment or my employment being terminated without any obligation of liability on the part of the employer other than for services rendered.

I also confirm that if I become subject to an investigation by my professional body or a matter in which could lead to a conviction, I will inform the agency know straight away

Right to Audit Declaration

I hereby provide consent for my personal file (which could include special categories of personal data under Data Protection Laws) to be shared with the Priory Group and their third-party auditors for the purposes of my deployment through the Priory Group or other organisations. Data will include (but is not limited too): References and Employment History; Criminal Record Checks; Identity and Right to Work; Professional Registration and Qualifications, Training, Fitness to Work and any other information relevant as part of my registration and engagement through the Priory Group, including Payslips; Application and Interview Forms.

Special Category data may include the following:

• Personal data revealing racial or ethnic origin;
• Personal data revealing religious or philosophical beliefs;
• Personal data revealing trade union membership;
• Biometric data (where used for identification purposes);
• Data concerning health;
• Data concerning a person's sexual orientation

Furthermore, I acknowledge that my information may be passed on to and / or verified with third party organisations throughout the course of the audit.

Finally, I consent to the third-party Auditors contacting me in order to further verify information presented during the course of audit.

For more information about how your personal data may be processed please visit the following websites to view our Privacy

Notices:

https://www.priorygroup.com/privacy-cookies

https://24hrhealthcare.com/privacy-policy/

24hr healthcare will treat and store your personal data in the strictest confidence and will only share relevant information where necessary.

Withdrawal of consent

I note that I may withdraw my consent at any time, by informing the priory group or 24hr Healthcare. I acknowledge that this may affect my deployment for the purposes of potential work with the priory group.