67 Urbal Road 
Coagh
BT80 0DP
Tel: 028 867 37243
      Email: practicemanager.Z00404@gp.hscni.net

COAGH MEDICAL CENTRE 

      Job Application Form	

Vacancy Title:		
Please tell us how you heard about this vacancy:		

1.	Personal details	

Last Name:		First Name:		

Address:		

Postcode:		
			
Home Telephone No. 		Daytime Contact No.		

E-mail address:		

National Insurance No.										

Driving Licence 

Do you hold a full, clean driving licence valid in the UK?	Yes		No		

3.   Education/Qualifications	

School (11+) 	Study Dates	Qualification
 and Grade	Date Obtained	
				
College/University	Study Dates	Qualification
 and Grade	Date Obtained	
				
Ongoing Professional Development	Study Dates	Qualification
 and Grade	Date Obtained	

Training and Development	
Please use the space below to give details of any training or non-qualification based development which is relevant to the post and supports your application. 	

Training Course	Course Details 
(including length of course/nature of training) 	

Current Membership of any Professional Body/Organisation	
Please give details: 

	

4.  Employment History	
Previous Employment:  Please include any previous experience (paid or unpaid), starting with the most recent first.	
Current or most recent employer

Name of Employer:		

Address:		

Postcode:	

	

Position Held:		

Date Started:		Leaving Date:		
Reason for Leaving:		

Salary on 
leaving this post:		Contact Name of Line Manager for reference:		

Brief description of duties:	

Previous employer

Name of Employer:		

Address:		

Postcode:	

	

Position Held:		

Date Started:		Leaving Date:		
Reason for leaving:		

Salary on 
leaving this post:		Contact Name of Line Manager for reference		

Brief description of duties:	

Previous employer

Name of Employer:		

Address:		

Postcode:	

	

Position Held:		

Date Started:		Leaving Date:		
Reason for Leaving		

Salary on 
leaving this post:		Contact Name of Line Manager for reference		

Brief description of duties:	

	

Continue on separate sheet if necessary

5.  Information in support of your application	

Skills, abilities and experience
Please use this section to demonstrate why you think you would be suitable for the post by reference to the job description and person specification (and by giving examples and case studies).   Please include all relevant information, whether obtained through formal employment or voluntary/leisure activities. Attach and label any additional sheets used. See guidance sheet for further information.	
	
Continue on a separate sheet if necessary	

6. Reasonable Adjustments/Arrangements for Interview	

Are you subject to any conditions relating to your employment in this country?		YES/NO

If "yes" please use the space below to tell us what these are?

	

If you need us to make any adaptations for your interview to accommodate any disability you may have please tell us what these should be?

	

Have you had any periods of sickness in the last 2 years                                                Yes/No                                                      
If yes, please state reason and length of absence.

If appointed when could you start? Give period of notice if applicable

References	
Please give the detail of two references – see guidance sheet for further information.

Name of Referee and relationship to you:		

Address:		
	
Postcode:	

	
	Email:                                                                              Tel:                                                                      	

Name of Referee and relationship to you:		

Address:		
	
Postcode:	

	

	Email:                                                                              Tel:                                                                       

 Declaration	

Statement to be Signed by the Applicant

Please complete the following declaration and sign it in the appropriate place below. If this declaration is not completed and signed, your application will not be considered.

I agree that Generate can create and maintain computer and paper records of my personal data and that this will be processed and stored in accordance with the Data Protection Act 1998.

I confirm that all the information given by me on this form is correct and accurate and I understand that if any of the information I have provided is later found to be false or misleading, any offer of employment may be withdrawn or employment terminated. 

Signed:		Date:		

COAGH MEDICAL CENTRE 
67 Urbal Road , Coagh, COOKSTOWN. BT80 0DP 

JOB TITLE: RECEPTIONIST
The successful candidate will work as part of a busy team, will be friendly, reliable, confident, have the ability to be flexible in relation to hours of work, have excellent communication skills and be able to maintain confidentiality.
Job Duties 

1.	To deliver an excellent standard of administrative support to   doctors, nurses and practice manager. 
2.	To receive patients and visitors in a polite and friendly manner. 
3.	To work accurately and efficiently at all times. 
4.	To maintain confidentiality at all times. 
5.	To manage patient appointments and deal with associated enquiries. 
6.	To maintain accurate patient records. 
7.	To comply with all record keeping requirements within the surgery.  This to include scanning and READ CODING. 
8.	To deal with prescription requests. 
9.	To deal with incoming and outgoing mail 
10.	To assist with the requisitioning and receipt of stationary 
11.	To provide other administrative support including typing of letters, reports, memos, filing, photocopying and sending faxes. 
12.	To provide cover for other administrative staff within the surgery. 
13.	To comply with existing procedures and protocols. 
14.	To comply with Health and Safety at work legislation. 
15.	To undertake training as required. 

Applicants please note: 
This job description is intended to be an outline of the job as it is currently perceived and may be subject to review in light of the changing needs of the Health Centre.  It is not intended to be rigid or inflexible, but should be regarded as providing guidelines within which the post holder will work.  Other duties of a similar nature and appropriate to the grade may be assigned from time to time. 

WE ARE AN EQUAL OPPORTUNITIES EMPLOYER
ALL STAFF MUST COMPLY WITH THE NO SMOKING POLICY