frodsham churches together frodsham parish nurse · 2019-08-06 · parish nurse in frodsham and the...

Frodsham Churches Together Frodsham Parish Nurse 22nd

July 2019

Version E Frodsham Parish Nurse Page - 1 - of 23

Frodsham Churches Together

Frodsham Parish Nurse

Document Title: Frodsham Parish Nurse Scheme

Author Andrew M Emison et al

Version Draft E

Release Date: 22/07/19

Steering Group Approval:

Frodsham Churches Together Approval:

Parish Nursing UK Approval:


July 2019


1. Contents

Contents 1. CONTENTS ..............................................................................................................................- 2 - 2. DOCUMENT VERSION HISTORY ...........................................................................................- 2 - 3. ACRONYMS AND ABBREVIATIONS .....................................................................................- 2 - 4. SCHEME OUTLINE ..................................................................................................................- 3 - 5. GOVERNING PRINCIPLES .....................................................................................................- 3 - 6. STAKEHOLDER ANALYSIS ...................................................................................................- 4 -

6.1 Stakeholder Diagram ............................................................................................................- 4 - 6.2 Notes ....................................................................................................................................- 4 -

7. THE LOCAL CONTEXT ...........................................................................................................- 5 - 7.1 Frodsham Churches Together ..............................................................................................- 5 - 7.2 The Local GP Surgery – The Knoll Surgery Partnership, Princeway Health Centre ...........- 6 - 7.3 Local Authorities ...................................................................................................................- 6 -

7.3.1 Cheshire West & Chester ..........................................................................................- 6 - 7.3.2 Frodsham Town Council ............................................................................................- 6 -

7.4 NHS Local Strategic Plan .....................................................................................................- 6 - 8. ANALYSIS OF OPPORTUNITY FOR FRODSHAM PARISH NURSE WITHIN THE LOCAL STRATEGIC PLAN .............................................................................................................................- 7 - 9. BASIS OF REFERRAL AND TRIAGE .....................................................................................- 9 -

9.1 Geographical Scope .............................................................................................................- 9 - 9.2 Scope of Services Offered ....................................................................................................- 9 -

10. BUDGET ................................................................................................................................ - 10 - 11. RECRUITMENT PACK.......................................................................................................... - 11 -

11.1 Recruitment Policies ...................................................................................................... - 11 - 11.2 Job Specification ............................................................................................................ - 12 - 11.3 Person Specification ...................................................................................................... - 14 - 11.4 Job Advert ...................................................................................................................... - 15 - 11.5 Application Form ............................................................................................................ - 16 -

2. Document Version History

Ver Date Changes Author

A 20/05/19 Initial Draft A. Emison

B 20/05/19 Steering Group Work on 20/05/19 A. Emison

C 20/06/19 Update by S. Pickett and A. Emison on 06/06/19 A. Emison

D 22/07/19 Update A. Emison on 22/07/19 A. Emison

E 22/07/19 Update by S. Pickett and A. Emison on 22.07/19 A. Emison

3. Acronyms and Abbreviations

FCT Frodsham Churches Together. https://frodshamchurchestogether.org.uk/ FPN The Frodsham Parish Nurse. FPN-SG Frodsham Parish Nurse Steering Group PNM-UK Parish Nursing Ministries UK https://parishnursing.org.uk/ NCC-MC North Cheshire Circuit of the Methodist Church

https://www.chesteranddelamereforest.org.uk/

https://frodshamchurchestogether.org.uk/

https://parishnursing.org.uk/

https://www.chesteranddelamereforest.org.uk/


July 2019


4. Scheme Outline

Parish Nursing Ministries UK (PNM-UK) (https://parishnursing.org.uk/ ) was established in 2003. In the last 16 years they have developed a well-defined concept of a “Parish Nurse”; a qualified nursing professional who acts on behalf of the local church to provide holistic “health ministry” in a local community within the professional standards of the nursing profession. A distinctive and defining feature of the Parish Nursing scheme is this sense of it being Christian ministry in the name of Jesus Christ and the local church. This defines the nature of the work. Frodsham Churches Together (FCT) wishes to explore seeking an individual to work as a Parish Nurse in Frodsham and the surrounding area.

5. Governing Principles

The Frodsham Parish Nurse (FPN) will work in the name of FCT.

The North Cheshire Circuit of the Methodist Church (NCC-MC) is the legal owner of the scheme and the appropriate indemnities but is invisible outside of the scheme’s governance.

The “branding” of the FPN will be that of FCT and Parish Nursing Ministries UK.

This document will set out the governing principles and policies of the scheme. This document is owned by the Steering Group (FPN-SG) and is approved for use by the meeting of FCT.

The scheme will be held in and sustained by the prayers of the sponsoring churches, the steering group and the Parish Nurse.

https://parishnursing.org.uk/


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6. Stakeholder Analysis

6.1 Stakeholder Diagram

6.2 Notes

(1) Churches are equal alongside other community stakeholders. Church members

will not be favoured as cases but will have an equal footing in the referral and triage process.

(2) The rationing of the Nurse’s time will be based on a triage process derived from

the scheme’s mission and limited by a defined scope.

(3) The Parish Nurse will be managed according to the policies of the North Cheshire

Circuit of the Methodist Church but governance will be provided by the Steering

Group which reports to Frodsham Churches Together who provide the lead.

(4) Methodist Insurance have experience of Parish Nurses and are able to indemnify

the North Cheshire Methodist Circuit against the resulting legal liabilities. (5) PNM-UK are responsible for providing the Nurse’s ongoing registration and

Continuing Professional Development (CPD) as required by that registration. We are consciously choosing to support a “Parish Nurse”; the definition and philosophy of which belongs to PNM-UK.

LOCALGP

PCT

CLINICALSUPPORT

SPONSORS

PARISH NURSINGMINISTRIES UK

SPONSORINGCHURCHES

STEERINGGROUP

LOCALCHURCH

PASTORAL TEAMS

REFERRAL MISSION

PARISH NURSE

CONFIDENTIALITY

CPD

PUBLIC LIABILITYINSURANCE

PROFESSIONALINDEMNITYINSURANCE

LINEMANAGER

“THE EMPLOYER”

CHESTER &DELAMERE FOREST

METHODIST CIRCUIT£

£ £

TRIAGE

A “CASE”

SCOPE

PROFESSIONALPRACTICE

MANAGEMENTGROUP


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7. The Local Context

7.1 Frodsham Churches Together

We are very fortunate in Frodsham that the churches work extremely well together, and have accomplished a great deal over the years, both in combined worship and in outreach into the community. The ministers of the churches meet together once a month at Foxhill, the Anglican diocesan centre on the outskirts of Frodsham. A committee of representatives from all the churches meets four times a year to organise events and to support various groups which work under the Churches Together banner. On the last Sunday of the year there is a combined act of worship, and pulpit exchanges take place in the Week of Prayer for Christian Unity. The churches take part in the Rotary-run Festival in the Park in July. A newsletter, ‘Together’, is published three times a year and distributed to every house in Frodsham. Weekly coffee mornings on Thursdays (market day) are held in Main Street Community Church, where there is also a stall selling fair trade produce and Christian cards and books. That afternoon there is ‘New Horizons’, a support group for those newly bereaved or otherwise lonely and seeking friendship. There is also a Christian Aid coffee morning monthly in the Parish Rooms. An Alpha Course is starting shortly in Costa Coffee. A small group of people from different churches has met weekly for many years to pray together. A more recent initiative is ‘Prayer@theBear’, part of the ‘Thy Kingdom Come’ prayer movement – 48 hours of prayer held in early June in a room behind the Bear’s Paw public house. Work in and with schools has always been important, and we are lucky to have good relationships with all local schools. ‘Christmas Journey’, for Year 2 pupils has run for 15 years, and ‘Easter Journey’, for Year 6, for 12 years, reaching not only Frodsham schools but those from neighbouring villages. A team has recently run Messy Church in Weaver Vale school, but is now looking to take a different approach, which might involve going in to other schools as well. Undoubtedly one of the success stories has been the anti-human trafficking group, formed to raise awareness of the growing problem of slavery and human trafficking, not only abroad but especially in this country. This group has run day conferences; raised funds for the Salvation Army through a pop-up shop and carol singing in the local Morrisons supermarket (who have been very supportive); had stalls at various local events including the annual Cheshire Show; and have brought information into the public domain, even leading to changes in the law. Another area of concern, as Frodsham’s population ages, is dementia. Churches Together supports Singing for the Brain, a course for sufferers and carers called Living Well with Dementia, and has also hosted a conference bringing many professionals and workers in the field together to help those volunteering in this work. Churches Together is delighted to support the appointment of a Parish Nurse.


July 2019


7.2 The Local GP Surgery – The Knoll Surgery Partnership, Princeway Health Centre

http://www.theknollsurgery.co.uk/

7.3 Local Authorities

7.3.1 Cheshire West & Chester

Cheshire West and Chester is a unitary authority with borough status in the ceremonial county of Cheshire, England. It was established on 1 April 2009 as part of the 2009 local government changes, by virtue of an order under the Local Government and Public Involvement in Health Act 2007. https://www.cheshirewestandchester.gov.uk/Home.aspx

7.3.2 Frodsham Town Council

https://frodsham.gov.uk/

7.4 NHS Local Strategic Plan

Cheshire and Wirral Partnership http://www.cwp.nhs.uk/media/2251/strategic_plan_summary_2014-19.pdf

NHS West Cheshire Clinical Commissioning Group Five Year Strategy https://www.westcheshireccg.nhs.uk/document_uploads/plans-strategy/DRAFT%20West%20Cheshire%20CCG%20strategy.pdf

http://www.theknollsurgery.co.uk/

https://www.cheshirewestandchester.gov.uk/Home.aspx

https://frodsham.gov.uk/

http://www.cwp.nhs.uk/media/2251/strategic_plan_summary_2014-19.pdf

https://www.westcheshireccg.nhs.uk/document_uploads/plans-strategy/DRAFT%20West%20Cheshire%20CCG%20strategy.pdf

https://www.westcheshireccg.nhs.uk/document_uploads/plans-strategy/DRAFT%20West%20Cheshire%20CCG%20strategy.pdf


July 2019


8. Analysis of Opportunity for Frodsham Parish Nurse within the Local Strategic Plan

THE DRAFT STRATEGIC PLAN

PARISH NURSES ROLE

IMPACT OF THIS ROLE ON THE STRATEGIC PLAN

RISK MANAGMENT. (What happens if we don't do this?)

DETERMINING WHAT ARE THE CAUSES AND IMPACT OF THE WIDENING HEALTH INEQUALITIES ON THE PEOPLE OF FRODSHAM AND THE SURROUNDING AREAS

Constant awareness of the profile of the population. Reporting of significant changes to their Line Manager Identifying any significant problems of inequalities and reporting these.

Providing a pro-active approach for the development of Parish Nursing service.

CHANGING LIFESTYLE BEHAVIOURS

Provide user-friendly education and advice on the benefits of lifestyle changes such as:

Diet

Exercise

Rest and relaxation

Spiritual exercises -prayer, reading, discussion etc.

Reduction of alcohol consumption

Cessation of smoking, drinking and drugs

Early adaptation of these preventative measures lead to potential health improvements and reduction in risk.

Increasing demand on the Health Service to provide services in a number of critical areas

THE GROWING ELDERLY POPULATION

Recognising the complexity of Care in the older population..example.... Multi-pathology Poly-pharmacy Complications from long standing illness

Improving intelligence to GP surgeries regarding the potential future needs of those individuals who are not engaging in the health care service.

Increasing demand for In-patient care to deal with the complications of Chronic illness.

CANCER CARE Recognising the signs and symptoms of potential cancer problems. Listening to the patients expression of concern Being able to discern what is urgent and what is important.

Liaison with GP surgeries Provision of a 'Listening Ear'


July 2019


Referring anyone with the above to the appropriate medical professional. Reassuring the individual and when necessary their family Provision of non-specialist Palliative care. Assisting with referral (when appropriate ) with End of Life care facilities.

Liaison with local Hospice's

HEART DISEASE Monitoring of:

Pulse

Blood Pressure Provide support and advice on:

Exercise

Diet If any indications of problems advise to seek GP appointment

Management of potential risks. Reduction in requirement for Acute Medical interventions

Requirement for Hospital care, particularly in Intensive care could emerge.

STROKE Observation of individual in relation to Pulse, BP, any indications of dizziness Any signs of limb weakness? Speech difficulties Liaison with Occupational Therapy, Physiotherapy, and Speech Therapy in order to provide support to the affected individual.

Early identification of Transient Ischaemic Attacks (TIA) Potential reduction of further TIA episodes, and the need for Acute medical intervention Provision of supportive care for the individual, and their families/carers.

Increase in Hospital Admissions

DIABETES Check with individual if any increasing thirst. Are they going to the toilet more than usual Discuss their diet. Liaison with Dietician Referral to GP for Assessment and Planning of care

Early detection of Diabetes. May help in a small way to reduce the increase in the 'Diabetes Epidemic. '

Having to deal with the complications of Diabetes. Particularly:

Heart disease Renal Failure

Neurological problems Ophthalmic problems

MENTAL HEALTH

Listening to individuals Identifying any areas of concern they raise. Observe for indicators of depression and/or anxiety Responding to early signs of Dementia. Networking with professionals from Mental Health and MH groups -e.g. Mental

Early identification of potential problems. Assists with the commissioning of Mental Health Services.


July 2019


Health Community Nurses; Alzheimer's Society; MIND.

9. Basis of Referral and Triage

9.1 Geographical Scope

The purpose of the scheme is to provide relief to those in need. It does not matter to us where that person lives.

However, the second purpose of the scheme is to provide a Christian witness to the wider community. This purpose is best served by maintaining a geographical focus.

Some of our funding is geographically constrained. Referrals to the FPN may be from, or on behalf of residents in:

Frodsham (70% of time)

Helsby

Alvanley

Manley

Norley

Crowton

Kingsley

Sutton Weaver

9.2 Scope of Services Offered

This depends on the particular experience and expertise of the Nurse who is recruited, subject to the priorities and opportunities discussed in section 8. The Parish Nurse will not duplicate the scope of work which is the responsibility of statutory health providers but will seek to work in partnership with them and with partners in the third sector.


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10. Budget

Our budget is used as the basis for grant applications and therefore contains costed “gifts in kind” provided by local churches and volunteers in a way recognised by the grant making trusts that we are applying to. Our income is therefore offered as an “income statement”.

Year 1

Income

Expenditure

Frodsham Nursing Fund £9000 PNMT Initial Training and professional reg.

£595

Proj. Planning (Local Volunteers time)

£1285 Proj. Planning (Local Volunteers time) £1285

Capital Costs (PC, mobile, office equipment,

nursing equipment) £1000

Provision of office space (local church)

£940 Office Rental £940

Insurance (Methodist Insurance Parish Nurse package) £200

PNMT Annual Fee £595

Nurse’s Travel Costs (Mileage) £500

C&DF Circuit Line Management Fee £500

TOTAL INCOME: £11,225 TOTAL EXPENDITURE: £5615

Years 2 & 3 (per annum)

Income

Expenditure

Y1 Funds Carried Forward (£5610 / 2 years):

£2805 PNMT Annual Fee £595

Nurse’s CPD and professional registration

£350

Project Management (Local Volunteers time)

£300 Project Management £300

Provision of office space (local church)

£940 Office Rental £940

Insurance (Methodist Insurance Parish Nurse package) £200

C&DF Circuit Line Management Fee £500

Nurse’s Travel Costs (Mileage) £500

Expenses, Consumables and Equipment calibration

£250

TOTAL INCOME (pa): £4045 TOTAL EXPENDITURE (pa): £3635

3 Year (Whole Project)

Income

Expenditure

Frodsham Nursing Fund £9000 Year 1 £5615

Gifts in Kind £4705 Year 2 £3635

Year 3 £3635

TOTAL INCOME (whole scheme): £13705 TOTAL EXPENDITURE: £12885

Grants applications have been made to:

The Cinnamon Network (https://www.cinnamonnetwork.co.uk/)

Frodsham & Helsby Rotary (https://www.frodshamhelsbyrotary.org.uk/)

https://www.cinnamonnetwork.co.uk/

https://www.frodshamhelsbyrotary.org.uk/


July 2019


11. Recruitment Pack

11.1 Recruitment Policies

The recruitment of the Parish Nurse, in either a voluntary or paid capacity will be carried out in terms of the Safer Recruitment Policies of the Methodist Church and Church of England. Full policy details are available at: https://www.methodist.org.uk/for-ministers-and-office-holders/employees-and-volunteers/lay-employment-advisory-information/ The Church of England and Methodist Church are committed to the safeguarding and protection of all children, young people and adults, and the care and nurture of children within our church communities. We will carefully select, train and support all those with any responsibility within both churches, in line with Safer Recruitment principles. This means that we will:

Ensure that our recruitment and selection processes are inclusive, fair, consistent and transparent.

Take all reasonable steps to prevent those who might harm children or adults who may be vulnerable from taking up, in our churches, positions of respect, responsibility or authority where they are trusted by others.

Adhere to safer recruitment legislation, guidance and standards, responding positively to changing understandings of good safer recruitment practice.

Produce and disseminate practice guidance on safer recruitment for both churches, ensuring that such practice guidance is compatible, and keep it updated.

Always seek advice from human resources personnel to achieve best possible practice.

Ensure training on safer recruitment practice guidance.

Introduce systems for monitoring adherence to the churches’ safer recruitment practice guidance and review them regularly.

https://www.methodist.org.uk/for-ministers-and-office-holders/employees-and-volunteers/lay-employment-advisory-information/

https://www.methodist.org.uk/for-ministers-and-office-holders/employees-and-volunteers/lay-employment-advisory-information/


July 2019


11.2 Job Specification

Parish Nurse - Job Specification

Job Title: Volunteer FCT Parish Nurse Location: Frodsham Methodist Church Responsible to: Andrew Emison, Minister, Frodsham Churches Together Purpose and Objectives: Parish nurses work on behalf of a local faith community to provide holistic nursing care to individuals in the community regardless of their faith. In addition to supporting the physical health needs of the individual in partnership with local services, they also provide Christian spiritual care where appropriate and within professional standards. Main Responsibilities:

Provide excellent nursing care according to prevailing professional standards.

Provide spiritual care where appropriate, within the professional boundaries of the nursing profession in every intervention.

Model and promote the integration of faith and health in daily life.

Work according to the direction of the Line Manager and priorities of the steering group.

Contribute to the direction and priorities of the project through contribution and participation in the management team.

Provide reports to the Steering Group within the constraints of professional confidentiality.

Assess, evaluate and report on the needs within the designated community.

Act as a referral agent and when appropriate, accompany the patient to other services.

Work according to prevailing Safeguarding Policies and Strategies adopted by the project.

In consultation with the Steering Group, evolve, refine and change the work to meet prevailing needs.

Act as a health advocate for service users requiring additional support.

Act as a health resource and system navigator for service users.

Ensure that all aspects of the service and interventions are evidence based and supported by current NICE/SIGN guidelines and research.

Maintain accurate, systematic and timely record keeping of health interventions in keeping with NMC record-keeping guidance, ensuring the safe storage of documentation.

Adhere to legal requirements, church policies, NMC requirements, and national service and practice standards set by PNM-UK.

Attend the National PNM-UK symposium, local PNM-UK parish nurse cluster meetings and periodic meetings with the regional coordinator.


July 2019


Terms & Conditions:

Terms of appointment: Voluntary 3 year post

Remuneration: This is a voluntary post. Annual NMC Registration fee will be paid. CPD will be provided and funded.

Hours of work: Flexible. To be negotiated.

Expenses: Travel from the normal place of work will be remunerated at prevailing HMRC maximum rate. Medical supplies and equipment will be supplied by agreement. Any other expenses by agreement. These need to be agreed with the Line Manager.

Holiday Entitlement: Flexible in agreement with the Line Manager but based on 28 days plus public holidays pro-rata (for part time).

Criminal Record Clearance

Appointment will be subject to a satisfactory criminal record clearance.

References Appointment will be subject to satisfactory references.

Probationary Period: Appointment will be subject to the satisfactory completion of the PNM-UK “Preparation for Practice Programme” and a three month probationary period.

Management The Volunteer will have a line manager whose responsibilities will be to:

Become familiar with the work of the Volunteer.

Work with the Volunteer to encourage the role to respond to new challenges

Determine priorities for the work in agreement with the Volunteer

Prepare a personal development plan with the Volunteer.

Ensure good communications between all the ‘stakeholders’ (groups and networks) involved.

Monitor and evaluate progress with the Volunteer on a regular basis.

Act as a “sounding board” to the Volunteer.

Ensure that the Volunteer is supported and resourced within the constraints of the Project.


July 2019


11.3 Person Specification

Parish Nurse - Person Specification

Job Title: Volunteer FCT Parish Nurse Attributes Essential Desirable Method of

Assessment

Qualifications Current NMC registration and evidence of re-validation

Q

Willingness to attend PNM-UK training and CPD.

I

Applicants must be willing to undertake the Parish Nurse Ministry training 4

th-7

th November 2019 in

Birmingham.

A

Knowledge & Skills

Demonstration of emerging professional and technical knowledge

A, I

Proven practice as a professional nurse.

A, R

Knowledge of Safeguarding practices.

A, I

Excellent communication skills. I

Knowledge of local healthcare structures, policies and organisation.

A, I

Skills in mental health care. A

General nursing skills including but not limited to: Monitoring Blood Pressure Diabetes Management Identification of the features of Depression. Stress management Planning Healthy eating with the individual Develop an appropriate mobility and exercise programme for the individual Monitor the individuals Weight loss or gain.

A

Ability to use “office” software.

A

Special Qualities or Aptitudes.

A committed Christian who is able to provide Christian spiritual care with integrity and conviction.*

A, I

Willingness to work alone according to the Lone Workers policy.

A, I

Ability to contribute to, and then work under the agreed and evolving priorities and policies relating to the role.

I

Conflict and negotiation skills. I

Other Requirements

*Occupational Requirement ‐ in the light of the Methodist Church’s Christian purpose and ethos it reserves the right to exercise legal exemptions under the Equality Act 2010 schedule 9 parts 1(1-3) where it is declared that a Christian faith is integral to the work and requires membership of the Methodist Church or another recognised church.


July 2019


11.4 Job Advert

Volunteer Parish Nurse Vacancy Hours Negotiable Nursing in the community – connecting with the health needs of local people.

We are looking to appoint a

Volunteer Registered Nurse Hours to be agreed. The volunteer would liaise with the Frodsham Churches Together and their care teams in supporting the spiritual and physical well-being of the people of Frodsham and surrounding area. This may also involve some links to surrounding nearby villages. The support offered to the local community will be regardless of their faith. As the appointment requires the person to offer spiritual care and prayer when requested, it is a Genuine Occupational Requirement for the applicant to be a practising Christian. Applicants must be willing to undertake the Parish Nurse Ministry training 4th-7th November 2019 in Birmingham. All expenses will be paid by the Project. To register an interest in the appointment please email: [email protected] An application pack and full job description will be forwarded by email. Appointment to commence on the first day of training. Closing Date for Applications: Monday 16th September 2019.

mailto:[email protected]


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11.5 Application Form

APPLICATION FORM FOR A VOLUNTEER APPOINTMENT CONFIDENTIAL To be completed by the employing body prior to issue:

POST: Volunteer Frodsham Churches Together Parish Nurse

METHODIST

CHURCH/CIRCUIT: North Cheshire Circuit

CIRCUIT NO. 12/1

DISTRICT: Chester & Stoke-on-Trent District

PLEASE RETURN THE

COMPLETED APPLICATION

FORM TO:

Rev’d Andrew M Emison E-mail: [email protected] Telephone: 01928 733180 / 07961 157222

CLOSING DATE: Monday 16th September 2019

Please complete this application in black ink or black type


July 2019


1.PERSONAL DETAILS

This will be held by the church, circuit or district before circulating the application form for shortlisting. Items marked with * must be completed.

Post applied for:

Reference No:

Where did you hear about the post

Title:

Surname: (Block letters) First names:

Address: (Block letters)

Post Code:

Telephone number:

Home:

Daytime:

Mobile:

E-mail address:

WORK PERMIT* : Please be aware that under Section 8 of the Asylum and Immigration Act 1996, it is a criminal offence to employ anyone who is not entitled to live or work in the United Kingdom. Applicants will be asked to provide proof of their employable status before the Methodist Council can confirm any offer of appointment e.g. Passport or birth certificate. Are you a UK or EU/EEA Citizen? (Please tick) Yes No If not, it is possible that you may not be eligible to work in the UK without a work permit. Please indicate if you will require a work permit. (Please tick) Yes No If “No” please indicate the basis on which you are eligible to work in the UK. Do you have any Criminal Convictions not “spent” under the Rehabilitation of Offenders Act 1974? Yes No If yes, please supply further details:

EQUAL OPPORTUNITIES: In order to assist us to monitor and evaluate the delivery of our vision for diversity and equality - we would appreciate it if you will complete the enclosed equality and diversity monitoring form. The information provided will be used for statistical purposes only and your assistance in completing this questionnaire will be appreciated.


July 2019

Version D Frodsham Parish Nurse of 23

INFORMATION FOR APPLICANTS Please read this information carefully before you complete the next part of the form. Thank you for expressing interest in this post.

These notes are intended to help you complete the application form. Please read them carefully before you start to fill in the form.

You should also have received a job description and person specification. These documents describe to you what the job will involve and what we need from the person who is appointed. Think carefully about the information in the job description and person specification, and consider what experience you have that would equip you for this post.

We are inviting you to give us information that will allow us to assess how closely you meet the requirements of the person specification. You may draw on all aspects of your life: education, employment, voluntary work, church, interests, and home life, for example.

Do not think you have to fill in all the space below each question. You may find you wish to answer one question more fully than another. You may use a separate sheet of paper if you need to write more than the form provides space for.

Try to provide evidence or give examples of how you can meet the requirements of the job description and the person specification.

Your personal information will be removed and will not be submitted to the interviewing panel.

Our policy on references is that we cannot accept references from relatives or members of the family. At least one referee must be your line manager from your most recent employment.

Data protection statement

The information that you provide on this form will be used to process your application for employment. We process this information in line with our data protection policy.

If you succeed in your application for employment, the information will be used in the administration of your employment with us.

By signing this application form we will be assuming that you agree to the processing of your personal data (as described above), in accordance with our data protection policy.

Instructions to church, circuit or district: The first 3 pages of the application form should be removed before circulating the application form for shortlisting.


July 2019


APPLICATION FORM

Applicant To Complete

FULL NAME

POST TITLE

METHODIST CHURCH/CIRCUIT

CIRCUIT NO.

DISTRICT

CLOSING DATE

For Office Use Only

Date Received

Application No

Special needs at Interview

Shortlisted Yes No

Appointed Yes No


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2. EMPLOYMENT HISTORY List all employers starting with your present or most recent first. Please account for any gaps in

employment.

Name and Address of Employer

Position Held From To Month/Year

Reason for Leaving


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3. Why are you applying for this job?

4. What particular (1) proven abilities, (2) qualities and (3) other attributes would you bring to the post?


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5. What qualifications do you have which are relevant to this post? Please give details – date, awarding body, grades etc.

6. Additional Information You are welcome to give additional information, which may be written, in the space below.


July 2019


7. REFERENCES Please give the names, postal & email addresses, and telephone numbers of two or three referees who can broadly represent your professional work and personal interests. This should include your current or most recent employer, and may include your minister if relevant. 1.

Name:

Position:

Organisation Name and Address:

Email:

Telephone:

2.

Name:

Position:


Email:

Telephone:

3.

Name:

Position:


Email:

Telephone:

It is our practice to approach referees of shortlisted candidates only. If shortlisted, may we contact your referees?

8. I declare that the information contained in this form is true and accurate. I understand that if it is subsequently discovered that any statement is false or misleading, I may be dismissed from employment.

Signature: Date:

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