National Performers Lists Application Form Page 31

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5.
A declaration regarding any matter under paragraph (4) is to be in writing, given
within 7 days of its occurrence and is to include
a. the name and registered address of the body corporate;
b. an explanation of the facts giving rise to that matter, including those
concerned, relevant dates and any outcome; and
c.
copies of any relevant documents.
6.
Where it appears to the Board that it may assist its consideration of any
declaration made under paragraph (2) or (4) to do so, the Board may request
further information from—
a. any current or former employer of the Practitioner;
b. any body corporate;
c.
the holder of any list;
d. any regulatory or other body, involved in the matter which is the subject of the
declaration.
7.
Where the Board has made a request under paragraph (6), the Practitioner must
consent to the provision of information in response to that request.
8.
Where the Board reasonably requests it, a Practitioner must supply the Board with
an enhanced criminal record certificate under section 113B of the Police Act 1997
(enhanced criminal record certificates)( a ) which includes suitability information
relating to children and suitability information relating to vulnerable adults under
sections 113BA (suitability information relating to children) and 113BB (suitability
information relating to vulnerable adults) of that Act respectively( b ).
9.
A Practitioner must comply with any undertaking given pursuant to the
Practitioner’s application for inclusion in any performers list, any performers list
held by a Primary Care Trust prior to the transfer date or any list from which the
Practitioner has been transferred pursuant to the Schedules to the National Health
Service (Performers Lists) Amendment Regulations 2005( c ) or the National Health
Service (Performers Lists) Amendment and Transitional Provisions Regulations
2008( d ).
10. A Practitioner must:
a. participate in any appraisal system established by the Board; and
b. if any appraisal under that system is not conducted by the Board, send the
Board a copy of a statement summarising that appraisal.
This is subject to paragraph (11).
NPL1 Application Form v2 final
Page 31 of 32

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