Application Form

The purpose of the talent pool is to provide individuals with a range of tailored career management support offers which will enable people to reach their full potential, focussing on reflection of personal career ambitions, gathering insights on readiness, networking and transitioning to the next role. It is aimed at individuals who are delivering excellent performance in current role alongside demonstrating inclusive behaviours and the motivation to step up and take on additional responsibilities.

The form requires you to complete some basic information about you, your current role and organisation, and also provide detail about your motivations for joining the pool, perceived level of readiness and any development you’ve undertaken to date.

By answering honestly and in-depth it will enable us to tailor the experience as much as possible and provide a broad range of interventions that support you to achieve your desired next step in your career.

Once complete, a representative from your region will be in touch to make you aware of any next steps and events relevant to your required development needs.

We would recommended you click ‘Save and Continue Later’ button to avoid your application being lost as you proceed through the questions.

1Privacy Agreement

2About you

3Employment Information

4Your Talent journey

5Personal Development Needs

6Equality and Diversity

7Keeping in Touch

8Terms and Conditions

9Summary

Application-ID
This field is hidden when viewing the form
Submission Date
DD dash MM dash YYYY
Privacy Agreement

The details you provide in this form will be managed in accordance with NHS England’s Privacy Notice. The full details can be found here: https://www.england.nhs.uk/publication/nhs-englands-privacy-notice/

Our processing of all personal data complies with the Data Protection Act 2018 and General Data Protection Regulation (GDPR) principles in line with NHS England’s data protection registration held with the Information Commissioners Office. Full details regarding how NHS England will process your data is available here: https://www.england.nhs.uk/contact-us/privacy-notice/nhs-england-as-a-data-controller/
The personal data we hold is only accessed, seen and used as required and/or permitted by law by staff who need access to personal data, so they can do their jobs and other partner organisations under data sharing agreements. Information will only be shared for Regional Talent Pool work and activities. For reporting purposes, all personal identifiable data will be anonymised. Identifiable diversity data will NOT be released outside of the Talent Pool without your consent. We will retain the records as per the NHS England’s Corporate Records Retention Schedule: https://www.england.nhs.uk/publication/corporate-records-retention-disposal-schedule-guidance/

You have the right to have a copy of the information that NHS England holds about you. The Data Protection Officer for NHS England can be reached at [email protected], and any data subjects rights requests can be made to this address.

You have the right to have your personal data updated or removed. You can also change your mind at any time and have your personal data removed from our database. In order to do this, you must contact the relevant regional talent team and let us know you wish to be removed.
Please check the box below to accept the above agreement and our Data Privacy Policy(Required)
I confirm I have read and accept the Academy’s Data Privacy Policy and above agreement
Do you agree to your information being shared with your employing organisation?(Required)
Yes, I agree to my information being shared
No, I do not agree to my information being shared

About you
Name(Required)
First Last
Preferred Name
Preferred Email(Required)

Your primary email address
Preferred contact number(Required)
Your main contact number with international dialling code and extension if necessary
Application route to Talent Pool:(Required)

I was nominated to complete an application

I am self nominating
Name of Nominator:(Required)
Please enter the name of who nominated you.
Email address of Nominator/Executive Sponsor:(Required)
Name of Line Manager:
First Last
Line Manager Email Address:
Please enter your 10-digit Academy ID(Required)

If you already have an Academy ID, please log on to our new Academy Profile system using your existing log in details to ensure your account is transferred to our new system.

If you need help remembering your existing Academy ID, please use the Reset password feature on the Profile system.

If you do not have an Academy ID, please register on our Academy Profile system to create one.
Region(Required)
East of England ICS(Required)
Other East of England ICS
Bedfordshire, Luton and Milton Keynes ICS(Required)
Cambridgeshire and Peterborough ICS(Required)
Hertfordshire and West Essex ICS(Required)
Mid and South Essex ICS(Required)
Norfolk and Waveney ICS(Required)
Suffolk and North East Essex ICS(Required)
London ICS(Required)
Other London ICS
North Central London ICS(Required)
North East London ICS(Required)
North West London ICS(Required)
South East London ICS(Required)
South West London ICS(Required)
Midlands ICS(Required)
Other Midlands ICS
Birmingham and Solihull ICS(Required)
Black Country ICS(Required)
Coventry and Warwickshire ICS(Required)
Derby and Derbyshire ICS(Required)
Herefordshire and Worcestershire ICS(Required)
Leicester, Leicestershire and Rutland ICS(Required)
Lincolnshire ICS(Required)
Northamptonshire ICS(Required)
Nottingham and Nottinghamshire ICS(Required)
Shropshire, Telford and Wrekin ICS(Required)
Staffordshire and Stoke on Trent ICS(Required)
North East and Yorkshire ICS(Required)
Other North East and Yorkshire ICS
Humber & North Yorkshire ICS(Required)
North East & North Cumbria ICS(Required)
South Yorkshire ICS(Required)
West Yorkshire ICS(Required)
North West ICS(Required)
Other North West ICS
Cheshire & Merseyside ICS(Required)
Greater Manchester ICS(Required)
Lancashire & South Cumbria ICS(Required)
South East ICS(Required)
Other South East ICS
Buckinghamshire, Oxfordshire and Berkshire West ICS(Required)
Frimley ICS(Required)
Hampshire and the Isle of Wight(Required)
Kent and Medway ICS(Required)
Surrey Heartlands ICS(Required)
Sussex ICS(Required)
South West ICS(Required)
Other South West ICS
Bath and North East Somerset, Swindon and Wiltshire ICS(Required)
Bristol, North Somerset and South Gloucestershire ICS(Required)
Cornwall and the Isles of Scilly ICS(Required)
Devon ICS(Required)
Dorset ICS(Required)
Gloucestershire ICS(Required)
Somerset ICS(Required)

Employment Information
Please enter the details of your current main job role.
Organisation Region
Organisation Name(Required)

The name of your organisation

Primary Role The primary role of your organisation

Postcode
The postcode of your organisation
This field is hidden when viewing the form
Organisation
This field is hidden when viewing the form
Organisation Type
Please enter the type of organisation
This field is hidden when viewing the form
New Organisation
Hidden section that is only shown when the organisation is unknown
This field is hidden when viewing the form
Organisation Name
Please enter the name of the organisation
This field is hidden when viewing the form
Organisation Post Code
Please enter the post code of the organisation
This field is hidden when viewing the form
Does this organisation provide any NHS-funded care?(Required)

Yes

No

Don’t know
This field is hidden when viewing the form
Which of the following groups best describes your profession?(Required)
Role(Required)
Job Title(Required)
Please enter your other job title
Other Group(Required)
This field is hidden when viewing the form
Provider type(Required)
Area of work(Required)
Other Area of work:(Required)
Current Role Level:(Required)
How long have you been in your current role?(Required)
Salary/Band(Required)
Other Salary/Band:(Required)

Equality & Diversity

We hold the principles of equality and inclusion at the heart of everything we do and all that we stand for. The data that is captured as part of this form will be used by your regional Talent Team and high level diversity may be shared with others such as professions and ICS leads to ensure we have visibility of the pipeline and to ensure we are constantly challenging ourselves around equity of opportunity.

It is important to stress that individual diversity data will NOT be released outside of the talent pool without your consent, but may be used to direct specific interventions/development opportunities (e.g. individuals that share a protected characteristic may be invited to specific sessions aimed at understanding barriers to their progression.

The diversity questions listed below are all mandatory as they have a ‘Do not wish to disclose’ option – please choose this if you do not want to answer, however, answering the questions will help us to ensure that we have a diverse and inclusive talent representation to our senior positions.

Your equality and diversity data is not used to determine the success of your application. This data is stored securely in compliance with the General Data Protection Regulation (GDPR) 2016.
Your age:(Required)
Which of the following best describes your gender?(Required)
Is the gender you identify with the same as your sex registered at birth?(Required)
Which of the following best describes your sexual orientation?(Required)
Which of the following best describes your nationality?(Required)
Which of the following best describes your ethnic background?(Required)
Which of the following best describes your religion or belief system?(Required)
Do you have any physical or mental health conditions or illnesses lasting or expected to last 12 months or more?(Required)
The Equality Act 2010 (https://www.legislation.gov.uk/ukpga/2010/15/schedule/1) considers a person to have a disability if they have a physical or mental impairment and the impairment has a substantial and long-term adverse effect on the persons ability to carry out normal day-to-day activities. The effect of an impairment is long-term if it has lasted or is likely to last for at least 12 months or more. There is additional guidance covering recurring or fluctuating conditions. Cancer, HIV and multiple sclerosis are each considered a disability under the Act.
About your disability
What was the occupation of your main household earner when you were about aged 14?(Required)
Social Mobility Commission (SMC) research shows that people from lower socio-economic backgrounds may face a ‘progression gap’. The SMC regard this question as the best measure we have to assess someone’s socio-economic background and is applicable to those of all ages and from all countries, see Cross-industry toolkit – Social Mobility Commission. This will enable us to make opportunities for nomination and progression through our talent pools equitable for people from lower socio-economic backgrounds and work towards better representation (at Board level) of the communities we serve. Your data will be stored and handled in line with GDPR best practice, be used in aggregate to help make evidence-based decisions and will not be used for appointment and promotion decisions.

Privacy Agreement

About you

Employment Information

New Organisation

Your Talent Journey

Personal Development Needs

Equality & Diversity

Keeping in touch

Terms and Conditions

1. I confirm that all the information provided in the application form is up to date and accurate.

2. I understand that entry to the talent pool is not guaranteed.

3. Any information provided in this form will be shared with the relevant Regional Talent team.

4. I understand the talent pool is interactive and will require my engagement with relevant events, offers and resources to get the best out of it.

5. Whilst attendance to all events isn’t mandatory, my participation with the talent team and the talent pool offerings is highly encouraged to support my development.

Terms and Conditions

Summary