Application to join the NHS pool

Application to join the NHS pool

Application
Please Note: NHS IMAS will consider every application to join the NHS Pool although not every applicant will be registered. If you have not heard from us within 28 days your application will not have been successful and your information will not be stored by NHS IMAS.

If successful and by agreeing to be on the register, you will agree to NHS IMAS sharing the information on this form, including your CV and references with other NHS organisations for consideration for potential assignments. You have the right to request to remove your details from the NHS IMAS register at any point and withdraw your consent to share your information by contacting us on nhs.imas@nhs.net

Please confirm here that you understand this requirement: Yes / No (delete as appropriate).
1. Personal Details
2. Relevant recent experience, knowledge and expertise
3. Availability /Mobility
4. Leadership Programmes
Please specify if you have been either referred from or have previously attended the leadership programmes below:
5. Supporting references
Please provide the names and contact details (including email addresses) of four referees. All work undertaken within the past twelve months must be covered. Where possible, the referees should be Executive Director level (substantively employed within the NHS) and one of them must be your current line manager
Please note we cannot accept a reference from someone you have already provided a reference for to join the NHS IMAS pool.
We will contact your referees direct in order to complete the registration process.
Referee 1
Referee 2
Referee 3
6. Professional Standards
NHS IMAS is committed to the professional standards for members of NHS Boards and CCG governing bodies. By registering with NHS IMAS you agree to being committed to these standards – professional standards.
7. CV
Being a pool member with NHS IMAS does not guarantee that you will be found work or that you will be placed on an assignment. Our service is demand led and we do not send out pool members CV’s speculatively to the NHS.