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NHS Employment and Professional Infrastructure Workbook

HTML edition updated 9 September 2026. This is an educational planning aid, not an official application form or individual advice.

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SAS DOCTORS REVIEW / NAVIGATING THE NHS

PRACTICAL WORKBOOK 04 | CHAPTER 7

NHS Employment and Professional Infrastructure Workbook

Create one auditable record of the contract, work pattern, pay, appraisal, responsible officer and development arrangements.

How to use it

Use one section at a time alongside the relevant online chapter and the current official source. Write only what is needed for your decision, then add an owner and review date to every unresolved action.

Confidentiality and limits

Do not enter patient-identifiable information, private colleague information, passwords, passport numbers or documents you are not authorised to share. This workbook is independent educational guidance, not individual immigration, employment, legal, regulatory, tax, pension or clinical advice.

A controlled working method

Separate verified facts from assumptions. Date every figure or rule copied from a live source. Keep the exact advert, policy, contract or form on which a decision depends. When circumstances are complex, use the worksheet to prepare questions for an appropriately qualified adviser rather than trying to make the workbook provide the advice.

  • Fact: supported by a current document or a named person with authority.

  • Assumption: plausible but not yet verified; record the check required.

  • Decision: state who owns it, the evidence considered and the review date.

  • Action: name the person responsible and a realistic deadline.

  • Reflection: keep it proportionate, factual and confidential.

Master action log

ACTION, OWNER, DATE AND OUTCOME

Priority decision or unresolved question

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Evidence or source to check

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Person responsible and target date

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Outcome and next review

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WORKSHEET 01

Document reconciliation

Complete this from current evidence. If an entry relies on memory or informal advice, mark it for verification before acting.

DOCUMENT RECONCILIATION

Advert and offer

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Contract and job description

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Rota, work schedule or job plan

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Difference to resolve in writing

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WORKSHEET 02

First payslip audit

Complete this from current evidence. If an entry relies on memory or informal advice, mark it for verification before acting.

FIRST PAYSLIP AUDIT

Employer and assignment details

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Basic pay, enhancements and deductions

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Tax code and pension entry

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Question, contact and correction outcome

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WORKSHEET 03

Working-time and leave record

Complete this from current evidence. If an entry relies on memory or informal advice, mark it for verification before acting.

WORKING-TIME AND LEAVE RECORD

Actual hours and rest

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Exception or variance route

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Annual, study and other leave

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Local policy or contact

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WORKSHEET 04

Professional infrastructure

Complete this from current evidence. If an entry relies on memory or informal advice, mark it for verification before acting.

PROFESSIONAL INFRASTRUCTURE

Designated body and responsible officer

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Appraiser and appraisal month

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Portfolio and evidence system

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Indemnity or defence arrangements

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WORKSHEET 05

Development agreement

Complete this from current evidence. If an entry relies on memory or informal advice, mark it for verification before acting.

DEVELOPMENT AGREEMENT

Current scope and goals

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Supporting professional or development time

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Course, supervision or experience needed

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Review date and measurable outcome

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Final review and next conversation

Summarise the decision you are trying to make, the evidence already verified and the few questions that remain. Take this summary-not an uncontrolled collection of personal documents-to the relevant supervisor, employer team, regulator, union, defence organisation or adviser.

ONE-PAGE DECISION SUMMARY

Decision and desired safe outcome

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Verified facts and source dates

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Main risk or uncertainty

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Questions for the appropriate adviser

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Next action, owner and review date

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Core current sources

GMC registration applications

NHS Employers medical workforce

Health and Care Worker visa

GMC Good medical practice

Reviewed 7 September 2026. Always re-check the live source before a significant decision.