Dr Jefferies and Partners

Significant Event Analysis form - SEA

Significant event analysis can be used to show quality improvement in the 'safety' key question of CQC GP inspections.

SEA uses case analysis to encourage the whole healthcare team involved in a case or incident to have a supportive discussion. The aim is to use this as a process to allow reflection and learning from the incident and so improve care.

Examples of significant events can be very wide-ranging and can reflect good as well as poor practice. Examples could include:

new cancer diagnoses.
coping with a staffing crisis.
complaints or compliments received by the practice.
breaches of confidentiality.
a sudden unexpected death or hospitalisation.
an unsent referral letter.
prescribing error.

Scroll to Top

Study leave form

Once you have submitted your study leave it will go to your Line Manager and Rita Bright for sign off before approval is given.

Study Leave Form

You are entitled to one-week study leave (one working week) per annum, e.g. if you work 30 hours per week, you are entitled to 30 hours’ study leave per annum.

If the course is more than one day you will need to submit a study leave request for each day.

Once the study leave is approved, the practice will book and pay the fee of the course.

Please ensure that you include the link to the course in the description so that it can be booked once approved.

First Name*

Last Name*

Date of request*

Number of hours needed*

Study Date*

Please complete to make payment

Course start time:*

Course end time:*

Course cost:*

Course title / training description*

Please upload a screenshot of the course - up to 500KB*

Scroll to Top

Time off for medical appointments form

Once you have submitted your time off form it will be signed off by your Line Manager and HR and put on the HR Toolkit if approved.

Please follow the guidelines found in the Staff Handbook regarding time off for Medical Appointments

Medical Appointments

Please complete to make payment

Doctors Dentist Hospital

First Name*

Last Name*

Date of request*

Date of appointment*

Leaving work at*

Time of appointment*

Returning at (if applicable)

Please upload a screenshot of your appointment - up to 500KB

Scroll to Top

Overtime & TOIL

Once you have submitted your overtime form it will be authorised by your Line Manager before going to payroll.

Please follow the guidelines found in the Staff Handbook regarding overtime and TOIL.

Overtime/TOIL Schedule

Please complete to make payment

Please select your workgroup* Admin HCA Clinicians Managers

First Name*

Last Name*

Date Submitted*

For the month of*

Date* Start time* End time* Hours* Reason*

Total Hours*

Do you want to be paid or take it as TOIL (you may claim up to 1 week of your working hours per year) TOIL Paid

Scroll to Top

Hours

Contact

Location

Latest Messages

For internal use only

SEA Form

Study Leave Form

Medical Appointments

Overtime/TOIL Schedule