Coaching Application Form

The Coaching Service provides information and individual support to clinical trainees and professionals working within the NHS in patient facing or support roles. This support is free and confidential to doctors and dentists training in London and the South East.

You will be allocated to a suitable coach who will work with you on the issues identified in your application. Should you have any concerns or issues with this allocation please contact: Coaching.PSULondon@nhs.net

Your allocated coach will be in touch within 14 working days to confirm a suitable appointment date.

Your application will be treated in the strictest of confidence.

We recognise that most people approaching the Coaching Service are not in need of an urgent response, but occasionally people who contact us are extremely distressed about their career, and the wider issues affecting it such as health and relationships, and need somebody to respond quickly. If this is your situation, then we would like to draw your attention to the following resources that are available:

Practitioner Health

The Practitioners Health Programme will be available or those who need urgent advice re wider issues around their career. Please note that this is not an emergency service; trainees requiring emergency support should contact their GP, A&E or Urgent Care Centre.

KSS Foundation Trainees

KSS Foundation trainees should access support services via the KSS’s own Professional Support & Wellbeing Service. Please head to https://kss.hee.nhs.uk/kss-foundation/current-doctors-in-training/careers-and-wellbeing-support/ for more information.

It's easy to apply for one to one support: simply complete the Coaching Service application form below:

Title *

First name *

Last name *

Email Address *

Gender *

I self-identify as

Telephone Number *

Professional registration *

Profession *

Other profession

Stage of training *

Other stage

Position/Grade *

Other position/grade

Job title *

Medical or dental specialty? *

Medical

Dental

Specialty *

Other specialty

Ethnicity *

Specify ethnicity if not above

LETB *

Other LETB

Do you consider yourself to have a disability? *

Yes

No

Prefer not to say

Trust *

Other trust

Place of Primary Qualification *

UK

IMG (International Medical Graduate)

What is your current training position? *

In training

In training within 3 months of taking an OOP

Taking an OOP

Returned to training within the last 3 months (potentially as part of a Supported Return to Training Programme (SRTT)

Please indicate your general availability for appointments *

What do you hope to achieve or clarify through accessing one to one coaching? *

Please tell us about your main concerns or reasons for applying to The Coaching Service *

Please provide any other details which may help us when allocating a suitable coach to work with you *

From 2024 our normal process is not to telephone triage one to one Careers and Coaching applications. By ticking the first box below, you agree that the first triage call is not necessary. However if you feel this would be beneficial to you please tick the second box below and you will be sent an appointment time.

I do NOT require a telephone triage call and understand that a coach will be allocated and will contact me directly to arrange a first session

I prefer to have a telephone triage call

Appointment Type *

How did you hear about the Coaching Service? *

Have you accessed or applied to any other services in PSU? *

Consent Type *

If you have been signposted to Careers by another PSU service listed above, please indicate whether you understand and consent that a further triaging conversation can be bypassed, and a coach will be allocated to contact you to arrange the first appointment

Confirmation *

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