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COVID -19 restrictions

APPLICATION FOR CLINICAL OBSERVERSHIP


BASILDON HOSPITAL MID ESSEX HOSPITAL SOUTHEND HOSPITAL

ALL APPLICATIONS MUST BE MADE AT LEAST SIX WEEKS


PRIOR TO DESIRED STARTING DATE

Please apply to one site only

INFORMATION FOR APPLICANT


Applicants will be required to submit a written application to Laura Ware,
Medical Training Officer (BTUH) / Elaine Spall, Medical Education
Administrator (SUH) / Pam Owers, Medical Education Administrator
(MEHT). Enclosed with the application should be a Curriculum Vitae,
Certificate of Qualification, at least two valid references, verification of
immigration status and police clearance / DBS certificate. IELTS 7.0, or
OET, PLAB 1 certification or Part 1 of membership examination of
relevant colleges or proof of PLAB exemption may be provided if
available as supporting documents.

Departments offering observerships are listed on page 6 for the three


sites. Arrangement for each appointee will be for a four week duration,
dependent upon consultant agreement of placement dates and
availability. Please note we cannot offer placements during the month of
AUGUST.

The maximum total fee for the placement would be £470 if all tests are
required and all applicants need to be in the UK in order to carry out
the following (please check the costs below)

 Police check provided from own country if not in UK.

 Valid UK visa in place in order to attend our Occ health


department for clearance prior to starting the placement

 Health checks, attended in person (bloods, CXR etc) (max fee


£240) depending on each individual, will be paid directly to MSE
Occupational Health department. You will need to complete their
online application form, which will be sent to you, if successful.
Due to large number of applicants at present the wait for an
appointment is 4-6 weeks.

 A sum of £230 for your placement will be paid to the Education


Department. This includes the fee of £20 for your ID badge and

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the badge should be returned at the end of your placement. There
also includes a fee of £30 for scrubs/PPE which must be worn at
all times when there are COVID -19 or other medical restrictions.

 Please note there is a fee for car parking on site if you choose to
use a car for attending this placement. Any costs are at your own
expense.

 If agreement from speciality consultant of dates offered is


accepted, written offer will then be sent to the applicant. Please
note that they may already be a doctor arranged in your speciality
for the month you wish to start. We will endeavour to arrange your
placement as soon as we are able.You may only start your
placement once you have health clearance certificate through.

The written offer of the clinical observership will be sent to the successful
applicant together with a copy of the Trust Clinical Observership Policy ,
which the applicant must read prior to accepting an official offer, please
note that Trust accommodation will not normally be available. The
applicant will be asked to confirm acceptance in writing.

Upon receipt of written acceptance of the clinical observership


administrative staff will ensure that prior to the clinical observership
taking place, appropriate Occupational Health process has been
completed by the MSE Trust and the applicant is well aware this is an
observation placement ONLY.

There will also be an induction and exit meeting for each applicant with
their agreed consultant where an assessment form will need to be
completed and agreed. This will act as evidence of placement.

If you wish to apply for an observership and you can meet all the criteria
required, please complete the application form and send with all
photocopied evidence to one site only:

Laura Ware
Medical Training Officer BTUH
Tel: 01268 524900 extn 8501
Email: www.laura.ware@btuh.nhs.uk

Elaine Spall
Medical Education Administrator SUH
Tel: 01702 385084
Email: Elaine.spall@southend.nhs.uk / e.spall@nhs.net

Pam Owers
Medical Education Administrator MEHT
Tel: 01245 512468
Email: Pam.Owers@meht.nhs.uk

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APPLICATION FORM FOR CLINICAL OBSERVERSHIP
PLEASE COMPLETE IN BLACK INK AND RETURN VIA EMAIL TO ONE SITE ONLY:
LAURA WARE, (Basildon Hospital): Laura.ware@btuh.nhs.uk
ELAINE SPALL (Southend Hospital): Elaine.spall@southend.nhs.uk / e.spall@nhs.net
PAM OWERS (Mid Essex Hospital): Pam.Owers@meht.nhs.uk

PERSONAL DETAILS
Surname: Forenames:

M/F
Home Address: Home Telephone/Mobile No:

Email Address:

Address for Correspondence:

IMMIGRATION STATUS Yes 


Indefinite Leave to Remain in UK No 

Valid UK Visa Yes 


No 

FIRST VISIT TO UK (even as a tourist) Yes 


Please note any COVID restrictions from your country No 

Country of Residency

GMC Registration Number (if


available)

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Type of Registration

Please give date and result if you


have taken (if available)
…………………………………………….……..
Plab 1
……………………………………………………
Plab 2
……………………………………………………
IELTS 7.0 or OET

PROFESSIONAL QUALIFICATION

Qualification

Medical School

Date Qualified

OBSERVERSHIP

Give your reason/s why you


wish to apply for this
observership

Hospital site preferred 1. Basildon Hospital


2. Mid Essex Hospital
3. Southend Hospital
Speciality Preferred 1.
(if available) 2.
3.

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Start Date Preferred
(Clearance pending allow 6
weeks)
When you intend to be in the
UK (completion of a Health
check by our Trust is required)

PLEASE ENCLOSE COPIES OF THE FOLLOWING WITH YOUR APPLICATION:

1. CV 
2. Certificate of Qualification 
3. Reference 1 
4. Reference 2 
5. Immigration Status 
6. IELTS 7.0 
7. PLAB 1 
8. PLAB 2 
9. PLAB exemption 
10. Own country police check (Translated ) 

Declaration of Criminal Convictions

Have you ever been convicted of a Yes 


criminal offence or received a caution, No 
reprimand or warning

DECLARATION

The information you provide to us may be stored on a computer and used


for the purposes of personnel administration. It will be treated as strictly
confidential and will not be disclosed to any unauthorised person.
I have read and understood the guidelines and conditions explained in the Trust
Clinical Observership Policy.

I declare that the information given on this application form is to the best of my
knowledge, and correct.

Name…………………………………………Signature……………………………

Date:…………………………………………FOR OFFICE USE ONLY:


Date Received: Date Acknowledged: Application No:

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Observerships are available in the following departments
across the three MSE sites:
Basildon Hospital:
1. Acute medical Unit
2. Anaesthetics
3. Cardiology
4. Gastroenterology
5. Medicine for older people
6. Orthopaedics
7. Paediatrics
8. Radiology
9. Respiratory medicine
10. Surgery
11. Urology

Southend Hospital
1. Acute Medicine
2. Medicine for the Elderly
3. Obstetrics and Gynaecology
4. Ophthalmology
5. Paediatrics
6. Radiology
7. Respiratory Medicine
8. Stroke
9. Surgery
10. Emergency Medicine
11. Cardiology

Mid Essex Hospital


1. Dermatology
2. Anaesthesia
3. Stroke
4. Acute Med
5. AMU
6. Obstetrics & Gynaecology
7. Emergency medicine
8. Rheumatology
9. General Surgery
10. Plastic Surgery
11. Paediatrics

Revised April 2021

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