Pre Employment and Employment Checks Policy

Document Sample
scope of work template
							         Policy and Protocol on Pre-employment and
                    Employment Checks




Reference Number                                         HR/PECHCKS

Version                                                  3

Name of responsible (ratifying) committee                HR Policy Group

Date ratified                                            05.04.2011

Document Manager (job title)                             Employee Resourcing Manager

Date issued                                              27.04.2011

Review date                                              April 2012

Electronic location                                      Corporate Policies
                                                         Recruitment and Selection Policy, Recruitment and
                                                         Selection of Consultant Medical Staff Policy, Trust
Related Procedural Documents
                                                         Protocol and Procedure for Statutory Registration of
                                                         Professional Staff
                                                         CRB; Work Permit; Rights to Work; References;
Key Words (to aid with searching)                        Occupational Health; health screening; Professional
                                                         Registration
In the case of hard copies of this policy the content can only be assured to be accurate on the date of issue marked on the
document.

For assurance that the most up to date policy is being used, staff should refer to the version held on the intranet




Pre Employment and Employment Checks Policy. Version 3. Issued: 27.04.2011
(Review date: April 2012)                                                                        Page 1 of 30
CONTENTS

QUICK REFERENCE GUIDE – quick reference only. ......................................................................... 3
1. INTRODUCTION.......................................................................................................................... 4
2. PURPOSE ................................................................................................................................... 4
3. SCOPE ........................................................................................................................................ 4
4. DEFINITIONS .............................................................................................................................. 5
5. DUTIES AND RESPONSIBILITIES .............................................................................................. 6
6. PROCESS ................................................................................................................................... 7
7. TRAINING .................................................................................................................................. 16
8. REFERENCES AND ASSOCIATED DOCUMENTATION .......................................................... 16
9. MONITORING COMPLIANCE WITH, AND THE EFFECTIVENESS OF, PROCEDURAL
   DOCUMENTS ............................................................................................................................ 17
APPENDIX A .................................................................................................................................... 19
APPENDIX B .................................................................................................................................... 21
APPENDIX C .................................................................................................................................... 22
APPENDIX D .................................................................................................................................... 23
APPENDIX E .................................................................................................................................... 24
APPENDIX F .................................................................................................................................... 25
APPENDIX G .................................................................................................................................... 26
APPENDIX H .................................................................................................................................... 27
APPENDIX I...................................................................................................................................... 29




Pre Employment and Employment Checks Policy. Version 3. Issued: 27.04.2011
(Review date: April 2012)                                                                                      Page 2 of 30
QUICK REFERENCE GUIDE – quick reference only.

For quick reference the guide below is a summary of actions required. This does not negate the need
for the document author and others involved in the process to be aware of and follow the detail of this
policy.

   1. All employment with the Trust is subject to satisfactory pre-employment checks.           These
      checks are:

       Eligibility to work in the UK
       Identity Check
       Criminal Records Bureau
       Professional Registration
       References and employment history
       Validation of qualifications

   2. These checks are undertaken by the Employee Resourcing Team.

   3. There are a number of checks that are required during employment with the Trust. These are
      Rights to Work in the UK, Professional Registrations and CRB.

                                            Checks Flow Chart

                         Check an individual‟s identity and rights to work in the UK


         Once rights to work have been established, individual will be asked to complete fitness to
                                   practice form and CRB application


       Employee Resourcing Department will take up references covering a minimum 3 year period.
         Confirming employment history, if not employed, letters of upstanding in the community


     Employee Resourcing Department will check Professional Registration via Professional Body to
                                 ensure appropriately registered


         Employee Resourcing Department will ensure that qualifications stated on application are
                              supported by appropriate documentation


        Line Managers will be kept informed at all stages of the Recruitment process in order that
                          decisions can be made with appropriate information




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   1. INTRODUCTION

       1.1 Effective recruitment processes and on-going employment checks are essential to ensure
           the highest standards of patient care and safety within Portsmouth Hospitals NHS Trust
           (“the Trust”).

       1.2 The Trust is committed to equality of opportunity in employment and the recruitment of a
           diverse workforce regardless of race, gender, age, religion or belief, nationality, sexual
           orientation (including transgender), criminal conviction history or disability. The Trust aims
           to positively support the recruitment of a diverse workforce in line with our Single Equality
           Scheme.

       1.3 All applications for work will be decided fairly and on merit. Information declared will be
           used to consider the applicant‟s suitability for the position, will be treated in confidence,
           and will not be used as the sole criteria to decide an applicant‟s fitness for the position.

       1.4 This policy has been written in the spirit of the NHS Constitution.

   2. PURPOSE

       2.1 This document provides a policy and protocol which ensures all checks relevant to
           employment, required by law and good practice are in place and operating effectively in
           the Trust

       2.2 The policy and protocol incorporates both pre-employment and on-going employment
           checks that need to be undertaken throughout an employee‟s working life with the Trust.

       2.3 The policy and protocol will follow best practice with the overall aim of ensuring patient
           safety and the highest standards of healthcare.

   3. SCOPE

       3.1 This policy and protocol will apply to the recruitment and selection of all staff for all posts
           whether advertised internally or externally, permanent or temporary. This policy and
           protocol will also apply to:

                 All employees of the Trust;
                 Temporary and bank workers, including those engaged through third party
                  agencies, as long as these are on the Buying Solution – Health (formerly PASA)
                  framework. Those individuals employed by Buying Solution – Health agencies will
                  have undergone the employment checks required by the Buying Solution – Health
                  framework ;
                 Non Executive Directors;
                 People undertaking work for, but not employed by, the Trust (e.g. Honorary
                  Contract, Military/MOD personnel, volunteers, work experience students). Those
                  staff employed by the Military/MOD will have undertaken employment checks as a
                  requirement of their own employer.
                 Staff on secondment to the Trust and/or holding Honorary Contracts


         In the event of an infection outbreak, flu pandemic or major incident, the Trust recognises
         that it may not be possible to adhere to all aspects of this document. In such circumstances,
         staff should take advice from their manager and all possible action must be taken to
         maintain ongoing patient and staff safety.



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   4. DEFINITIONS

       Criminal Records Bureau (CRB): helps to protect children and vulnerable adults by
       providing a service to support organisations recruiting people into positions of Trust through
       providing written confirmation of criminal convictions.

       Disclosure: a process whereby parties inform ("disclose") to other parties the existence of
       any relevant documents, facts or information that are, or have been, in their control

       European Economic Area (EEA): countries included are Austria, Belgium, Bulgaria, Czech
       Republic, Cyprus, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland,
       Republic of Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, the
       Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden and the
       UK

       Electronic Staff Record (ESR): HR and payroll system, which records personal data of all
       employees.

       General Medical Council (GMC): Professional Registration body for Medical Staff.

       Honorary Contract: covers someone who is undertaking work on behalf of the Trust but is
       not employed by the Trust.

       Health Professions Council (HPC): Professional Registration body for Allied Health
       Professionals

       Nursing and Midwifery Council (NMC): Professional Registration body for Nurses and
       Midwives

       Buying Solutions–Health (formerly PASA): framework agreement that ensures the agencies
       which provide staff for the Trust adhere to NHS standards.

       Independent Safeguarding Authority (ISA): incorporates Protection of Children Act (PoCA)
       and Protection of Vulnerable Adults Act (PoVA) and maintains a list of people who have been
       barred from working with Children and Vulnerable adults.

       Refugee: a person who has been given leave to remain on the basis of a successful asylum
       application.

       Asylum seeker: a person who has made an application for asylum, but whose application is
       yet to be decided upon.

       Points Based Immigration System: devised and implemented in November 2008, part of
       government legislation to control immigration and migrant workers in the UK:

                             Tier 1 – Highly Skilled Individuals
                             Tier 2 – Skilled workers with job offers with UK companies
                             Tier 3 – Low Skilled Workers needed to fill temporary labour shortages
                             Tier 4 – Students
                             Tier 5 – Youth Mobility and Temporary Workers

       UK Border Agency: responsible for securing the United Kingdom borders and controlling
       migration in the United Kingdom, enforcing immigration and customs regulations. It is also
       responsible for considering applications for permission to enter or stay in the United Kingdom,
       citizenship and asylum.


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   5. DUTIES AND RESPONSIBILITIES

       The Chief Executive
       The Chief Executive has overall responsibility for ensuring that there are robust processes
       and procedures in place to allow for effective pre-employment and employment checks. In this
       regard any alert notices received by the Chief Executive from the SHA will be forwarded to the
       Employee Resourcing Department without delay.

       The Director of Organisational Development and HR
       The Director is responsible for ensuring that there are robust processes and procedures in
       place to allow for effective and pre-employment checks and that associated policies remain
       up to date and in line with current legislation

       The HR Senior Leaders Forum
       The Forum, chaired by the Director of Organisational Development and HR, comprises of
       Head of Learning and Development, Head of Workforce Information, Head of Employee
       Resourcing, all Workforce Managers and all senior HR Managers. It is responsible for
       ensuring that all exception reports are reviewed and appropriate action plans developed to
       address any identified issues.

       The Head of Employee Resourcing/Employee Resourcing Manager
       The Manager is responsible for ensuring that:

              Effective and robust systems and processes are in place for all checks to be
               undertaken legally and in line with good practice.
              Training is provided to HR staff to enable them to operate within best practice and
               legal parameters.

       The Employee Resourcing Team
       The Team is responsible for ensuring that the processes outlined in this policy are adhered to
       and any issues with compliance are escalated to the Head of Employee Resourcing

       Temporary Staffing Team
       The Team is responsible for ensuring that references, proof of registration and CRB checks
       are obtained from the Agency concerned.

       Duty Manager
       The Manager is responsible for ensuring that, when agency staff are booked out of hours, the
       agency provides proof of CRB checks, professional registration, rights to work and references

       Recruiting / Line Managers
       Managers are responsible for ensuring that all employment policies and procedures are
       adhered to, in respect of both new and current staff and that any advice received from the
       Employee Resourcing Teams is followed. Managers will also report any potential exceptions
       to the Head of Employee Resourcing

       Applicants, Employees (permanent or temporary), Honorary (unpaid) and Students
       All the above will:
             Provide the Trust with timely and accurate information for all requested checks;
             Ensure that professional registration is maintained (where appropriate) in line with the
               Trust‟s Protocol and Procedure for Statutory Registration of Professional Staff;
             Advise their line manager or supervisor of any change to their circumstances ;
             Inform their line manager should they be charged with an offence or their status with
               regard to the above checks changes during their employment.


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   6. PROCESS

   6.1   Pre-employment checks

             6.1.1    Offers of employment will be conditional on receipt of satisfactory employment
                      checks.

             6.1.2    All applicants for employment with the Trust will be subject to the following pre-
                      employment checks where appropriate and required for the post:

                               Eligibility to work in the UK
                               Identity Check
                               Criminal Records Bureau (CRB)
                               Professional registration
                               References and employment history
                               Validation of qualifications

             6.1.3    Checks that are undertaken will be those deemed relevant and appropriate for
                      the role to be undertaken. The Trust will ensure that the information is
                      available only to those who need to have access in the course of their duties.

             6.1.4    All information will be securely stored and destroyed within the required time
                      limits.

             6.1.5    Failure by an applicant or employee to provide accurate information in a timely
                      manner is a serious matter. Where it is found that an individual has declared
                      inaccurate information it may disqualify them from appointment or be
                      considered to be Gross Misconduct which may result in their dismissal (please
                      see the Trust‟s Discipline for Staff Policy).

             6.1.6    In the event of unsatisfactory check(s) being received, this will be escalated to
                      the Recruiting Manager to make a full review of the facts and circumstances
                      and make a decision to recruit.

             6.1.7    The process will be documented and retained, including details of the full
                      reasons for the decision to either a) recruit or b) withdraw the job offer.

             6.1.8    Where temporary bookings are made off the Buying Solution – Health (formerly
                      PASA) framework, the following arrangements will take place:

                                If booked through Temporary Staffing – references and proof of CRB,
                                 rights to work will be requested from the Agency. The Temporary
                                 Staffing Team will check appropriate professional registration.
                                If booked out of hours, the Duty Manager booking off the framework will
                                 need to request the agency to fax/e-mail proof of:

                                     o   CRB
                                     o   References
                                     o   Professional Registration
                                     o   Rights to Work

   6.2 Eligibility to work in the UK and Identity Check

             6.2.1    The Trust has a responsibility to prevent illegal migrant working in the UK. An
                      individual must produce documents to prove they are permitted to work in the
                      UK and that their identity is genuine.


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             6.2.2    If an individual is not subject to immigration control, has no restrictions on their
                      stay in the UK or is a UK citizen, then they will still be required to produce a
                      document or a specified combination of documents (Appendix A) prior to
                      commencing employment.

             6.2.3    Where the leave to enter or remain in the UK granted to an individual is time
                      limited, the document or documents required to be produced prior to
                      commencing employment are specified in Appendix B.

             6.2.4    Where the individual has limited leave to be in the UK the checks will be
                      repeated on that employee by Employee Resourcing at least once every
                      twelve months, until they provide specified document or documents indicating
                      that they can remain permanently in the UK from List A, or until they leave the
                      Trust‟s employment.

             6.2.5    All documents provided by individuals must be checked following guidance on
                      Appendix D. A certified copy of the documents is to be kept on the personal
                      file.

             6.2.6    Certain documentation is accepted as proof of an individual‟s identity and this
                      must be produced prior to commencement of employment (Appendix I).

   6.3 Work permits/ Certificates of Sponsorship under Tier 2

             6.3.1    If a prospective employee is not a British Citizen or a citizen of one of the EEA
                      countries, they are likely to require a sponsorship certificate which will be
                      applied for by the Trust to undertake employment. There are certain exceptions
                      including:

                             Swiss nationals
                             a family member of an EEA or Swiss national who is in the UK
                              exercising their treaty rights or a family member of an EEA or Swiss
                              national who intends to join them in, or is travelling with them to, the UK
                             a citizen of Gibraltar
                             a Commonwealth citizen with permission to stay in the UK on the basis
                              of UK ancestry.

             6.3.2    If a recruiting or line manager has questions about the likelihood of their post
                      being suitable for a Tier 2 sponsorship certificate they should contact
                      Employee Resourcing for further information.

             6.3.3    Where successful applicants require a sponsorship certificate, the application
                      process will be managed by Employee Resourcing in liaison with the Trust‟s
                      Immigration Consultants.

             6.3.4    The Trust will have to demonstrate that the resident labour market has been
                      tested appropriately by national advert for up to 4 weeks. This means that no
                      EU/EEA Nationals were suitable to fill the post.

             6.3.5    The individual is responsible for securing their leave to remain and entry
                      clearance. They must also ensure they have appropriate documentation to
                      support their leave to remain (passport stamps or Identity Card). Certified
                      copies of these must be held on the personal file and by the Trust‟s
                      Immigration Consultants for the duration of their employment.

             6.3.6    The Trust will pay the Sponsorship Fee. The individual will be responsible for
                      the payment for their leave to remain.

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             6.3.7    The Trust can arrange to pay fees in relation to leave to remain on behalf of an
                      applicant. Arrangements will then be put in place for the staff member to re-pay
                      costs via monthly payroll, over an agreed period of time.

   6.4 Refugees and asylum seekers

             6.4.1    A refugee has rights under the Geneva Convention to be treated no less
                      favourably than citizens of the host nation. In the UK refugees have the right to
                      work.

             6.4.2    Since 2003 asylum seekers do not have the right to work in the UK. Only a
                      very small number of asylum seekers will have the right to work and if so it will
                      state „employment permitted‟ on their Application Registration Card (ACR).

   6.5 Criminal Records Bureau (CRB)

             6.5.1    Disclosures are an important tool when recruiting safely in the NHS. Although a
                      criminal conviction in itself does not prevent anyone from working in the NHS,
                      some types of offences, for example involving violence or sexual abuse, may
                      indicate that an applicant is unsuitable to have access to patients and should
                      not be employed.

             6.5.2    CRB checks are mandatory for every new recruit who has access to patients or
                      patient information as part of their normal duties. Failure to carry out these
                      checks could put the safety of patients, visitors and other employees at risk

             6.5.3    Staff who commenced in employment with the Trust before 2002 may not have
                      a CRB in place.

             6.5.4    Staff will be required to undertake a CRB check in the event of any change of
                      job that results in a change of access to patients or as and when the Trust
                      requires.

             6.5.5    The Trust is entitled to ask individuals to disclose convictions, cautions,
                      reprimand or final warning that would otherwise be „spent‟ under the provisions
                      of the Rehabilitation of Offenders Act 1974. This information will be sought on
                      the application form and the Criminal Convictions or Fitness to Practice
                      Proceedings Declaration. At the point of short-listing Employee Resourcing will
                      assess the information and inform the Recruiting Manager/Line Manager

             6.5.6    Unless the law prohibits an appointment, a criminal conviction will not
                      automatically exclude an applicant or employee from working in the Trust.

             6.5.7    Where roles involve the regular care, training and supervision or sole charge of
                      persons under 18 or vulnerable adults [as defined by the Police Act 1997 and
                      Protection of Vulnerable Adults Regulations 2002], individuals will be asked
                      whether they are currently the subject to any police investigation in the UK or
                      any other country that they are aware of.

             6.5.8    Where the position is „regulated‟ under the terms of the Protection of Children
                      Act 1999 [as amended by the Criminal Justice and Court Services Act 2000],
                      checks will be carried out in accordance with this Act. Anyone whose name
                      identified via this route is legally barred from working with children

             6.5.9    In areas which are subject to Protection of Children Act checks, these may be
                      carried out on an on-going basis



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             6.5.10   Where employees are convicted of a criminal offence during the course of their
                      employment and this may impact on their work the Disciplinary Procedure will
                      be used

             6.5.11   It is a criminal offence for such a person to knowingly apply for, offer to do,
                      accept or to do such work. It is also an offence to employ such a person in a
                      childcare position.

   6.6 Levels of CRB checks

             6.6.1    There are two levels of disclosure: Standard and Enhanced (Appendix E).
                      Appendix H provides guidance which will assist the appointing manager in
                      deciding which level of disclosure will be required. Further support can be
                      provided from Employee Resourcing.

             6.6.2    Information provided to applicants at application stage will inform them whether
                      a CRB check will be required and at what level.

             6.6.3    In instances where employees are changing posts within the Trust and the new
                      post requires a higher level of disclosure, employees will not normally be able
                      to take up their new post until the new satisfactory CRB check has been
                      received.

             6.6.4    The Trust allows individuals to commence in post under supervision before the
                      CRB disclosure is received. This should only be done where a risk
                      assessment has been carried out by the recruiting/line manager.

             6.6.5    The recruiting/line manager is then responsible for ensuring that all steps are
                      taken in accordance with the risk assessment to reduce the risk.

             6.6.6    Managers employing staff in these circumstances are responsible for ensuring
                      that the supervision is undertaken and monitored. Supervision should ideally
                      be on a one to one basis by another health professional who has a CRB check.

             6.6.7    Enhanced CRB Checks involve an additional level of check to those carried out
                      for the Standard Enclosure. An Enhanced Disclosure includes a check on
                      local police records. Where local police records contain additional information
                      that might be relevant to the post the applicant is being considered for, the
                      Chief Police Officer may release information for inclusion in an Enhanced
                      Disclosure. From October 2009, the enhanced check will also check the two
                      newly created lists which have been implemented under the Safeguarding
                      Vulnerable Groups Act (2006)

             6.6.8    Exceptionally, and in a very small number of circumstances (typically to protect
                      the integrity of current police investigations), additional information may be sent
                      under separate cover to the Counter Signatory and can not be revealed to the
                      applicant.

   6.7 Portability of CRB and Independent Safeguarding Authority (ISA) Checks

             6.7.1    Many applicants will have undertaken a CRB check with a previous employer;
                      the Trust will accept a previous CRB check in the following circumstances:

                             The check must have been carried out by another NHS Employer in
                              England,
                             Individuals must be able to produce the original CRB check to the
                              Trust;

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                             The check must be of the equivalent level of Disclosure and undertaken
                              within the previous 6 months
                             The department undertakes a full risk assessment (Appendix F)

             6.7.2    ISA checks are not portable. As such the exception to this principle is where
                      an applicant or individual is to work in a post in Paediatrics, Emergency
                      Department, Maternity, ENT, Maxillofacial Surgery, General Practice or any
                      other post within the scope of the Protection of Children Act (PoCA). A new
                      check must be carried out irrespective of the date of the previous check.

             6.7.3    It is normally mandatory to carry out a new CRB check when any member of
                      staff (including a doctor in training) is appointed or moves to a new post in the
                      NHS which is exempt from the Rehabilitation of Offenders Act. There are
                      circumstances however when it is reasonable and safe for this requirement to
                      be risk assessed.

             6.7.4    Where a doctor is appointed on an educationally approved training rotation, a
                      risk assessment can be performed which may indicate that the doctor can
                      commence in post prior to the Trust CRB disclosure being received. This will
                      be undertaken by Employee Resourcing, if the CRB has been undertaken
                      within the last year by another NHS organisation.

             6.7.5    It must be noted that in the circumstance whereby a previous (enhanced)
                      disclosure is being used, the issuing organisation must be contacted and
                      asked whether „additional information‟ was received in relation to the individual
                      concerned.

             6.7.6    Additional information is only made available to the counter signatory under
                      special circumstances (and under separate cover) and must never, under any
                      circumstances, be discussed with the individual or anyone in the organisation.
                      Due to the sensitive nature of this, counter signatories may not be willing to
                      respond to this question either way and in this situation, we should wait until
                      our own disclosure is received.

             6.7.7    Evidence of the previous check having been carried out may be obtained from
                      the doctor‟s copy of the disclosure, from the Occupational Health Smart Card
                      (OHSC) database, or from other reliable local records.

             6.7.8    Agency workers and locums and other temporary highly mobile staff should be
                      checked at least once a year. All agencies on the PASA framework undertake
                      these checks as per the framework agreement. This agreement is audited by
                      PASA.

             6.7.9    NHS employers who recruit staff from abroad should carry out the necessary
                      police checks in line with that country‟s justice system and UK requirements.
                      Whether staff are recruited from within or outside the UK, under ISA there is a
                      legal requirement in the NHS to carry out a check against the ISA list before
                      anyone is appointed to a childcare/ vulnerable adult position. The CRB offers
                      advice about obtaining criminal conviction information in 21 countries.

             6.7.10   Appendix G outlines how CRB‟s are stored and destroyed in line with CRB
                      guidance.

   6.8 Professional registration

             6.8.1    For specific posts, registration with a professional organisation may be
                      required, e.g. GMC, NMC, HPC, SIA licence. Employee Resourcing will be
                      required to
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                                  Confirm that the successful applicant has appropriate registration.
                                  That they have never been disqualified from the practice of a profession
                                  That they are required to practice subject to limitations following fitness to
                                   practice proceedings by a regulatory body in the UK or another country
                                  Whether they are currently the subject of any investigation or proceedings
                                   by any body with a regulatory function in relation to their position.

                 6.8.2        This requirement is reflected in the Criminal Convictions or Fitness to Practise
                              Proceedings Declaration sent to all staff at point of offer. Documentary
                              evidence will be kept on the individuals file and the ESR record will be updated
                              accordingly.

                 6.8.3        Offers of Employment may be made to staff awaiting confirmation of
                              professional registration. Staff may commence work prior to professional
                              registration arriving, but at a grade/level which does not require them to hold
                              professional registration (e.g. Band 3 Health Care Support Worker).

                 6.8.4        This will be at the discretion of the line manager; and it is the line manager who
                              will be responsible for ensuring the individual does not act outside of the role.
                              In the event that an individual has no registration the employment will have
                              been deemed to have ended.

                 6.8.5        For further information refer to the Trust Policy and Protocol on Statutory
                              Registration of Professional Staff1.

   6.9 Qualifications

                 6.9.1        Where a professional or academic qualification is required as part of the
                              person specification, all interviewed candidates will be required to bring proof
                              of this, which should be produced to the Recruiting/Line Manger during the
                              Interview process.

                 6.9.2        The evidence produced for verification should then be photocopied for the
                              personal file. The same will apply when a driving licence is required for the
                              position, although in the case of a driving licence, both the paper and photo
                              card parts of the licence must be produced.

                 6.9.3        Should the individual be unable to provide evidence of this qualification the
                              Recruiting/Line Manager will make the decision as to whether the appointment
                              process can proceed taking advice from Employee Resourcing or other
                              professional in the Trust (as appropriate).

                 6.9.4        In the event of a dispute, the Head of Employee Resourcing will make the final
                              decision.

   6.10 References and employment history

                 6.10.1       All references will be sought on a fair and open basis.

                 6.10.2       It is the Trust‟s policy that candidates are offered a post subject to receiving
                              references which cover a 5 year employment history, two of which should be
                              from the applicant‟s current or most recent line manager and cover a
                              consecutive period of employment.



     1
         Policy and Protocol for Registration of Professional Staff
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             6.10.3   References will be requested from the Human Resources Department of any
                      previous employer.

             6.10.4   In the case of someone who has never been employed, a reference can be
                      supplied from the candidate‟s school or college, or from a responsible person
                      in the community e.g. Volunteer Manager.

             6.10.5   Candidates will be informed if there is a problem with the referee they have
                      provided, in contacting them or with the reference provided. The
                      Recruiting/Line Manager may wish to withdraw the offer of employment
                      following receipt of the references.

             6.10.6   No reference will be taken up without the prior permission of the candidate. If
                      permission is withheld it is the responsibility of the Recruiting/Line manager to
                      confirm permission to contact referees when offering the post subject to
                      references.

             6.10.7   References will not be accepted from relatives or friends. In the event of
                      difficulties in obtaining references, Employee Resourcing will discuss the
                      situation with the recruiting manager who will make a final decision and
                      undertake the appropriate risk assessment (s).

             6.10.8   Where an applicant is unable to provide suitable references other information
                      which may be acceptable is evidence of activity in the community, such as
                      evidence of claiming child benefit payments, stamps in passports, bank
                      statements which show regular financial activity in the UK.

             6.10.9   For doctors in training appointed through the Deanery, references are
                      requested as part of the Deanery recruitment process. Employee Resourcing
                      will request reference from the most current/recent employer if these are
                      missing.


   6.11 Rights to Work

             6.11.1   Annual checks will be undertaken by Employee Resourcing on all staff who
                      hold temporary rights to work in the UK to ensure all documents are in order.

             6.11.2   This will be undertaken monthly by report from information held in ESR.

             6.11.3   Employees have a duty to inform the Trust of any change to their rights to work
                      status.

             6.11.4   If an employee fails to inform the Trust regarding a change to their rights to
                      work, but are still eligible to continue working, then the Discipline for Staff
                      policy should be followed.

             6.11.5   If an employee fails to inform the Trust of a change of rights to work, which
                      prevents them from working, Employee Resourcing will inform the individual
                      that they must stop work.

             6.11.6   Employee Resourcing will inform the Line Manager that the member of staff
                      must stop working and inform Operational HR. Employee Resourcing will
                      instruct payroll to stop pay.

             6.11.7   Employee Resourcing will inform the Director Workforce and HR that an
                      employee has been stopped from working due to their rights to work lapsing.

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             6.11.8 Employee Resourcing will write to the member of staff requesting an update in
                    relation to their rights to work.

             6.11.9 If the employee is not able to provide a satisfactory response to Employee
                    Resourcing, they will be invited to attend a meeting to discuss their lack of rights
                    to work with a senior member of the Employee Resourcing Team and a decision
                    will be taken in relation to the continuation of their employment.

             6.11.10 If the employee is not able to provide substantive reasons for their expired
                     rights to work, their employment with the Trust will be terminated.

             6.11.11 Appeals to this decision will be heard by the Head of Employee Resourcing if
                     made in writing within 10 days of the decision to dismiss.

             6.11.12 The Employee Resourcing Team will inform the UK Border Agency that the
                     contract has been terminated.

             6.11.13 The Employee Resourcing Team will inform the UK Border Agency of all
                     substantive changes to employment for staff on sponsorship certificate.

             6.11.14 Employee Resourcing is responsible for terminating a sponsorship certificate
                     when an employee leaves the Trust.

             6.11.15 An employee may work for another employer whilst on a sponsorship
                     certificate with the Trust; however any additional work must be in compliance
                     with Working Times Regulation Policy. These hours should be declared on
                     attendance sheets.

             6.11.16 Employees who transfer under the Transfer of Undertaking (Protection of
                     Employment) arrangements have a grace period of 28 days to undertake the
                     appropriate document checks following the date of the transfer.

 6.12 Follow Up Process

             6.12.1   Individuals will usually not be able to commence employment with the Trust
                      until satisfactory checks have been received.

             6.12.2   If unsatisfactory check(s) are received, the matter will be escalated to the
                      Recruiting Manager to make a full review of the facts and circumstances.

             6.12.3   The process will be documented and retained, including details of the full
                      reasons for the decision to either recruit or withdraw the job offer

             CRB checks


             6.12.4   Staff who started work with Portsmouth Hospitals NHS Trust before 2002 may
                      not have a CRB in place. Staff will be required to undertake a CRB check in
                      the event of any change of job that results in a change of access to patients or
                      as and when the Trust requires.

             6.12.5   Although a criminal conviction in itself does not prevent anyone from working in
                      the NHS, some types of offences, for example those involving violence or
                      sexual abuse may indicate that an applicant is unsuitable to have access to
                      patients.

             6.12.6   If a staff member is found to have a positive CRB, they will be met with by their
                      line manager and a member of the Operational HR Team to discuss and agree
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                             what, if any, action to take. Appropriate action may vary depending on the
                             nature of the conviction, but could include action up to and including dismissal.

                6.12.7       In the event of a dispute, the Head of Employee Resourcing will make the final
                             decision.

                6.12.8       The same principals apply to current employees who are convicted of a
                             criminal offence during the course of their employment. Where the conviction
                             may impact on their work, the Disciplinary Procedure will be invoked

                6.12.9       The introduction of the Independent Safeguarding Authority (ISA) gives the
                             Trust a duty to disclose any individuals whom they feel should not be working
                             with vulnerable groups. As part of the Safeguarding Vulnerable Groups Act
                             (2006) this duty comes into effect from 15th October 2009.

                6.12.10 Operational HR Teams will work closely with the Employee Resourcing Lead
                        for ISA to ensure that robust reporting of appropriate cases is in place

                Rights to Work

                6.12.11 If an employee fails to inform the Trust regarding a change to their rights work,
                        but are still eligible to continue working, the Disciplinary Procedure2 should be
                        followed

                6.12.12 Employee Resourcing will inform:

                                     The Director of Organisational Development that the employee has been
                                      stopped form working
                                     The Line Manager and Operational HR that the member of staff must
                                      stop working
                                     Payroll to cease payment of salary
                                     The employee and request an update in relation to rights to work

                6.12.13 If the employee is not able to provide a satisfactory response to Employee
                        Resourcing, they will be invited to attend a meeting to discuss their lack of
                        rights to work with a senior member of the Employee Resourcing Team

                6.12.14 If the employee is not able to provide substantive reasons for their expired
                        rights to work, employment with the Trust will be terminated.

                6.12.15 Appeals to the decision must be made within 10 days of the decision to dismiss
                        and will be heard by the Head of Employee Resourcing

                6.12.16 If the decision is held, the Head of Employee Resourcing will inform the Board
                        Agency that the employee‟s contract has been terminated

                Qualifications

                6.12.17 Should any individual be unable to provide evidence of a required professional
                        or academic qualification, the Recruiting/Line Manager will make the decision
                        as to whether the appointment process can proceed. This must be done in
                        conjunction with Employee Resourcing or other appropriate professionals in
                        the Trust

                6.12.18 In the event of a dispute, the Head of Employee Resourcing will make the final
                        decision

     2
         Disciplinary Procedure
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                 Professional Registration

                 6.12.19 Employee Resourcing are responsible for identifying professional registrations
                         that are due to lapse. All actions in this regard will be taken in accordance with
                         Trust Policy and Protocol for Registration of Professional Staff3

                 References

                 6.12.20 Candidates will be informed if there is a problem with contacting a referee or
                         with the reference provided

                 6.12.21 Where an applicant is unable to provide suitable references, other evidence
                         that may be acceptable (depending on the post applied for) is evidence of
                         activity in the community; such as claiming child benefit, stamps in passports,
                         bank statements, which show regular financial activity in the UK

                 6.12.22 If references are unsatisfactory, the Recruiting/Line Manager may choose to
                         withdraw the offer of employment.

                 Alert Letters

                 6.12.23 Alert Letters ensure that NHS bodies are made aware of staff who pose a risk
                         to patients or other staff because their conduct seriously compromises the
                         effective functions of a team, or local primary care services. They are intended
                         to cover those situations where an NHS employer considers that a member of
                         their health care staff may pose a threat to patients and may be working or
                         seeking work elsewhere in a health or social care setting.

                 6.12.24 When Alert Letters are received by the Chief Executive Office from the SHA,
                         they should be forwarded to the Employee Resourcing Team, to ensure that
                         they are checked against records of existing staff. Their names will then be
                         entered on a database against which any potential new employees or workers
                         will be checked before an offer of employment is made.

7     TRAINING REQUIREMENTS

     7.1      All staff involved in the Recruitment and Selection of staff should attend the Trust‟s one
              day Recruitment and Selection Training.

     7.2      All staff within the Employee Resourcing Team who are responsible for advising
              managers will receive training as part of their induction, and receive on-going updates in
              relation to updated Employment Legislation.

8.   REFERENCES AND ASSOCIATED DOCUMENTATION

     Internal

     Employee Resourcing Desk Top Procedures
     Professional Registration for Staff policy
     Disciplinary for Staff policy

     External Documentation

     NHS Employers www.nhsemployers.org

     3
         Policy and Protocol for Registration of Professional Staff
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      Criminal Records Bureau www.crb.gov.uk
      Guidance on Protection of Children Act www.teachernet.gov.net
      Home Office www.homeoffice.org


      Health Circular HC (staff and HSG (94) 43
      Data Protection Act 1998
      Care Standards Act 2000
      Child Protection Act 1996
      Criminal Justice and Court Services Act 2000
      Gender Recognition Act 2004
      Human Rights Act 1998
      Immigration, Asylum and Nationality Act 2006
      Police Act 1997
      Protection of Vulnerable Adults Regulations 2002
      The Disability Discrimination Act 2005
      The Employment Equality (Sexual Orientation) Regulations 2003
      The Employment Equality (Religion and Belief) Regulations 2003
      The Employment Equality Age Regulations 2006
      The Equality Act 2006 (Gender Equality Duty)
      The Race Relations Amendment Act 2000

9.        MONITORING COMPLIANCE WITH, AND THE EFFECTIVENESS OF,
          PROCEDURAL DOCUMENTS

     Key Performance               Lead            Evidence         Reviewed by /       Lead Responsible
         Indicator              Responsible                          Frequency          for any Required
                                 for Audit                                                   Actions
 100% of staff will have
                                                                   Senior Leaders
 pre-employment checks         HR Recruitment                                           Head of Employee
                                                 Personnel files   Forum
 prior to being placed on      Team Leader                                              Resourcing
                                                                   Quarterly
 payroll system
 100% of staff will have
 pre-employment checks                                             Senior Leaders
                               HR Recruitment                                           Head of Employee
 prior to being placed on                        Personnel files   Forum
                               Team Leader                                              Resourcing
 Electronic Staff Record                                           Quarterly
 (ESR) system
 100% of professional                                              HR Recruitment
                               HR Recruitment                                           Head of Employee
 registration checks will be                     ESR               Manager
                               Team Leader                                              Resourcing
 undertaken                                                        Monthly
                                                                   HR Recruitment
 100% of work permits will     HR Recruitment                                           Head of Employee
                                                 ESR               Manager
 be checked for expiry         Team Leader                                              Resourcing
                                                                   Monthly
 100% of staff respond to                                          HR Recruitment
                               HR Recruitment                                           Head of Operational
 requests for confirmation                       ESR               Manager
                               Team Leader                                              HR
 of rights to work                                                 Weekly
 100% of staff will be                                             HR Recruitment
                               HR Recruitment                                           Head of Operational
 informed when rights to                         ESR               Manager
                               Team Leader                                              HR
 work are due to expire                                            Weekly
 100% of Certificates of                                           Senior Leaders       Director of
                               Philip Gamble &   External audit
 Sponsorship will be                                               Forum                Organisational
                               Co                report
 checked                                                           Annually             Development and HR

           To ensure compliance with the above, a quarterly random audit will be undertaken by the
            Employee Resourcing Manager and the HR Recruitment Manager


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          The results of all audits will be reported quarterly, by exception, to the Senior Leaders
           Forum and any required action will be taken by the Director of Organisational
           Development and HR. This may include:

                        o   Direct action to improve auditing process
                        o   Changes to policy / procedures

          A quarterly workforce report will be provided to the Trust Board by the Director of
           Organisational Development and HR




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                                                                                       APPENDIX A
       DOCUMENTS REQUIRED FOR THOSE INDIVIDUALS WHO HAVE NO RESTRICTION ON
         THEIR STAY IN THE UK OR ARE NOT SUBJECT TO IMMIGRATION CONTROLS.

   1. A passport showing that the holder, or a person named in the passport as the child of the
      holder, is a British citizen or a citizen of the United Kingdom and Colonies having the right of
      abode in the United Kingdom

   2. A passport or national identity card showing that the holder, or a person named in the
      passport as the child of the holder, is a national of the European Economic Area or
      Switzerland

   3. A residence permit, registration certificate or document certifying or indicating permanent
      residence issued by the Home Office or the Border and Immigration Agency to a national of a
      European Economic Area country or Switzerland

   4. A permanent residence card issued by the Home Office or the Border and Immigration
      Agency to the family member of a national of a European Economic Area country or
      Switzerland

   5. A Biometric Immigration Document issued by the Border and Immigration Agency to the
      holder which indicates that the person named in it is allowed to stay indefinitely in the United
      Kingdom, or has no time limit on their stay in the United Kingdom

   6. A passport of other travel document endorsed to show that the holder is exempt from
      immigration control, is allowed to stay indefinitely in the United Kingdom, has the right of
      abode in the United Kingdom, or has no time limit on their stay in the United Kingdom

   7. An Immigration Status Document issued by the Home Office or the Border and Immigration
      Agency to the holder with an endorsement indicating that the person named in it is allowed to
      stay indefinitely in the United Kingdom or has no time limit on their stay in the United
      Kingdom, when produced in combination with an official document giving the person‟s
      permanent National Insurance Number and their name issued by a Government agency or a
      previous employer

   8. A full birth certificate issued in the United Kingdom which includes the name(s) of at least one
      of the holders‟ parents when produce in combination with an official document giving the
      person‟s permanent National Insurance Number and their name issued by a Government
      agency or previous employer

   9. A full adoption certificate issued in a the United Kingdom which includes the name (s) of at
      least one of the holders adoptive parents when produced in combination with an official
      document giving the person‟s permanent National Insurance Number and their name issued
      by a Government agency or a previous employer

   10. A birth certificate issued in the Channel Islands, the Isle of Man or Ireland, when produced in
       combination with an official document giving the person‟s permanent National Insurance
       Number and their name issued by a Government Agency or a previous employer

   11. An adoption certificate issued in the Channel Islands, the Isle of Man or Ireland, when
       produced in combination with an official document giving the person‟s permanent National
       Insurance Number and their name issued by a Government Agency or a previous employer

   12. A certificate of registration or naturalisation as a British Citizen, when produced in
       combination with an official document giving the person‟s permanent National Insurance
       Number and their name issued by a Government Agency or a previous employer


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   13. A letter issued by the Home Office or Border and Immigration Agency to the holder which
       indicates that the person named in it is allowed to stay indefinitely in the United Kingdom
       when produced in combination with an official document giving the person‟s permanent
       National Insurance Number and their name issued by a Government Agency or a previous
       employer




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                                                                                       APPENDIX B
       DOCUMENTS REQUIRED WHERE AN INDIVIDUAL’S LEAVE TO ENTER OR REMAIN IN
                             THE UK IS TIME LIMITED.

   1. A passport or travel document endorsed to show that the holder is allowed to stay in the
      United Kingdom and is allowed to do the type of work in question, provided that it does not
      require the issued of a work permit

   2. A Biometric Immigration Document issued by the Border and Immigration Agency to the
      holder which indicates that the person named in it can stay in the United Kingdom and is
      allowed to do the work in question

   3. A work permit or other approval to take employment issued by the Home Office or the Border
      and Immigration Agency when produced in combination with either a passport or another
      travel document endorsed to show the holder is allowed to stay in the United Kingdom and is
      allowed to do the work in question, or a letter issued by the Home Office or Border and
      Immigration Agency to the holder or the employer or prospective employer confirming the
      same

   4. A certificate of application issued by the Home Office or the Border and Immigration Agency
      to the individual or for a family member of a national of a European Economic Area country or
      Switzerland stating that the holder is permitted to take employment which is less than 6
      months old when produced in combination with evidence of verification by the Border and
      Immigration Agency Employer Checking Service

   5. A residence card or document issued by the Home Office or the Border and Immigration
      Agency to a family member of a national of a European Economic Area country or
      Switzerland

   6. An Application Registration Card issued by the Home Office or the Border and Immigration
      Agency stating that the holder is permitted to take employment, when produced in
      combination with evidence of verification by the Border and Immigration Agency Employer
      Checking Service

   7. An Immigration Status Document issued by the Home Office or the Border and Immigration
      Agency to the holder with an endorsement indicating that the person named in it can stay in
      the United Kingdom, and is allowed to do the type of work in question, when produced in
      combination with an official document giving the person‟s permanent National Insurance
      Number and their name issued by a Government Agency or a previous employer

   8. A letter issued by the Home Office or the Border and Immigration Agency to the holder or the
      employer or prospective employer, which indicates that the person named in it can stay in the
      United Kingdom and is allowed to do the work in question, when produced in combination
      with an official document giving the person‟s permanent National Insurance Number and their
      name issued by a Government Agency or a previous employer




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                                                                                       APPENDIX C

         DOCUMENTS THAT ARE NOT ACCEPTABLE TO PROVIDE RIGHT TO WORK IN UK

   1. A Home Office Standard Acknowledgement Letter or Immigration Service Letter (IS96W)
      which states that an asylum seeker can work in the UK. If presented with these documents
      then you should advise the applicant to call the Border and Immigration Agency on 0151 237
      6375 for information about how they can apply for an Application Registration Card

   2. A temporary National Insurance Number beginning with TN, or any number which ends with
      the letters from E to Z inclusive

   3. A permanent National Insurance Number when produced in isolation

   4. A driving licence issued by the Driver and Vehicle Licensing Agency

   5. A bill issued by a financial institution or a utility company

   6. A passport describing the holder as a British Dependent Territories Citizen which states that
      the holder has a connection with Gibraltar

   7. A short (abbreviated) birth certificate issued in the UK which does not have details of at least
      one of the holders parents

   8. A licence provided by the Security Industry Authority

   9. A document check by the Criminal Records Bureau

   10. A card or certificate issued by the Inland Revenue under the Construction Industry Scheme




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                                                                                       APPENDIX D
     Step 1 – How to check validity of documents

    Only accept valid, current and original documents – no photocopies or documents printed off
     the internet (bank statements)

    Check any photographs, where available, contained in the documentation are consistent with
     the appearance of the employee when carrying out checks on prospective or current
     employees; and

    Check the dates of birth listed, where available, to ensure that these are consistent across
     documents and that you are satisfied that these correspond with the appearance of the
     prospective or current employee; and

    Check that the expiry dates of any limited leave to enter or remain in the UK have not passed;
     and

    Check any UK Government endorsements (stamps, visas, etc.) to see if the prospective or
     current employee is able to do the type of work we are offering; and

    Satisfy yourself that the documents are genuine and have not been tampered with and belong
     to the holder; and

    If the prospective or current employee gives us two documents which have different names,
     ask them for a further document to explain the reason for this. The further document could be
     a marriage certificate, a divorce decree, a deed poll document or statutory declaration.

     Step 2 – What to copy and retain

    For passports and travel documents, a copy should be taken of every page. If this is not
     possible for any reason you must copy any page that provides details of nationality, his or her
     photograph, date of birth, signature, date of expiry or biometric details; and

    As above any page containing UK Government endorsements, noting the date of expiry and
     any relevant UK immigration endorsement which allows our prospective or current employee
     to do the type of work we are offering

    All other documents should be copied in their entirety and kept securely for the duration of the
     individual‟s employment

    On each occasion that a follow up document check is undertaken, you should repeat the
     specified steps given above within the given time period and record the date of each
     subsequent check




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                                                                                                                                             APPENDIX E
                                     DEFINITIONS OF STANDARD AND ENHANCED DISCLOSURES AND POCA

The Standard Disclosure lists both spent and unspent convictions and cautions, formal reprimands and warnings held on the Police National
Computer, and in relevant cases reveals if an individual is in any lists held by the Department of Health or the Department of Education and Skills and is
unsuitable to work with children or vulnerable adults. It also states if there is nothing on record. The Standard Disclosure is available for positions
exempt from the Rehabilitation of Offenders Act 1974.

              those whose duties involve regular contact with children and vulnerable
              certain professions in areas such as health, pharmacy and law
              and senior managers in banking and financial services.

The Standard Disclosure will be issued to individuals and copied to the registered body. If the individual is applying for a childcare position, both the
Standard and Enhanced Disclosure (see below) will also show whether they are banned from working with children by virtue of their inclusion on the
lists, maintained by the DfES and the DoH, of those considered unsuitable to work with children. The Standard and Enhanced Disclosure also shows
whether a person is banned from working with vulnerable adults by virtue of their inclusion on a list, maintained by the DoH, of those considered
unsuitable to work with such people.

The Enhanced Disclosure contains the same details as the Standard. It may also contain non-conviction information from local police records which a
chief police officer thinks may be relevant in connection with the position sought. It will also state if there is nothing on record. The Enhanced Disclosure
is available for positions involving regular caring for, or training, supervising or being in sole charge of children or vulnerable adults.

The Protection of Children Act 1999 (PoCA) is a statutory scheme. Where the criteria of the Act are satisfied, the NHS employer is required to carry
out a PoCA check before a person can be appointed.

A PoCA check can only be carried out by the CRB as part of a disclosure.

The post must fit one of the criteria for a 'regulated position' and can be requested with either a standard or enhanced disclosure, provided the precise
definition of a regulated position is satisfied:

       "A position whose normal duties include caring for, training, supervising or being in sole charge of children" (Section 36 1c Criminal
       Justice and Court Services Act).




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                                                                                                                                                  APPENDIX F
     Risk Management Form for CRB checks when start date is prior to return of the check.

     NAME OF PROSPECTIVE EMPLOYEE:............................

     Decision information required (Recruiting Manager to complete grey shaded boxes)
 Area of     Responsible    Type of Pt     Contact     Contact with   Access to pts    Supervision      CRB form Previous CRB Prev CRB Current
  work        Manager        contact.        with       Vulnerable        notes,       available.       sent - date held. With NHS      with    CRB stage
   Div                      Incidental;    children       adults       finance or     Close / at all                employer - date alternative checked -
Ward/dept                     direct;        Y/N          Y/N           property         times                                       employer     date
                             intimate                                      Y/N                                                      seen. Name
                                                                                                                                     and date




        Risk Notification form (Guidance for completing the above boxes)
     Type of pt           Description of risk   Grade of Risk = likelihood    Risk score      Financial    Action taken by     Risk acceptable
       contact                                                                                 Impact          Div HRM
Incidental contact: Appt of staff before CRB Low consequences – under         Yellow 6                    Review CRB on
no children or check confirmed – risk of £20K, minor non compliance           regarded as       Under     return if a record   Yes     –   HRM
Vulnerable adults      dismissal               with SBH;                      low harm/         £20K      is shown             decision
                                               possible likelihood =          damage
Direct       contact- Appt of staff before CRB Moderate consequences –        Orange 9          Under     Review CRB on
may be children or check confirmed – risk of under £20K, non compliance       regarded as       £20K      return if a record   Yes – but should
Vulnerable adults. dismissal                   with SBH;                      Moderate                    is shown             have HRM and
Able       to      be                          possible likelihood            harm                                             Dept     manager
supervised closely.                                                           damage                                           approval
Intimate contact- Appt of staff before CRB Moderate consequences –            Orange 12         Ynder     Review if CRB not
may be children or check confirmed – risk of under £20K, Major non                              £20K      returned by end of   Yes – but should
Vulnerable adults. dismissal.                  compliance with SBH;           regarded as                 induction period.    have Div Mint
Assurance           of                         possible likelihood            moderate                    Remove to an         team approval to
ability     to     be                                                         harm                        alternative    non   accept risk.
supervised at all                                                             /damage                     direct        care
times          during                                                                                     position. Review      If any doubt –
induction       when                                                                                      CRB on return if a       SAY NO!
this is a finite                                                                                          record is shown.
period.



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                                                                                        APPENDIX G

  STATEMENT ON SECURE STORAGE, HANDLING, USE, RETENTION & DISPOSAL OF CRB
                 DISCLOSURES AND DISCLOSURE INFORMATION

As an organisation using the Criminal Records Bureau (CRB) Disclosure service to help assess the
suitability of applicants for positions of trust, Portsmouth Hospitals NHS Trust complies fully with the
CRB Code of Practice regarding the correct handling, use, storage, retention and disposal of
Disclosures and Disclosure information. It also complies fully with its obligations under the Data
Protection Act 1998 and other relevant legislation pertaining to the safe handling, use, storage,
retention and disposal of information.


Storage and access

Disclosure information will be kept securely, in lockable, non-portable, storage containers with access
strictly controlled and limited to those who are entitled to see it as part of their duties.

Handling

In accordance with section 124 of the Police Act 1997, Disclosure information is only passed to those
who are authorised to receive it in the course of their duties. The Trust maintains a record of all
those to whom Disclosures or Disclosure information has been revealed as it is a criminal offence to
pass this information to anyone who is not entitled to receive it.

Usage

Disclosure information is only used for the specific purpose for which it was requested and for which
the applicant‟s full consent has been given.

Retention

Once a recruitment (or other relevant) decision has been made, the Trust will not keep Disclosure
information for any longer than is necessary. This is generally for a period of up to six months, to
allow for the consideration and resolution of any disputes or complaints. If, in very exceptional
circumstances, it is considered necessary to keep Disclosure information for longer than six months,
the Trust will consult the CRB about this and will give full consideration to the data protection and
human rights of the individual before doing so. Throughout this time, the usual conditions regarding
the safe storage and strictly controlled access will prevail.

Disposal

Once the retention period has elapsed, the Trust will ensure that any Disclosure information is
immediately destroyed by secure means, i.e. by shredding. While awaiting destruction, Disclosure
information will not be kept in any insecure receptacle (e.g. waste bin or confidential waste sack).
The Trust will not keep any photocopy or other image of the Disclosure or any copy or representation
of the contents of a Disclosure. However, notwithstanding the above, the Trust may keep a record of
the date of issue of a Disclosure, the name of the subject, the type of Disclosure requested, the
position for which the Disclosure was requested, the unique reference number of the Disclosure and
the details of the recruitment decision taken.




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                                                                                                 APPENDIX H
             FLOW CHART TO DETERMINE THE LEVEL OF CRB DISCLOSURE REQUIRED

             Disclosure: This Flow chart provides general guidance for recruiting Managers. The
            appropriate risk assessment to determine the level of disclosure necessary remains the
              responsibility of the recruiting/line manager. Assistance can be sort from Employee
                                                     Resourcing.


                                            Will new starter have patient contact                No – neither
                                            within the course of their normal                    standard nor
                                            duties?                                              enhanced
                                                                                                 disclosure is
                                                                                                 required (5)
 Yes – Will they be working
 solely with vulnerable adults                Yes – enhanced disclosure is required.
 and/or be based solely in a                  May commence work with previous
 vulnerable adults area? (1)                  CRB (1)




                                              Yes – enhanced disclosure with a check
 No. Will they be working                     against the children‟s register is required -
 solely with children and/or be               Candidate      cannot      commence        until
 based solely in children‟s                   satisfactory disclosure/children‟s check is
 area? (2)                                    received. (2)


                                                  Yes – enhanced disclosure is required;
 No. Will they be working „hands                  May commence work with previous CRB
                                                  (3)
 on‟ with patients? (3)
                                                   – will they have any patient contact as
                                                  part of their normal duties? (4)




 No – will they have any patient                  Yes – Standard Disclosure is required:
 contact as part of their normal                  May commence work with previous CRB
 duties? (4)                                      (4)



Notes: Definitions for Disclosure

Enhanced: „Staff who are regularly caring for, training, supervising or being in sole charge of a
     person under 18 or vulnerable adults*‟. The Trust has interpreted this definition broadly to
     cover any post based within a children‟s/vulnerable adults‟ area.

Standard:     „Staff who have access to patients as part of their duties‟




   Pre Employment and Employment Checks Policy. Version 3. Issued: 27.04.2011
   (Review date: April 2012)                                                       Page 27 of 30
1.     This refers mainly to staff with significant clinical contact in for example elderly care areas or
       to support staff based in such areas e.g. nursing staff, Physiotherapist, Occupational
       Therapist, Ward Patient Services Assistant/Housekeeper, and Ward Receptionist. Employee
       may be able to commence if the individual can provide evidence of a recent CRB check.

2.     This refers mainly to staff with significant clinical contact with children or to support staff
       based solely within children‟s areas e.g. Maternity, nursing staff, Nursery Nurses,
       Occupational     Therapist,    Physiotherapist,      Children‟s   Ward     Patient   Services
       Assistant/Housekeepers, receptionists etc. Other support staff (e.g. Patient Services
       Assistant/Housekeepers) that work in these areas in a more ad hoc way should also be
       checked at this level. Employee will not be able to commence under any circumstances until
       CRB disclosure is received.

3.     This covers all clinical staff not dealt with under (1) or (2) above. It includes those clinical staff
       that may have some contact with children or vulnerable adults as part of their broader
       responsibilities. Employee may be able to commence if a risk assessment is carried out
       and/or if the individual can provide evidence of a recent CRB check.

4.     This covers a multitude of support staff that have non clinical patient contact. Although the
       standard definition is not satisfied all Pharmacists and Accountants should be checked.

5.     This applies where there is no routine patient contact e.g. IT, HR staff, some lab based staff.
       Contact refers to actual contact rather than remote contact (e.g. telephone access, access to
       records) where disclosure is not required.

* Vulnerable Adults


The CRB has two definitions of a vulnerable adult, one that is entitled to an Enhanced Check and
one for a Standard check.

Enhanced
A vulnerable adult for the purposes of an Enhanced Check is a person aged 18 or over who receives
services provided by a National Health Service and in consequence of a condition of a type listed in
paragraph 2) below, has a disability of a type listed at 3) below.


2) The conditions are:
a) a learning or physical disability,
b) a physical or mental illness, chronic or otherwise, including an addiction to alcohol or drugs; or
c) a reduction in physical or mental capacity.


3) The disabilities are:
a) a dependency upon others in the performance of, or a requirement for assistance in the
performance of, basic physical functions,
b) severe impairment in the ability to communicate with others, or
c) impairment in a person's ability to protect him or herself from assault, abuse or neglect.


Standard
"Vulnerable adult", in the context of a Standard check, means a person aged 18 or over who has a
condition of the following type: i) a learning or physical disability; ii) a physical or mental illness,
chronic or otherwise, including an addiction to alcohol or drugs; or iii) a reduction in physical or
mental capacity.
Pre Employment and Employment Checks Policy. Version 3. Issued: 27.04.2011
(Review date: April 2012)                                                        Page 28 of 30
APPENDIX I
        GUIDANCE ON DOCUMENTATION FOR CHECKING AN INDIVIDUAL’S IDENTITY

Acceptable personal identification documents

Some documents are more reliable than others and only certain documents, in certain combinations,
are acceptable for verification of identity.

Prospective employees will need to provide either of these two combinations:

      two forms of photographic personal identification and one document confirming their address
      one form of photographic personal identification and two documents confirming their address.

All documents must be originals, or copies of originals certified by a solicitor.

Where a signature has not previously been provided, for example because of an e-application, the
individual should be asked to provide it at interview for checking against relevant documentation.

All documents provided must be photocopied and retained on file. The person taking the copy must
sign and date the copy to show it has been certified.

Acceptable photographic personal identification includes:
    current UK (Channel Islands, Isle of Man or Irish) passport or EU/other nationalities passport
    passports of non-EU nationals, containing UK stamps, a visa or a UK residence permit
      showing the immigration status of the holder in the UK*
    a current UK (or EU/other nationalities) photo-card driving licence (providing that the person
      checking is confident that non-UK photo-card driving licences are bona fide). Where the
      driving licence is a UK issue, both the paper copy and the photo-card sections must be
      produced
    a national ID card and/or other valid documentation relating to immigration status and
      permission to work.*

Any document that is not listed above (ie an organisational ID card) is not acceptable.

*For further information on immigration, please refer to the Right to work checks document of the
NHS Employment Check Standards.

What if no acceptable photographic documentation is available?

If an individual seems genuinely unable to provide any acceptable photographic personal
identification, then two forms of non-photographic personal identification, and two documents
confirming their address must be provided. All four documents must be from a different source.

In addition, they will need to provide a passport-sized photograph of themselves, endorsed on the
back with the signature of a „person of standing‟ in their community who has known them for at least
three years. A „person of standing‟ could be a magistrate, medical practitioner, officer of the armed
forces, teacher, lecturer, lawyer, bank manager or civil servant.

The photograph should be accompanied by a signed statement from that person, indicating the
period of time that the individual has been known to them. Always check that the signature on the
statement matches with the one on the back of the photograph and that it contains a legible name,
address and telephone number. A copy should be taken and retained on file. All copies should be
signed, dated and certified by the person taking the copy. It is good practice to contact the signatory
to authenticate the details of the statement.

Pre Employment and Employment Checks Policy. Version 3. Issued: 27.04.2011
(Review date: April 2012)                                                       Page 29 of 30
Acceptable confirmation of address documents include:

      recent utility bill (gas, electricity or phone) or a certificate from a supplier of utilities confirming
       the arrangement to pay for the services on pre-payment terms (note: mobile telephone bills
       should not be accepted as they can be sent to different addresses). Utility bills in joint names
       are permissible*
      local authority tax bill valid for the current year*
      current UK photo-card together with old-style paper driving licence (if not already presented
       as a personal ID document)
      bank, building society or credit union statement or passbook containing current address
      most recent mortgage statement from a recognised lender*
      current local council rent card or tenancy agreement*
      current benefit book or card or original notification letter from Department of Work and
       Pensions (DWP) confirming the rights to benefit
      confirmation from an electoral register search that a person of that name lives at the claimed
       address*
      court order

*The date on these documents should be within the last six months (unless there is a good reason for
it not to be, eg, clear evidence that the person was not living in the UK for six months or more) and
they must contain the name and address of the applicant.

Acceptable non-photographic proof of personal identification documents include:

      full UK birth certificate – issued within six weeks of birth
      current full driving licence (old version) – provisional driving licences are not acceptable•
      residence permit issued by the Home Office to EU Nationals on inspection of own-country
       passport
      adoption certificate•
      marriage/civil partnership certificate•
      divorce or annulment papers•
      police registration document•
      certificate of employment in HM Forces•
      current benefit book or card; or original notification letter from the Department of Work and
       Pensions (DWP) confirming legal right to benefit
      most recent tax notification from HM Revenue and Customs (formerly Inland Revenue)
      current firearms certificate
      Application Registration Card (ARC) issued to people seeking asylum in the UK (or •
       previously issued standard acknowledgement letters, SAL1 or SAL2 forms)
      GV3 form issued to people who want to travel in the UK without valid travel documents•
      Home Office letter IS KOS EX or KOS EX2•
      building industry sub-contractor‟s certificate issued by HM Revenue and Customs (formerly •
       Inland Revenue)

When appointing someone who has recently left school or further education, in addition to
photographic personal identification, the following three documents can be requested as sufficient
proof of their identity:

      full UK birth certificate – issued within six weeks of birth
      National Insurance (NI) number card or proof of issue of an NI number (this will also be a HR
       requirement for employment)
      certificate of educational qualifications (certificates should be originals from the school/
       university/awarding body).


Pre Employment and Employment Checks Policy. Version 3. Issued: 27.04.2011
(Review date: April 2012)                                                          Page 30 of 30

						
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