Medical Returners North West Step 1 of 5 20% Help the NHS build a returners scheme which is right for you. Our NHS does need you. Let us know if you want to return to the NHS. Whether you have worked for the NHS during coronavirus or not, we would like to hear from you. Please note we are not asking you for a binding commitment but to help us understand what is likely to be most attractive to you. Important information The information collected through this form will be processed in accordance with out privacy policy. MPI Optional Region Optional Your preferenceWhat is your preference? To resume full or part-time working To join a local bank or NHS Professionals To join a Staff Reserve To cease any further work, if you are now working Not to start any work (and to come off our returners list) Other (please provide more information if you can) Please select all that apply.Other preference Optional Since joining the BBS Register have you been deployed into work? Yes - still deployedYes - but no longer deployedNo - not yet deployedWhich organisation were you deployed to? Please enter the organisation name. If you would like to returnPlease indicate the type of work you are interested in and can engage with. Return to your specialist area of practice in Primary Care Return to your specialist area of practice in Secondary Care specialisms Return to Community Health Services Clinical support role e.g. anti-body testing, flu vaccinations, non-specialist advice Delivery support such as research, clinical trials, planning, administration Teaching/Education Return to local opportunities Return to Continuing Health Checks Return to the Covid vaccination programme Social Care I am happy to do Face to face contact Virtual /distance e.g. telephone contact/remote consultation/teams etc Neither I wish to carry out the work on a Paid basis Voluntary basis Please select all that apply.Have been out of clinical working for longer than one year? Yes - I have been out of clinical working more than one yearNo - I have completed clinical work within the last 12 monthsAre you on the GMC register? Yes - I am on the GMC registerNo - I am not on the GMC registerDo you have a licence to practice? Yes - I have a licence to practiceNo - I do not have a licence to practiceAre you on the Specialist Register? Yes - I am on the Specialist RegisterNo - I am not on the Specialist RegisterDo you consent to us sharing your details with a potential employer. YesYes - but I would prefer a discussion firstNoThis includes all data provided to the Bring Back Staff programme. Contact detailsFirst name Last name Email Preferred contact number Postcode How far are you willing to travel for work? -- please select --Up to 10 miles11 to 25 miles26 to 50 miles51 to 75 miles76 to 100 milesOver 100 milesSingle journey distance, a round trip would be double this distance.How many hours per week are you able to work? Please enter a number from 0 to 40.Would you be prepared to work evenings and weekends? EveningsWeekendsBoth evenings and weekendsMaybeNo Check and submitThank you for answering indicating that you would like to return in some capacity. You can check back through the questions and change any answers before submitting this form. If you are happy with all of your answers, please submit the form using the button below.Thank you for answering the questions. You can check back through the questions and change any answers before submitting this form. If you are happy with all of your answers, please submit the form using the button below.Thank you for answering the questions. You can check back through the questions and change any answers before submitting this form. You have indicated that you would not like to start any work and as a result, we will remove you from our returners list. If you are happy with all of your answers, please submit the form using the button below.Please use this field for any other comments you would like to send us. Optional