template job pack 22 may 2018 - stcolumbashospice.org.uk · web viewthe successful candidate will...

St. Columba’s Hospice

Vacancy Information Pack

Position: Information Analyst Please apply using a Hospice Application Form (included in this pack)

GRADE/SALARY: Band 6

TENURE: Fixed term for 2 years

HOURS: Part-time, 34 hours per week

CLOSING DATE: Friday 3 August 2018

INTERVIEWS: TBC

This post requires the post holder to have a criminal records check at Basic level. An application will be made to Disclosure Scotland and deemed satisfactory before they can begin in post. The Hospice will reimburse the cost of the disclosure certificate.

We want to ensure that as much of our resources as possible go towards supporting people with a terminal illness and therefore we do not normally contact unsuccessful applicants individually. If you

have not heard from us within four weeks of the closing date, please assume that your application has been unsuccessful on this occasion. However, we would encourage you to apply for other suitable

roles. Thank you for your interest in this vacancy and in working for St. Columba’s Hospice

Job Pack: Information Analyst 13 July 2018 of 28


Dear Job Applicant

Appointment of Information Analyst (fixed term 2 years)

Thank you for your enquiry about the above post. I enclose:

further particulars about the post and the Hospice, which may be of help to you;

details of the principal terms and conditions of service; an application form; and an equal opportunities monitoring form.

If you wish to apply would you please complete both the application form and the monitoring form and return them by the closing date indicated in the information enclosed.

The Hospice treats personal data collected during the recruitment process in accordance with its data protection policy. Information about how your data is used and the basis for processing your data is provided in the Hospice's Job Applicant Privacy Notice, a copy of which can be viewed on the Hospice website www.stcolumbashospice.org.uk.

Yours sincerely

Nick DeyHR Manager



VACANCY

Scotland’s first modern hospice, St Columba’s Hospice first opened its doors in 1977. Over the years it has grown and evolved into an exemplary provider of specialist palliative care for thousands of people with life-limiting illnesses in Edinburgh and the Lothians annually, while also providing support to their

relatives and loved ones. We currently have the following opportunity to join the Hospice team:

Information Analyst Fixed term for 2 yearsBand 6 £27,635 - £37,011 pro-rata + PensionPart-time 34 hours per week

Do you enjoy investigating data, developing reports, visualising and presenting your findings?Are you currently working with databases and sources and do you understand how to interrogate these and present the complex information you derive in understandable formats?

We are looking for an experienced a highly motivated information analyst to join our team. This is an exciting role within the clinical governance team responsible for delivering a high quality provision of information to both internal and external stakeholders.

As Information Analyst you’ll be expected to undertake complex analysis and interpretation of a wide variety of health related information. You will also assist in ensuring that all mandatory submissions are made within the required deadlines to a high standard of quality, and provide a responsive service for varied “ad hoc” information requests.

This role will be involved in activities such as:

- Providing an effective information service that converts data into intelligence that informs strategic planning, operational and contract/SLA management, and supports service delivery and clinical practice.- Extracting and analysing data for trends in order to support the performance of the Hospice.- Investigating and resolving system and data quality issues.- Production, development and presentation of a range of high quality healthcare information.

The successful candidate will need to have excellent technical skills in e.g. Business Objects/Tableau, Excel (advanced user) and significant experience in other business Intelligence software. They will need to be capable of manipulating information as well as have the ability to summarise complex information and articulate what it represents.



If you feel you have the combination of technical skills and understanding of data analytics, as well as a personal drive to help deliver an effective and responsive business intelligence service, please apply.

For an informal discussion, please do not hesitate contact Dot Partington, Director of Clinical Services on 0131 551 1381.

For an application form and job description, visit our website at www.stcolumbashospice.org.uk alternatively call 0131 551 7722 or email [email protected]

CLOSING DATE: Friday 3 August 2018

Scottish Charity No SC003634



ST. COLUMBA’S HOSPICEJOB DESCRIPTION

1. JOB IDENTIFICATION Job Title: Information Analyst

Responsible to: Director of Clinical Services

Band: 6

Department: Clinical Services

Reference: SCH-CG-005 Last Update: 12 July 2018

2. JOB PURPOSETo exploit data collected by St. Columba’s Hospice through a range of clinical and non-clinical systems and to enhance data analysis, interpretation and presentation into a dashboard of key performance indicators to support all aspects of St Columba’s business.

To provide advice and guidance on specialist analyses, communicate insights, undertake research and to lead on discrete projects, development and design of health related data sets and information.

To manipulate data, compile reports and create timely presentations of statistics for the senior management team and to external stakeholders including NHS Scotland, Scottish government and other partner organisations.

3. DIMENSIONSThe post-holder will be a member of small clinical governance team who are involved in the production of a variety of regular reports monthly, quarterly and annually, in a variety of formats for use by a wide range of stakeholders.

The team use best practice to enhance existing datasets and develop new data collections to support the changing information needs of customers, reporting as required.

The Hospice uses a number of systems, all of which produce data including; Crosscare, Staffcare, Raisers edge, Cybertill, Sage accounting, Sentinel, Tableau, volunteer database, Learnpro.



4. ORGANISATIONAL POSITION

5. ROLE OF DEPARTMENT

To work in partnership with clinical governance and administration team to analyse, interpret and present data to support the hospices strategic requirements.

To champion best practice, to enhance existing datasets and develop collections to support the changing needs of the hospice and those we support.

To provide data analyses that support the Hospice in progressing quality improvement and facilitates future planning and decision making.

6. KEY RESULT AREAS

1. Plan and manage the development and improvement of information systems and information processes in use at St. Columba’s Hospice.

2. Design and build standard and bespoke reports and innovative visualisations to meet individual managers and hospice strategic requirements.

3. Make best use of a new Business Intelligence tool to allow management to have access to reports drawn from information stored in all core IT applications.

4. Take the lead in collaborative discussions on data quality for improvement.


Director of Clinical Services

Information Analyst


5. Lead regular sessions with St. Columba’s Hospice Operational Managers to agree management information and process development requirements and scope developments and improvement projects.

6. Participate in Information Governance Group.

7. Responsible for responding to requests of contact for ad-hoc routine information by Hospice staff, including information required for clinical audit, quality improvement reports and research.

8. Set up and run regular data quality audit reports, investigate and correct data quality errors where appropriate.

9. Analyse, investigate and resolve complex statistical/ analytical/healthcare queries and data issues/problems, providing solutions

10.Analyse a variety of datasets, ensuring the results are accurate, fit-for-purpose and presented to a high standard, including the interpretation of results.

11. Identify and feedback data quality issues to clinical system(s) users and give guidance on improved procedures for data recording.

12.Analyse and interpret complex databases in order to identify more complex data quality issues and to test the accuracy of reports from the clinical system(s) liaising with service managers as appropriate.

13.Provide training in areas such as Information Governance, clinical information systems(s), security and reporting.

14.Provide more advanced clinical information system(s) training to members of the clinical administration team in more specialist areas.

15.Develop and recruit a team of volunteers to support reporting requirements across clinical and non-clinical teams.

16.Collate and distribute the quarterly and yearly activity and quality monitoring reports.

17.Handle large datasets with clear understanding of how to validate, clean, process, analyse and visualise data.

18.To develop the use of statistical models and tools to support strategic and operational decision making.

19.Develop, analyse and interpret data and prepare reports on the clinical data systems.Job Pack: Information Analyst 13 July 2018 of 28


20.Deliver timely and targeted suite of reports in a robust method, which analyse trends over time, show comparisons of data and encompass appropriate statistical methods and forecasts of performance. Ensuring the accurate delivery of all commentary which forms part of high quality information.

21.Support the design, deployment and continued development of an electronic risk and incident management system.

22.Support and promote effective Information Governance implementing service wide policies and procedures to ensure appropriate practice

23.Create and promote an information culture through the development of new ways of working and establish lasting relationships by working collaboratively both within the Hospice and externally.

24.Lead the analysis of data for the creation of business cases, working with the support of the senior management team.

25.Draw up proposals for new ways of working and business operational changes

26.Contribute to overall project management, offering ideas and initiatives to improve Hospice’s data delivery capability and coaching colleagues in the business analysis discipline

27.Constructively challenge requirements and priorities to support the business in maximising benefit from projects in and environment of continual change.

28.Keep abreast of national information developments and standards with NHS Scotland and palliative care nationally.

7a. EQUIPMENT AND MACHINERY

The post requires advanced use of computers and software including highly developed knowledge of data capture, analysis, business intelligence and business support packages and products.

7b. SYSTEMS

Play a key role in the development of new databases and, where appropriate, initiate specific projects involving data development, liaising with senior colleagues as required.

May be required to create ad-hoc collection systems to facilitate data analysis and reporting, e.g. data collected during pilot exercises where future feasibility needs to be assessed.



Work with users of the data to ensure the information collected will meet their needs. Identify ways to improve existing systems in terms of quality, timeliness and reliability of

data. Investigate data collection problems and take appropriate action to ensure the integrity

of information processing is maintained. Work, store and transmit data in accordance with data protection, freedom of information

and confidentiality principles, Direct interrogation and operational report development from:

o Clinical - Crosscareo Fundraising – Raisers Edgeo Retail – Cybertillo HR- SMi StafffCareo Learn-Pro Distance Learning Platformo Volunteer Databaseo Finance – Sageo Sentinel risk management

8. ASSIGNMENT AND REVIEW OF WORK

Work is self-generated flowing from the strategic priorities for data reports to meet the delivery of Hospice strategy.

The post holder will adjust priorities to meet changing demands and will be expected to review these and self-manage any conflicts.

The post holder may work under direction of a project manager when supporting specific projects.Review of work is carried out through annual appraisal, reviews and meetings with line manager.

9. DECISIONS AND JUDGEMENTS

The post holder is expected to make decisions on a daily basis analysing and acting on their own knowledge and skills as well as those of other professional colleagues and partners.

The post holder is responsible for managing and prioritising own workload, and needs to be able to respond flexibly and at short notice to requests for support, advice and guidance.

The post holder is required to use prior knowledge and experience to manage the workload within their work area.

.



10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

Taking a proactive role in exploring and meeting Hospice requirements Defining need when people are not clear on their requirements Presenting data and analysis which may be unpopular or unexpected Constantly prioritising workload to meet the demands. Work can be unpredictable and

may require reprioritisation to carry out a more pressing issue. Communicating across the whole organisation the importance of timely data input to

achieve accurate and up to date reports.

11. COMMUNICATIONS AND RELATIONSHIPS

Communicate statistical/analytical/epidemiological matters to non-statistical/analytical health professionals

Communicate complex statistical matters with other statistical/health professionals

Develop and deliver formal, complex statistical presentations to groups

Internal

Close collaboration with Senior Management Team to define reporting requirements Meetings with a range of staff to understand customer information requirements and how

best to meet needs Highly developed written communication skills to interpret information to a range of

internal and external customers

External

NHS and other organisations as necessary often by telephone or e-mail

Liaison with data providers regarding queries from analysis

12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOBPhysical

Requirement to sit for significant periods working on the computer to generate reports, email and deal with telephone enquiries – whilst ensuring regular breaks from DSE appropriate

Mental Effort

Concentration required when undertaking analytical work and preparing reports Working in a sustained and focussed manner on several projects simultaneously Managing competing workload priorities and time constraints to meet the demands of the



service Working flexibly and coping with interruptions.

Emotional

May deal with data of a distressing nature on occasions Regular requirement to deal with a diverse range of clinical and support staff with

different priorities and expectations

13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOBHighly numerate graduate (or equivalent) with additional relevant additional experience in health related research or information work, preferably in the specialist field of medical/health statistics

Knowledge of healthcare and an understanding of the way in which high quality information can support delivery of healthcare services.

Proven analysis and presentation skills, including expert knowledge of software packages such as Word, Excel, PowerPoint and Access.

Qualifications

Educated to degree level in a numerate based subject

Experience Significant experience of data analysis Proven IT skills in an analytical capacity, i.e. a good working knowledge of advanced

statistical software packages, Experience in the use of analytical packages e.g. Business Objects/Tableau Proven analysis, problem solving, negotiation and presentation skills Good organisational skills and attention to detail Proficient in the use of Microsoft Office, databases and IT systems Proven experience of project management in a statistical or research environment Proven experience of developing and working with databases and statistical methodology Experience of working with a diverse range of individuals across a range of multi

professional groups

Skills

Strong communication and presentational skills, using a variety of approach to convey key messages

Ability to work autonomously and manage time effectively Highly developed planning and organisational skills with the ability to deal with and

prioritise a varied and demanding workload Proven skills in the use of advanced IT tools in an analytical capacity Computer literate with fluency in Microsoft Office applications Report writing skills with good attention to detail



Effective and confident communication skills to ascertain requirements and advise on what can be achieved

14. JOB EVALUATION OUTCOME

Band: 6

Approved On: 12 July 2018



PERSON SPECIFICATION

POST: Business Analyst BAND: 6

CRITERIA ESSENTIAL DESIRABLEEducation and Qualifications

Educated to degree level Additional post graduate or specialist qualification

Knowledge and Experience

Experience of a range of Microsoft packages, data bases and IT systems

Previous experience working with statistical and analytical packages e.g. Business Objects / Tableau/SPSS/R

Experience of working with non-technical individuals to establish and meet information management needs

A basic understanding of H&S relating to own responsibilities as a staff member

A good understanding of confidentiality and information security

Knowledge and experience of health and social care sector

Skills and abilities

Highly developed written, oral and interpersonal skills

Excellent numerical, verbal and critical reasoning

Ability to build good working relationships at all levels within the organisation

Able to motivate colleagues to maintain and update systems

Evidence of professional development and continuous updating of skills and knowledge

Personal Qualities

Adaptable approach to work as well as the ability to work on own initiative

Ability to remain calm under pressure

Ability to identify and diagnose problems and consider innovative solutions

Good attention to detail and



excellent analytical skills Ability to get on with people from

widely diverse backgrounds A good understanding of the

Equality Act



CONDITIONS OF SERVICE

TITLE: Information Analyst

REPORTING TO: Clinical Services Director

LOCATION: 15 Boswall Road, Edinburgh, EH5 3RW

JOB STATUS: Fixed term 2 years

BAND/SALARY: Band 6 £27,635 - £37,011 pro-rata per annum + Pension

HOURS: Part time (34 hours per week)

PENSION: We offer a generous Hospice Pension. The amount that Hospice will pay will depend on your age, as shown in the table below.

Hospice Pension SchemeAge Your contribution Hospice contribution Total contribution 16-29 3% 6% 9%30-39 4% 8% 12%40-49 5% 11% 16%50-59 6% 14% 20%60-69 7% 17% 24%70-74 8% 20% 28%

Alternatively, current members of NHS Superannuation Scheme may request to continue membership during Hospice employment – contribution rates may vary as set by NHS.

NOTICE PERIOD: 8 weeks

PAYMENT OF SALARY: The successful candidate’s salary will be paid monthly direct into his/her bank/building society account and he/she will be required to open an account if such facility is not currently in operation

PAID ANNUAL LEAVE: 27 days per annum on commencement29 days per annum after 5 years’ service33 days per annum after 10 years’ service

PUBLIC HOLIDAYS: 8 days per annum

Part-time staff will receive a pro-rata entitlement for annual leave and public holidays combined. Reckonable Hospice and NHS service may be credited for annual leave purposes.

SMOKING POLICY: There is a ban on staff smoking in Hospice premises



PRE-EMPLOYMENT CHECKS: Employment is subject to satisfactory pre-employment checks including; criminal records check, satisfactory Occupational Health assessment, Identity check, employment history check, verification of qualifications & professional registration check, right to work check and receipt of satisfactory references covering the past 3 years as a minimum

St. Columba’s Hospice – a Charity registered in Scotland

The Hospice is an independent Charity and not a part of the National Health Service (NHS). NHS terms and conditions of employment do not apply to Hospice staff. The Hospice provides staff with a competitive range of benefits in addition to pay, including a contributory pension, a generous paid annual leave allowance, continued training and development via our own education & research unit, subsidised meals, childcare vouchers, cycle to work scheme, and many other flexible working benefits. Please ask if you would like more details.

The summary of conditions above is for information purposes only and may be subject to variation. They do not form the basis of a legal employment contract.




HOW TO MAKE YOUR APPLICATION

Thank you for expressing an interest in the post of Information Analyst. Please find enclosed information relating to this post and application details.

Please include the following documentation with your application:

Your completed, signed original Hospice Application Form

You may also enclose an up to date Curriculum Vitae if you wish. Once completed your application and any documentation should be submitted either:

By email to: [email protected] or by post to:

Admin OfficeSt. Columba’s Hospice15 Boswall RoadEDINBURGHEH5 3RW

If applying by post, please quote the job title of the post you are applying for on the outside of the envelope, as well as at the top of your application form e.g:

“Information Analyst”

Please ensure that the correct postage is applied to the application envelope (eg ‘Large letter’ stamps if appropriate), failure to do this may result in your application being returned to you undelivered by Royal Mail.

The closing date for receipt of your application is: FRIDAY 3 AUGUST 2018

We want to ensure that as much of our resources as possible go towards supporting people with a terminal illness and therefore we do not normally contact unsuccessful applicants individually. If you have not heard from us within four weeks of the closing date, please assume that your application has been unsuccessful on this occasion. However, we would encourage you to apply for other suitable roles.

Thank you for your interest in this post and we look forward to receiving your application.



Application Form for Employment



CONFIDENTIAL APPLICATION FORM FOR EMPLOYMENT

Please type in black text (or hand write in black ink)

1. PERSONALSURNAME FIRST NAME(S)TITLE (Dr/Mr/Ms etc.)

PERMANENT ADDRESS

POSTCODE

WORK TELEPHONE EMAILHOME TELEPHONE BLEEP/PAGERMOBILE TEL.

UK NATIONAL INSURANCE NO.

DO YOU HAVE A VALID/ FULL UK DRIVING LICENCE? YES NO

Are there any restrictions on your right to work in the UK? YES NO

If yes, please state restrictions and the expiry date of any permissions:

2. EDUCATION & PROFESSIONAL QUALIFICATIONS

PLACE OF STUDY SUBJECT / QUALIFICATION RESULT / GRADE DATE OBTAINED(mm/yyyy)


Position applied for:

Information Analyst (Ref: SCH-CG-005)


NB: It is the Hospice's policy to verify the qualifications of all successful job applicants.3. TRAINING COURSES ATTENDED (any relevant training, or work related skills (for example specialist or technical, I.T., languages, shorthand, etc.)

TRAINING PROVIDER COURSE TITLE/ SUBJECT DURATION DATE COMPLETED(mm/yyyy)

4. REGISTRATION OR MEMBERSHIP OF GOVERNING / REGULATORY BODIES

BODY (e.g. GMC, NMC, HCPC etc.)

REGISTRATION TYPE/ STATUS

REGISTRATION/PIN NUMBER

EXPIRY/RENEWAL DATE

Are you currently subject to any investigations or fitness to practise proceedings by a licensing or regulatory body in the UK or any other country? YES NO

If YES, please provide details with your application

Have you been removed from the register or have conditions been made on yourregistration by a fitness to practise committee or the licensing or regulatory bodyin the UK or in any other country? YES NO


5. OTHER MEMBERSHIP OF MEDICAL DEFENCE UNION/ PROFESSIONAL BODY OR ASSOCIATION

MEDICAL DEFENCE UNION

MEMBERSHIP GRADE MEMBERSHIP NUMBER/ STATUS

DATE OF ENTRY

OTHER PROFEESIONAL BODY/ASSOCIATION

MEMBERSHIP GRADE MEMBERSHIP NUMBER/ STATUS

DATE OF ENTRY

6. PRESENT OR MOST RECENT EMPLOYMENT

EMPLOYER NAME & ADDRESS

JOB TITLE START DATE (mm/yyyy)

END DATE(if applicable)

WEEKLY HOURS

SALARY/GRADE

NOTICE PERIOD

BRIEF DESCRIPTION OF YOUR DUTIES AND RESPONSIBILITIES REASON FOR LEAVING/ SEEKING CHANGE



7. PREVIOUS/OTHER EMPLOYMENT HISTORY (Please start with most recent. Continue on separate sheet if necessary)

COMPANY/ ORGANISATION

POST HELD AND RESPONSIBILITIES/ DUTIES

DATE FROM

DATE TO

REASON FOR LEAVING



8. SUPPORTING STATEMENTPlease provide your reasons for applying for this position and additional information that shows how you match the person specification. For example, details of your achievements, relevant skills, knowledge, experience, voluntary activities, positions of responsibility, as well as research, publications, clinical care, clinical audit (if applicable), awards and language skills. Please include your reasons for applying and take the opportunity to highlight your particular talents and strengths, (what you feel you can personally offer - what is unique to you - what sets you apart from your peers). If you believe you have the necessary experience and skills – make sure you tell us!

please continue on a separate sheet if necessary



9. REFERENCESPlease give the details of three referees who have consented to be approached and are qualified to comment on your ability and experience and, as a minimum, cover a period of three years employment and/or training history, where this is possible (one should be your current or most recent employer, or if this is an application for your first job, your school teacher or higher or further education lecturer). Please note that we will only contact your referees if we decide to make you an offer of employment and we will inform you at that time that we are doing so. 1st Referee 2nd Referee 3rd RefereeNamePositionOrganisationAddress

PostcodeTelephoneEmail

10. REHABILITATION OF OFFENDERS ACT 1974 (EXCEPTIONS ORDER 1975)In September 2015 the Scottish Government made changes about what conviction information needs to be disclosed. Some offences must always be disclosed, some offences do not need to be disclosed and some offences must be disclosed in specified circumstances. The rules are complicated, so it is important you read the guidance below as part of making your application.

St. Columba’s Hospice is exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) (Scotland) Order 2003. As part of any offer of employment candidates will be subject to one of the following:

For posts in ‘regulated work’ – Protection of Vulnerable Groups (PVG) Scheme membership For all other posts - a Police Act check criminal conviction record check at Basic or Standard level

For more information on which category this post falls under please refer to the job pack, job description or person specification. For more information on the rules visit: https://www.mygov.scot/convictions-higher-disclosures/?via=http://www.disclosurescotland.co.uk/SummaryoftheChanges.htm For more information on offences which must always be disclosed: https://www.mygov.scot/disclosure-types/?via=http://www.disclosurescotland.co.uk/documents/HigherLevelDisclsoure--revisedAlwaysDiscloseList--8February2016.pdf For more information on offences which are to be disclosed subject to rules: https://www.mygov.scot/disclosure-types/?via=http://www.disclosurescotland.co.uk/documents/HigherLevelDisclosure--revisedRulesList--8February2016.pdf

Candidates are therefore required to disclose any unspent cautions or convictions and any spent convictions for offences included in Schedule A1, ‘OFFENCES WHICH MUST ALWAYS BE DISCLOSED’ of the Rehabilitation of Offenders Act (Exclusions and Exceptions) (Scotland) Amendment Order 2015 No.2. Candidates are not required to disclose spent convictions for offences included in Schedule B1, ‘OFFENCES WHICH ARE TO BE DISCLOSED SUBJECT TO RULES’ until such time as they are included in a higher level disclosure issued by Disclosure Scotland. In the event of employment, any failure to disclose any unspent convictions or spent convictions on the ‘OFFENCES WHICH MUST ALWAYS BE DISCLOSED’ list could result in dismissal or disciplinary action by the Hospice. Any information given will be completely confidential and will be considered only in relation to an application for a position to which the Order applies.

Do you have any current UNSPENT convictions, police cautions, reprimands or final warnings in the UK or in any other country? YES NO


Do you have any current SPENT convictions, police cautions, reprimands or final warnings in the UK or in any other country for offences included in Schedule A1 YES NO

‘OFFENCES WHICH MUST ALWAYS BE DISCLOSED’ of the Rehabilitation of Offenders Act (Exclusions and Exceptions) (Scotland) Amendment Order No.2?If YES, please provide details with your application

Protecting Vulnerable Groups (PVG) SchemeAre you an existing member of the PVG Scheme? YES NO



If YES, please state your full PVG Scheme membership number:

11. DATA PROTECTIONInformation from this application may be processed for purposes permitted under the General Data Protection Regulation. Individuals have, on written request, the right of access to personal data held about them.The Hospice will process the personal data that you have supplied on this application form in accordance with the terms of the Privacy Notice for Job Applicants which has been made available for you to download from the Hospice website at www.stcolumbashospice.org.uk The Hospice will only process your personal data where it has a lawful basis for such processing. 12. DECLARATION *Please read carefully before signing this declaration. I declare that the information I have given on this application form is, to the best of my knowledge, true and complete. I understand that if it is subsequently discovered any statement is false or misleading, or that I have withheld relevant information, my application may be disqualified or, if I have already been appointed, I may be dismissed.I hereby consent to the educational establishments, academic bodies, awarding bodies, professional bodies and/or organisations, employers and referees whose names and relevant contact details I have set out above, releasing to the Hospice such documents or information as may be necessary to enable the Hospice to carry out verification checks on all and any of my experience, qualifications and/ or memberships as set out on my application form for employment in order to ensure they are valid and correct as part of the Hospice’s pre-employment verification process, and for the purpose of assessing my suitability for employment. I acknowledge that I have been notified that the Hospice will process all information relating to my application for employment in accordance with the terms of the Privacy Notice for Job Applicants that has been made available to me.

SIGNED DATE

Please return your completed application form with any other attachments by the closing date:By post: Administration Office, By email: [email protected] St. Columba’s Hospice, TEL: 0131 551 1381 15 Boswall Road, FAX: 0131 551 2771 EDINBURGH, EH5 3RW



This page is left intentionally blank



CONFIDENTIAL Equal Opportunities Monitoring FormIn accordance with its policy on equal opportunities in employment, the Hospice will provide equal opportunities to any employee or job applicant and will not discriminate either directly or indirectly because of race, sex, sexual orientation, transgender status, religion or belief, marital or civil partnership status, age, disability, or pregnancy and maternity.

In order to assess how successful this policy is we have set up a system of monitoring all job applications. We would therefore be grateful if you would complete the questions on this form. We have asked for your name to enable us to monitor applications at shortlisting and appointment as well as application stage.

All information will be treated in confidence and will not be seen by staff directly involved in the appointment. The questionnaire will be detached from your application form, stored separately and used only to provide statistics for monitoring purposes. There is no obligation on you to provide information. All applicants will be treated the same regardless of whether or not they provide this information. Thank you for your assistance.

1. YOUR FULL NAME:

________________________________________________________

POST APPLIED FOR:

________________________________________________________

2. GENDER IDENTITY

Gender at birth?FemaleMalePrefer not to say

Which of the following describes how you think of yourself?FemaleMalePrefer not to say

Gender reassignment: do you intend to, are you in the process of, or have you ever undergone the process of gender reassignment?

YesNoPrefer not to say

3. AGE

Please specify age (in years)

4. MARITAL STATUS

Married (opposite sex)Married (same sex)Civil partnerSingleOther



5. ETHNIC ORIGIN

(Relates to a sense of identity/belonging on the basis of race/culture, not place of birth or citizenship.)I would describe myself as (choose ONE section from A to F, and then tick the appropriate box to indicate your

cultural background):

A. WhiteScottish

EnglishWelsh

Northern IrishIrish

BritishAny other White background- Please specify

B. Mixed Any mixed background

C. Asian, Asian Scottish or Asian BritishIndianPakistaniBangladeshiChineseOther Asian background - Please specify

D. Black, Black Scottish or Black BritishCaribbeanAfricanOther Black background - Please specify

E. Other ethnic backgroundAny other ethnic background - Please specify

I prefer not to answer this question

6. SEXUAL ORIENTATION

What is your sexual orientation?

Heterosexual/StraightGay ManGay woman/LesbianBisexualOther

I prefer not to say

7. Do you have any disabilities?

YesNo

This information is used only for monitoring purposes. If you believe you may be disabled and may need any reasonable adjustments to be made in the recruitment and selection process or as part of your employment, please discuss this with the recruiting manager.



8. RELIGION AND BELIEF

No religion or beliefChurch of Scotland Roman Catholic Other Christian - Please specify BuddhistHindu JewishMuslim SikhOther religion - Please specify

I prefer not to answer this question

9. ADVERTISING

Where did you first hear about this vacancy?e.g. “on s1jobs.com website”

10. DATA PROTECTIONThe Hospice treats personal data collected for reviewing equality of opportunity in recruitment, selection and, if relevant, employment within the Hospice in accordance with its Data Protection Policy. Information about how your data is used and the basis for processing is provided in the Hospice’s Job Applicant Privacy Notice. Copies of both documents can be found on the Hospice website www.stcolumbashospice.org.uk

11. DECLARATIONI hereby give my consent to the Hospice processing the data supplied in this form for the purpose of equal opportunities monitoring in recruitment and selection, and if relevant, employment within the Hospice. I acknowledge that my application will be treated the same regardless of whether or not I complete this form. I understand that I may withdraw my consent to the processing of this data at any time by notifying the HR Manager.

Applicant’s signature: Date: _________________________________ _____________________________


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