Do you hold any other public appointments? This includes all non-departmental public bodies (NDPBs), NHS bodies, parole boards and research councils. It does not include sitting as a school governor, being a magistrate or any positions within charities. Significant Political Activity Have you undertaken any significant political activity for a political in the last five years? Significant political activity is defined as being employed by a political party, holding significant office in a party, standing as a candidate for a party in an election, having publicly spoken on behalf of a political party or having made significant donations or loans to a party. Significant loans and donations are those of a size which are reported to the Electoral Commission, in line with a central party’s reporting threshold. If yes, please indicate the parties: Conservative Labour Liberal Democrats Independent Other party (please specify) Other information Declaration of interests and ensuring public confidence Do you have any business or personal interests that might be relevant to the work of the body for which you have applied and which could lead to a real or perceived conflict of interests were you to be appointed? NHS Improvement has a duty to ensure that those we appoint to NHS boards are of good character, have not been associated with any serious misconduct or mismanagement relating to any current or past office or employment, and will ensure an open and honest culture across all levels of the organisation. Is there anything in either your professional or personal history which may affect your suitability for appointment to this post or may cause embarrassment or bring the organisation into disrepute, were you to be appointed? If you answered yes to either question, please give details below. This information will be shared with the selection panel and should you be invited to interview, the selection panel will explore this in the context of performing the role for which you are applying. Failures to disclose such information could result in an appointment being terminated. Please tell us how you found out about this post:
Do you hold any other public appointments? This includes all non-departmental public bodies (NDPBs), NHS bodies, parole boards and research councils. It does not include sitting as a school governor, being a magistrate or any positions within charities. Significant Political Activity Have you undertaken any significant political activity for a political in the last five years? Significant political activity is defined as being employed by a political party, holding significant office in a party, standing as a candidate for a party in an election, having publicly spoken on behalf of a political party or having made significant donations or loans to a party. Significant loans and donations are those of a size which are reported to the Electoral Commission, in line with a central party’s reporting threshold. If yes, please indicate the parties: Conservative Labour Liberal Democrats Independent Other party (please specify) Other information Declaration of interests and ensuring public confidence Do you have any business or personal interests that might be relevant to the work of the body for which you have applied and which could lead to a real or perceived conflict of interests were you to be appointed? NHS Improvement has a duty to ensure that those we appoint to NHS boards are of good character, have not been associated with any serious misconduct or mismanagement relating to any current or past office or employment, and will ensure an open and honest culture across all levels of the organisation. Is there anything in either your professional or personal history which may affect your suitability for appointment to this post or may cause embarrassment or bring the organisation into disrepute, were you to be appointed? If you answered yes to either question, please give details below. This information will be shared with the selection panel and should you be invited to interview, the selection panel will explore this in the context of performing the role for which you are applying. Failures to disclose such information could result in an appointment being terminated. Please tell us how you found out about this post:
Monitoring-Form-S1533.docx