COVID-19 Placement Request Form |
PLEASE NOTE THIS SURVEY IS NOT MONITORED AS OF 20th JANUARY 2022
Thank you for your offer of help to support Trust caring for patient with COVOD-19 (Coronavirus) during the NHS Level 4 incident. There are many opportunities for you to help the NHS respond to the COVID-19. By completing the form below it will help the Trust to match you to a role based on your knowledge and skills.
Staff who have regular and routine contact with patients must receive their first vaccine by 3 February 2022, unless an exemption applies, to be able to work in the hospitals.
Once this questionnaire has has been completed and returned a member of the COVID-19 external placement team will respond within 72 hours.
Please note as a protective measure, if you meet any of the following criteria, we will be unable to deploy you in our hospitals due to an increased level of risk to your health:
·You are aged over 70+
·You are considered to be extremely vulnerable:
·Solid organ transplant recipients
·People with specific cancers:
·people with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer
·people with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
·people having immunotherapy or other continuing antibody treatments for cancer
· people having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
·people who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs
·People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD.
· People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell).
· People on immunosuppression therapies sufficient to significantly increase risk of infection.
· Women who are pregnant with significant heart disease, congenital or acquired.
Please note as a protective measure, if you meet any of the following criteria, we will be unable to deploy you in our hospitals due to an increased level of risk to your health:
·You are aged over 70+
·You are considered to be extremely vulnerable:
·Solid organ transplant recipients
·People with specific cancers:
·people with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer
·people with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
·people having immunotherapy or other continuing antibody treatments for cancer
· people having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
·people who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs
·People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD.
· People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell).
· People on immunosuppression therapies sufficient to significantly increase risk of infection.
· Women who are pregnant with significant heart disease, congenital or acquired.