Unit 4 Nutrition The Family Nutrition Program (FNP) is a free nutrition education program serving
low-income adults around the U.S. This program is funded by the Food Nutrition
Nutrition is the science that interprets the interaction
of nutrients and other substances in food in relation to
maintenance, growth, reproduction, health and disease
of an organism. It includes food
intake, absorption, assimilation, biosynthesis, catabolism  education.[91]
and excretion.[1]
The diet of an organism is what it eats, which is largely
determined by the availability and palatability of foods.
For humans, a healthy diet includes preparation of food and storage methods that
preserve nutrients from oxidation, heat or leaching, and that reduces risk
of foodborne illnesses.
In humans, an unhealthy diet can cause deficiency-related diseases such
as blindness, anemia, scurvy, preterm birth, stillbirth and cretinism,[2] or nutrient
excess health-threatening conditions such as obesity[3][4] and metabolic syndrome;
[5]
 and such common chronic systemic diseases as cardiovascular disease,[6] diabetes,[7]
[8]
 and osteoporosis.[9][10][11] Undernutrition can lead to wasting in acute cases, and
the stunting of marasmus in chronic cases of malnutrition.[2]
Nutrients
nutrients , subtances needed by body for supplying energy are thought to be of two
types: macronutrients which are needed in relatively large amounts,
and micronutrients which are needed in smaller quantities.[51]  Some nutrients can be
stored - the fat-soluble vitamins - while others are required more or less continuously.
Poor health can be caused by a lack of required nutrients, or for some vitamins and
minerals, too much of a required nutrient.
The macronutrients are carbohydrates, fiber, fats, protein, and water.
The micronutrients are minerals, vitamins, and others.[51]
Government policies
Canada's Food Guide is an example of a government-run nutrition program.
Produced by Health Canada, the guide advises food quantities, provides education on
balanced nutrition, and promotes physical activity in accordance with government-
mandated nutrient needs. Like other nutrition programs around the world, Canada's
Food Guide divides nutrition into four main food groups: vegetables and fruit, grain
products, milk and alternatives, and meat and alternatives.[89] Unlike its American
counterpart, the Canadian guide references and provides alternative to meat and
dairy, which can be attributed to the growing vegan and vegetarian movements.
Government programs
Service’s (FNS) branch of the United States Department of Agriculture (USDA)
usually through a local state academic institution that runs the program. The FNP has
developed a series of tools to help families participating in the Food Stamp Program
stretch their food dollar and form healthful eating habits including nutrition
Expanded Food and Nutrition Education Program (ENFEP) is a unique program that
currently operates in all 50 states and in American Samoa, Guam, Micronesia,
Northern Marianas, Puerto Rico, and the Virgin Islands. It is designed to assist
limited-resource audiences in acquiring the knowledge, skills, attitudes, and changed
behavior necessary for nutritionally sound diets, and to contribute to their personal
development and the improvement of the total family diet and nutritional well-being.
Professional organizations
In the US, Registered dietitian nutritionists (RDs or RDNs)[95] are health
professionals qualified to provide safe, evidence-based dietary advice which includes a
review of what is eaten, a thorough review of nutritional health, and a personalized
nutritional treatment plan through dieting. They also provide preventive and
therapeutic programs at work places, schools and similar institutions. Certified
Clinical Nutritionists or CCNs, are trained health professionals who also offer dietary
advice on the role of nutrition in chronic disease, including possible prevention or
remediation by addressing nutritional deficiencies before resorting to drugs.
[96]
 Government regulation especially in terms of licensing, is currently less universal
for the CCN than that of RD or RDN. Another advanced Nutrition Professional is a
Certified Nutrition Specialist or CNS. These Board Certified Nutritionists typically
specialize in obesity and chronic disease. In order to become board certified, potential
CNS candidate must pass an examination, much like Registered Dieticians. This exam
covers specific domains within the health sphere including; Clinical Intervention and
Human Health.
[97]
Malnutrition
According to WHO, malnutrition refers to deficiencies, excesses, or imbalances in a
person’s intake of energy and/or nutrients. The term malnutrition addresses 3 broad
groups of conditions: undernutrition, which includes wasting (low weight-for-height),
stunting (low height-for-age) and underweight (low weight-for-age); micronutrient-
related malnutrition, which includes micronutrient deficiencies or insuficiencies (a
lack of important vitamins and minerals) or micronutrient excess; and overweight,
obesity and diet-related noncommunicable diseases (such as heart disease, stroke,
diabetes and some cancers).[101] In Mali, the International Crops Research Institute for
the Semi-Arid Tropics (ICRISAT) and the Aga Khan Foundation trained women's
groups to make equinut, a healthy and nutritional version of the traditional recipe di-
dèguè (comprising peanut paste, honey and millet or rice flour). The aim was to boost
nutrition and livelihoods by producing a product that women could make and sell,
and which would be accepted by the local community because of its local heritage.[102]
Answer the questions
1. What is the difference between nutrition and nutrients ? Structures
2. What is diet ? 1. The diet  of an organism is what it eat
3. What does diet cover ? A B C D
4. What will happen if we do incorrect diet?
5. What are macro and micronutrients ? what are the examples ?
2. For humans, a healthy diet include  preparation of food and storage methods
6. What does Canadian goverment Nutrion program include ? A B C D
7. How many food groups does Canada's Food Guide divides nutrition ? 3. In humans, an unhealthy diet can causes deficiency-related diseases
8. What are they ? A B C D
9. What is FNP and what does it deal with ? 4. Unlike its American counterpart, the Canadian guide references and provide
10. What organization financially supports FNP ? A B C D
11. What does ENFEP do ? alternative to meat and dairy
12. What is Registered dietitian nutritionists / RDN ? what are their
responsibilities ? 5. Certified Clinical Nutritionists or CCNs, is trained health professionals
13. What is Clinical Nutritionists job / CCN ? A B C D
14. What is CNS ? how is it different from CCN and RDN ? 6. These Board Certified Nutritionists typical specialize in obesity & chronic
15. What does CNS candidate need to do In order to become board certified, A B C D
potential CNS ? disease
16. What does CNS exam include ? 7. Undernutrition can leads to  wasting  in acute cases
A B C D
17. What is Malnutrition ? 8. macronutrients are needed in relative large amounts
18. What conditions are included in The term malnutrition ? A B C D
19. What is equinut ? 9. malnutrition refers to deficiencies, excesses or imbalances in a person intake of
20. Why is equinut making trained ? A B C D
energy
Vocabulary 10. ..... ... By producing a product that women could makes and sell
1. What organisms eat a. micronutrients A B C D
2. The science  interpreting the interaction of nutrients and b. macronutrients
other substances in food in related to health  c. Nutrients
3. subtances needed by body for supplying energy d. nutrition
4. nutrients which are needed in relatively large amounts e. diet
f. malnutrition Discussion / presentation
(carbohydrates, fiber, fats, protein, and water)
g. CCNs 1. Tell your parents age , weight, height and favorite food and drink !
5. nutrients which are needed in smaller quantities h. RDNs
6. a government-run nutrition program 2. What is your family fav restaurant , and most frequent order ?
i. FNP
7. nutrition education program serving low-income adults j. ENFEP 3. Does anyone in your family smoke , drink coffee , eat instant noodles, what
around the U.S. k. Canada's Food Guid about eating fries ...how often do they consume in a week ?
8. program to assist limited-resource audiences in acquiring 4. What is our mom fav cooking ?
nutrition knowledge 5. What makes you lose your appetite ?
9. health professionals qualified to provide safe, evidence-
based dietary advice
10. trained health professionals who also offer dietary advice on
the role of nutrition in chronic disease
11. deficiencies, excesses, or imbalances in a person’s intake of
energy and/or nutrients
 genetic testing, such as screening for Down syndrome. Diet, exercise, and discomforts such
as morning sickness are discussed.[9]
This image shows the progression of pregnancy
over the three trimesters.
Second trimester[edit]
The mother visits the midwife monthly or more
often during the second trimester. The mother's
partner and/or the labor coach may accompany
Unit 5 Midwifery her. The midwife will discuss pregnancy issues
Focus such as fatigue, heartburn, varicose veins, and
 Pregnancy other common problems such as back pain. Blood
pressure and weight are monitored and
 Childbirth the midwife measures the mother's abdomen to
 Postpartum see if the baby is growing as expected. Lab tests
such as a UA, CBC, and glucose tolerance
 Newborn care test are done if the midwife feels they are
 Women's health necessary.[10]
Reproductive health
Third trimester
In the third trimester the midwife will see the mother every two weeks until week 36 and
every week after that. Weight, blood pressure, and abdominal measurements will continue
A pregnancy check-up by a midwife to be done. Lab tests such as a CDC and UA may be done with additional testing done for
Midwifery is the health science and health profession that deals with pregnancy, childbirth, at-risk pregnancies. The midwife palpates the woman's abdomen to establish the lie,
and the postpartum period (including care of the newborn),[1] in addition to the sexual and presentation and position of the fetus and later, the engagement. A pelvic exam may be
reproductive health of women throughout their lives. [2] In many countries, midwifery is a done to see if the mother's cervix is dilating.[11] The midwife and the mother discuss
medical profession] (special for its independent and direct specialized education; should not birthing options and write a birth care plan.
be confused with the medical specialty, which depends on a previous general training). A
professional in midwifery is known as a midwife. Childbirth Labor and delivery

1. Main areas of midwifery Pregnancy: Pregnancy and Prenatal care

First trimester
Trimester means "3 months." A normal pregnancy lasts about 9 months and has 3
trimesters.[9]
First trimester screening varies by country. Women are typically offered a Pap
smear and urine analysis (UA), and blood tests including a complete blood
count (CBC), blood typing (including Rh screen), syphilis, hepatitis, HIV,
and rubella testing.[9] Additionally, women may have chlamydia testing via a urine sample,
and women considered at high risk are screened for Sickle Cell disease and Thalassemia.
[9]
 Women must consent to all tests before they are carried out. The woman's blood An illustration of normal head-first presentation. The membranes have ruptured and the
pressure, height and weight are measured. Her past pregnancies and family, social, and cervix is fully dilated. Newborn rests as caregiver checks breath sounds
medical history are discussed. Women may have an ultrasound scan during the first
trimester which may be used to help find the estimated due date. Some women may have  Childbirth
Midwives are qualified to assist with a normal vaginal delivery while more complicated
deliveries are handled by a health care provider who has had further training. Childbirth is
divided into four stages.
First stage of labor The first stage of labour involves the opening of the cervix. [12] In the
early parts of this stage the cervix will become soft and thin thus preparing for the
delivery of the baby.[12] The first stage of labour is complete when the cervix has dilated
the full 10cm.[12] During the first stage of labor the mother begins to feel strong and
regular contractions that come every 5 to 20 minutes and last 30 to 60 seconds.
Contractions gradually become stronger, more frequent, and longer lasting.
Second stage of labor During the second stage the baby begins to move down the birth
canal. As the baby moves to the opening of the vagina it "crowns", meaning the top of
the head can be seen at the vaginal entrance. At one time an "episiotomy", (an incision
in the tissue at the opening of the vagina) was done routinely because it was believed
that it prevented excessive tearing and healed more readily than a natural tear.
[13]
 However, more recent research shows that a surgical incision may be more extensive
than a natural tear, and is more likely to contribute to later incontinence and pain during
sex than a natural tear would have.[13]
The midwife assists the baby as needed and when fully emerged, cuts the
umbilical cord.( also called navel string/ birth cord a conduit/ tube between the
developing embriyo or fetus and the placenta). If desired, the baby's father may
cut the cord. In the past the cord was cut shortly after birth, but there is growing
evidence that delayed cord-cutting may benefit the infant. [14]
Third stage of labor The third stage of labour is where the mother must deliver
the placenta.[12] In order for the mother to do this they may need to push. Just like
the contractions in the first stage of labour they may experience one or two of these.
[12]
 The midwife may assist the mother in delivering the placenta by gently pulling
on the umbilical cord.[12]
Fourth stage of labor The fourth stage of labor is the period beginning immediately after
the birth and extending for about six weeks. The World Health
Organization describes this period as the most critical and yet the most neglected
phase in the lives of mothers and babies.[15] Until recently babies were routinely
removed from their mothers following birth, however beginning around 2000, some
authorities began to suggest that early skin-to-skin contact (placing the naked baby
on the mother's chest) is of benefit to both mother and infant. As of 2014, early
skin-to-skin contact is endorsed by all major organizations that are responsible for
the well-being of infants.[16]Thus, to help establish bonding and successful
breastfeeding, the midwife carries out immediate mother and infant assessments as
the infant lies on the mother's chest and removes the infant for further observations
only after they have had their first breastfeed.
. and returns the baby to the mother quickly. Skin-to-skin is encouraged, as this
Birthing positions[edit]
Main article: Childbirth positions
Until the last century most women have used both the upright position and alternative
positions to give birth. The lithotomy position was not used until the advent of
forceps in the seventeenth century and since then childbirth has progressively
moved from a woman supported experience in the home to a medical intervention
within the hospital. There are significant advantages to assuming an upright
position in labor and birth, such as stronger and more efficient uterine
contractions aiding cervical dilatation, increased pelvic inlet and outlet diameters
and improved uterine contractility.[19] Upright positions in the second stage
include sitting, squatting, kneeling, and being on hands and knees. [20]
Postpartum period[edit]
Main article: Postpartum period
For women who have a hospital birth, the minimum hospital stay is six hours. Women
who leave before this do so against medical advice. Women may choose when to
leave the hospital. Full postnatal assessments are conducted daily whilst inpatient,
or more frequently if needed. A postnatal assessment includes the woman's
observations, general well being, breasts (either a discussion and assistance with
breastfeeding or a discussion about lactation suppression), abdominal palpation
(if she has not had a caesarean section) to check for involution of the uterus, or a
check of her caesarean wound (the dressing doesn't need to be removed for this),
a check of her perineum, particularly if she tore or had stitches, reviewing her
lochia, ensuring she has passed urine and had her bowels open and checking for
signs and symptoms of a DVT. The baby is also checked for jaundice, signs of
adequate feeding, or other concerns. The baby has a nursery exam between six
and seventy two hours of birth to check for conditions such as heart defects, hip
problems, or eye problems.
In the community, the community midwife sees the woman at least until day ten. This
does not mean she sees the woman and baby daily, but she cannot discharge them
from her care until day ten at the earliest. Postnatal checks include neonatal
screening test (NST, or heel prick test) around day five. The baby is weighed and
the midwife plans visits according to the health and needs of mother and baby.
They are discharged to the care of the health visitor.
Care of the newborn[edit]
At birth, the baby receives an Apgar score at, at the least, one minute and five minutes of
age. This is a score out of 10 that assesses the baby on five different areas—each
worth between 0 and 2 points. These areas are: colour, respiratory effort, tone,
heart rate, and response to stimuli. The midwife checks the baby for any obvious
problems, weighs the baby, and measure head circumference.
The midwife ensures the cord has been clamped securely and the baby has the
appropriate name tags on (if in hospital). Babies lengths are not routinely
measured. The midwife performs these checks as close to the mother as possible
regulates the baby's heart rate, breathing, oxygen saturation, and temperature—
and promotes bonding and breastfeeding.
In some countries, such as Chile, the midwife is the professional who can direct neonatal
intensive care units. This is an advantage for these professionals, because this
 professionals can use the knowledge in perinatology to bring a high quality care
of the newborn, with medical or surgical conditions. Structures
Answer the questions 1. Midwifery is the health science that deal with pregnancy,childbirth,
1. What is the difference between midwiefry and midwife ? & postpartum period
2. What areas are covered in midwifery ? A B C D
3. What can First trimester screening show ? 2.Trimester means "3 months." A normal pregnancy last about 9 months
4. Why is it important to have blood test in First trimester screening ? A B C D
5. What do we do to find out that the woman may have chlamydia  ? 3. Women must consents to all tests before they are carried out
6. In which semester are women expected to have genetic testing ? A B C D
7. What pregnancy issues may happen in the second tri semester ? 4. Women may has an  ultrasound scan during the first trimester
8. Who are we consulting in second tri semester ? A B C D
9. Why does midwife give abdoment check ? 5. The midwife palpates the woman abdomen to establish the lie, presentation and
10. What kind of check up do midwife do in the third trimester ? position A B C
11. What can be discusssed with midwife in the third trimester ? of the fetus and later, the engagement
12. What can midwife do to the birthing woman ? D
13. When the delivery becomes complicated who may handle it ? 6. There are significant advantage to assuming an upright position in labor and birth
14. When do regular 5 to 20 minutes contractions which last 30 to 60 seconds A B C D
happen ? 7. Upright positions in the second stage includes sitting, squatting, kneeling, and being on
15. What is “Crown “ When does it happen ? hands and knees A B C D
16. What is “episiotomy “ When does it happen ? incsion in the tissue
17. What is umbilical cord ? 8. The membranes have ruptured and the cervix is full dilated.
18. Why should The midwife  palpate the woman's abdomen ? A B C D
19. Why should A pelvic exam be done ? 9. Childbirth is divided into four stages in his prcoess.
20. When does The midwife assist in delivering the placenta by gently pulling on the A B C D
umbilical cord ? 10. Until recently babies were routine removed from their mothers following birth
21. Which state does WHO describes as the most critical period ? A B C D
Vocabulary
1. health science  dealing with A ultrasound scan
with pregnancy, childbirth, & postpartum period B First trimester screening
2. A professional in midwifery C normal pregnancy
3. lasts about 9 months and has 3 trimesters D midwife.
E Midwifery
4. Women are typically offered a Pap smear and urine
analysis (UA) and blood tests
5. may be used to help find the estimated due date
6. such as fatigue, heartburn, varicose veins, and other F skin-to-skin contact
common problems such as back pain G episiotomy
7. health care provider who has had further training H The first
8. stage of labour is complete when the cervix has I More complicated
dilated the full 10cm delivery
9. an incision in the tissue at the opening of the vagina J pregnancy issues
10. (placing the naked baby on the mother's chest) is of
benefit to both mother and infant in last labor
 CARE WORKER JOB DESCRIPTION
Job Title: Home Care Worker
Reporting to: Home Care Manager / Home Care senior
Role undertaken: Care work as allocated
Main aim of Job
•We aim to promote independence and personal dignity whilst providing the highest
quality of care with respect for those people requiring to use our service, within their
own home and still being able to remain in control of their lives.
Skills
•Good communication skills with service users who may have some degree of
communication difficulties. •To be able to perform basic personal care tasks necessary
for day-to-day living. •Good housekeeping skills. •To have the ability to communicate
with other key professionals from various organisations.
Key Responsibilities
•To follow and provide a package of care as outlined in the Service users Care Plan. •The
safe handling any equipment provided to ensure safe work practice. •The safe handling
and usage of property and equipment belonging to the service user. •Collection of
personal monies for service user e.g. pensions.
Key Objectives
Discussion •Present for work at the time scheduled.
1. Why does a couple need to have general check up before marriage •Ensure work is completed to a high standard and provided according to the care plan.
2. How old is the right age to get married ? •Accurately record the time spent and the work undertaken, on timesheets, work
3. What do we need to consider before getting married schedules and on service users record books. (as instructed by the manager).
4. Why is it important to know the couple family ? •Record the outcome and condition of the Service user as appropriate.
5. Is it Ok to make out before officially married ? •Notify the manager of any changes in the Service user condition immediately.
6. What are the other meanings of crown , delivery, labor, •Maintain the confidentiality of the Service user.
7. Are they the same •Maintain the highest standard of personal hygiene and integrity.
A. the first stage of labor is ... and he performs solo on stage •Wear the uniform provided freshly laundered and in good repair.
B. last night i saw you on TV... and the delivery last in an hour •Account for money spent in shopping by producing receipts and record all money
C. surgical incision may be more extensive than a natural tear and the tears
transactions on the
were falling as he heard his cat gone
•Income & Expenditure form in the Service user’s file.
8. How are these words different
A. pregnant vs pregnancy •Maintain the care and risk policies of the Company.
B. midwife vs midwifery •Regularly attend training and education courses as provided by the Company.
C. .birth vs birthing •Take care of personal health and safety, as outlined in the company’s Health and
D. week 36 vs 36 weeks Safety policy.
•Participate in regular and annual supervisions and appraisals.

Home care staff should also carry out any other reasonable task’s, which are not listed
and requested by the manager
Xxxxxxxxxxxxxxxxx
Care worker application form
CARE UNIQUE LTD
HOME

If you need this form in large print, please contact the local office.
Please complete all fields in black or blue ink and using block capitals. If you need any
help, please ask.
Part one – your personal details
Part two – your availability It is really important to us that we know when you are
available for work so please do your best to ensure that the information you provide in
this section is correct.
What is the earliest date you could start work with us? ……/……/…………
Do you have any holidays etc. already booked? Yes  - please give dates below No 

Title (Mr, Mrs etc.) Sex Female  Male 

First name Last name
Address Do you have the use of your own vehicle for work? Yes  No 
Please tick here to indicate when you would usually be available for work:
Post code Morning Lunchtime Teatime Evening Monday     Tuesday     Wednesday   
Phone Mobile  Landline  Other   Thursday     Friday     Saturday     Sunday     Is there anything else
Other phone Mobile  Landline  Other  we should know about your availability?

Email address
NI number How did you hear about this job? Part three – your skills and qualifications
Google  Other search engine  Company website  www.recruit-zone.com 
www.indeed.co.uk  Other website 
Please tell us about the languages you can speak and/or write:
Leaflet  Newspaper advert  Jobcentre  Refer a Friend  Word of mouth  Other
(please specify) 
I can speak this language
I can write in this language
My level of skill is… Language Basic Competent Advanced English     
If you were told about this job by someone that works for us, please tell us their 
name: 
 Do you have an NVQ/QCF level 2 (or above) in Health & Social Care? Yes
 No  Have you completed the Care Certificate (England only)? Yes  No  If you
Do any other of your close friends or relatives already work for us? Yes  No  If you answered ‘yes’ to either of the above, you must provide a certificate or other evidence
answered ‘yes’, please give their names here: of completion.
Please tell us about any other relevant formal qualifications you have achieved
(including any Maths or English qualifications):
Can you prove that you are legally entitled to work in the UK? Yes  No  If you
…………………………………………………………………………………………………………………………….
answered ‘yes’, what document/s will you provide to prove this?
……………………..……………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………….

Have you worked recently in a care support role? Yes  No  If you answered ‘yes’, what When did you leave full-time education? Month Year
was your standard hourly rate of pay? £ an hour
Care worker application form
Care worker application form

Page 2

Page 3
Part four – your work history We are required by law to make sure we know about the
work you have done in the past, as well as the periods you may have spent out of
employment. Therefore, please list your full employment history here, including any
periods when you were not working (along with an explanation of what you were
doing). You may use extra sheets if you need more space.
Please start with your current or most recent employment and work backwards.
From (month and year) To (month and year) Employer and location (or educational
establishment)
Your job role (or, if studying, your course)
Why you left (if applicable)

Care worker application form

Page 5

Part five – your referees Please provide the details of four people that we can write to
for a reference. The first of these people must be your current or most recent employer.
The other referees will ideally also be your most recent previous employers.
If you cannot provide the details of four previous employers, you may substitute one or
more of these with a referee who was a former tutor or teacher when you were in
formal education.
If you cannot provide details of a teacher or tutor, we may accept a personal reference
from a person of professional standing (e.g. a doctor, lawyer, accountant, recognised
Care worker application form religious leader or teacher) who knows you, either professionally or personally.

Page 4 You must not give the names of friends or relatives or colleagues that are/were not
senior to you as referees. All references will be verified. First referee (should be current
From (month and year) To (month and year) Employer and location (or educational or most recent employer)
establishment) Referee’s name Position
Your job role (or, if studying, your course) Name of organisation, school or college
Why you left (if applicable) Address and post code
Phone Email
Dates of employment or study to month year month year
Second referee
Referee’s name Position
Name of organisation, school or college
Address and post code
Phone Email
 Dates of employment or study to month year month year
Third referee
Referee’s name Position
Name of organisation, school or college
Address and post code
Phone Email
Dates of employment or study to month year month year
Fourth referee
Referee’s name Position
Name of organisation, school or college
Address and post code
Phone Email
Dates of employment or study to month year month year If any of the above
referees are outside the European Economic Area, please tick here to consent to our
contacting them 
Care worker application
Page 6
Part six – criminal record Care workers work with vulnerable people and we take our
responsibility to protect them very seriously. Your appointment will depend on the
satisfactory completion of a criminal records disclosure (see policy statement below),
but at this stage, we need you to answer the following questions truthfully and
honestly:
Have you received any convictions, cautions, reprimands or final warnings that are not
‘protected’ as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order
1975 (as amended in 2013 by SI 210 1198)? Yes  No  To your knowledge, are you
currently the subject of any criminal proceedings (for example, charged or summoned
but not yet dealt with) or any police investigation? Yes  No  If you answered ‘yes’ to
either of the two previous questions, please provide details:
……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………
Do you consent to our applying for an enhanced criminal records disclosure on you and
to our retaining a copy of your disclosure certificate during the period of your
employment or until a new disclosure is completed (whichever occurs first)? Yes 
Note that if, once a criminal records disclosure has been completed, it is discovered that
you have failed to accurately disclose the information requested above, the company
reserves the right to terminate your employment without notice. Please be aware,
however, that your having a criminal record will not necessarily mean we cannot
employ you – if you would like to know more about our policy on the recruitment of ex-
offenders, please ask. Criminal records disclosures – our policy As an organisation
assessing applicants’ suitability for positions which are included in the Rehabilitation of
Offenders Act 1974 (Exceptions) Order using criminal record checks processed through
the Disclosure and Barring Service (DBS), we comply fully with the Code of Practice and
undertake to treat all applicants for positions fairly. We will not discriminate unfairly
against any subject of a criminal record check on the basis of a conviction or other
information revealed.
We can only ask an individual to provide details of convictions and cautions that we are
legally entitled to know about. Where a DBS certificate at either standard or enhanced
level can legally be requested (where the position is one that is included in the
Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 as amended) and where
appropriate Police Act Regulations (as amended), we can only ask an individual about
convictions and cautions that are not protected. Part seven – suitability for the job
Please read the care worker job description and answer the following questions.
Have you read and understood the care worker job description? Yes 
The position for which you are applying requires physical effort (including sitting,
standing, carrying, walking, moving and handling people), mental effort (including
dealing with emergencies and short-notice changes to work in a fast-paced
environment) and possible emotional/psychological effort (including dealing with
bereavement and challenging behaviour in a potentially stressful environment) Do you
have any health conditions that would prevent you from meeting these intrinsic
requirements for which the company might need to make reasonable adjustments? (If
yes, please be aware that we may need to discuss these with you at your interview) Yes
 No  If you answered ‘yes’, please provide brief details:
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Care worker application
Page 7
Part eight – declarations Please read the following statements carefully. If there is
anything you do not understand, please ask before you sign at the bottom of the page.
I, the job applicant named on the front of this form, confirm that the information I have
given in this application is accurate and true to the best of my knowledge. I also
understand and agree that:
The company may make checks to verify the information I have provided;
Providing misleading or false information in this form or at any other time during the
application process may disqualify me from appointment or, if I have already been
appointed, may result in my dismissal;
The personal information I have provided in this form (and any other personal
information that I or my referees may provide) is confidential and will be handled in line
with the Data Protection Act 1998;
 The company will use the personal information I have provided to decide if I am
suitable for the job I have applied for;
Until I am employed, the company will not use my personal information for any
purpose other than monitoring its own recruitment processes and that if the company
does use my personal information for statistical analysis, it will be anonymised;
If my application is unsuccessful, the company will keep only basic information about
me and destroy the rest;
If my application is successful, my personal information will be used for legitimate
purposes in relation to my work (my contract of employment, which I will sign before I
start work, will include further detail on how my information may be used);
The company may process my personal information for the purposes described above
or as otherwise permitted or required by law in line with its registration with the
Information Commissioner;
Any offer of employment will depend on the receipt of satisfactory employment
references and the satisfactory completion of a criminal records disclosure (see part six
above);
I will be liable for the cost of my initial criminal records disclosure but that the company
will bear the cost of any future disclosures that need to be made;
I will be required to complete a pre-employment induction training programme prior to
my starting work with the company;
My attendance on the induction training programme will not indicate any offer (on the
part of the company) or acceptance (on my part) of employment and that the time I
spend on the induction programme will therefore not count as working time for the
purposes of calculating the company’s compliance with National Minimum Wage
regulations;
I will be liable for the cost of my induction training (£85) and any uniform given to me
(£15) if I leave the company’s employment within six months and that this sum may be
deducted from my wages.
Signed Dated ……/……/…………
What happens now?
If you received this form by post, return to us along with your completed Equalities
Monitoring Form. We will be in touch with you to tell you whether you will be invited
to an interview.
If you downloaded the form from the internet, post it to the branch from which you
would like to work (you will find the address on our website), making sure that you also
download and complete the Equalities Monitoring Form. We will be in touch to tell you
whether you will be invited to an interview.
If you completed the form at one of our offices, hand it to the person that gave it to
you, along with your completed Equalities Monitoring Form. It will be explained to you
what will happen next.
Care worker application
Page 8
This page is for office use only
Application form assessed by:
Name Position
On the basis of the completed application form, is the applicant suitable to progress to a
selection interview? Yes  No  If ‘no’, please explain why:
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Please ensure an applicant rejection letter is sent to any unsuccessful candidate.
Successful applicants should be invited to an interview (a letter template is provided for
this purpose).
Signed Dated ……/……/…………
Additional notes:
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