Self-Employed Clinicians Screening Questions Question Title * 1. Your Full Name Question Title * 2. Your NHS email Question Title * 3. What is your registered profession? GP ACP Nurse Paramedic Pharmacist Other (please specify) Question Title * 4. Who is your regulatory body & registration number Scope of Practice Question Title * 5. Independent prescribing? Yes No Prescribing qualification level Question Title * 6. Competency framework level Question Title * 7. Clinical modules trained in Minor injuries Respiratory Paediatrics Mental health Other (please specify) Urgent Care Experience Question Title * 8. Hours delivering urgent primary care in last 12 months? Question Title * 9. Types of assessment: Face-to-face Home-visiting Remote Other (please specify) Question Title * 10. Familiarity with telephone triage protocols (e.g., NHS Pathways) Clinical Skills & Training Question Title * 11. Advanced life support certification Date Date Question Title * 12. Safeguarding level (adults/children) Question Title * 13. Experience with point-of-care testing (e.g., ECG, blood glucose, CRP) System Competence Question Title * 14. EHR experience Adastra EMIS TPP SystmOne Other (please specify) Question Title * 15. Clinical governance participation Audit Root-cause analysis Other (please specify) Availability & Preferences Question Title * 16. Desired hours/shifts per week and preferred start times Question Title * 17. Willingness to cover evenings/weekends/bank holidays Question Title * 18. Work location flexibility (clinic sites / community hubs / home visits) Done