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Centre for Teacher Education

Occupational Health Assessment Form

For CTE trainees undertaking PGCE (all routes)

Your answers to this questionnaire will be confidential to Occupational Health and the CTE admissions Team and the department.

The purpose of this assessment is to help determine if you have any health problems, disabilities or learning differences which may affect your capability to fulfil the criteria required for teaching and teacher training. It involves consideration of the potential for duties to affect any existing health condition or disability you may have as well as such conditions on your ability to undertake teacher training and teaching duties safely and effectively.

Initial Teacher Training (ITT) providers have a responsibility to ensure that trainees have the health and physical capacity to teach and will not put children and young people at risk of harm. The activities that a teacher must be able to perform are set out in the Education (Health Standards) (England) Regulations 2003.

Before health clearance is given you may be contacted by Occupational Health for further information on your condition or disability and you may need to be seen by an Occupational Health Advisor and/or Physician.

For the majority of students, a simple Fit statement will be provided to the CTE team. Where a more detailed assessment has been completed by Occupational Health, in addition to the fitness statement, Occupational Health will write a report which will be sent with your consent to relevant CTE tutors. The report will provide where appropriate any recommendations, adjustments or assistance Occupational Health advise to enable you to meet the criteria for teaching and teacher training.

Please ensure you disclose any and all conditions on this form, to allow us time to put into place any required reasonable adjustments where appropriate.

Failure to disclose any conditions may have implications on your placement if the need for adjustment becomes apparent after the admissions process.

Gender (required)

The Equality Act (2010) makes it unlawful to knowingly discriminate against disabled persons in connection with employment. A person has a disability for the purposes of the law if they have a physical or mental impairment which has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities.

 

This includes ‘hidden’ disabilities such as Diabetes and Epilepsy which may be well controlled on treatment and therefore symptomless, but if left untreated would have a substantial and long-term adverse effect. It also includes progressive illnesses such as Cancer, HIV and Multiple Sclerosis, from the day of diagnosis onwards.

A "disabled person" means a person who has a disability as defined above. Long term means 12 months or more.

In order to meet its legal obligations, the Centre need to know if you consider yourself to have a disability.

1. Do you have a disability as defined above? (required)
2. Do you have a disability as defined by the Equality Act (2010) (for example, Specific Learning Differences, mental health disabilities, physical or sensory conditions, mental health or neurodevelopmental) which may affect your ability to undertake any aspect of the course, including the role of the teacher? (required)
3. Have you ever had any health condition or disability which may have been caused or made worse by work and could affect your ability to undertake any aspect of the course, including the role of the teacher? (required)
4. Are you having, or waiting for, treatment (including medication) or investigations at present which could affect your ability to undertake any aspect of the course, including the role of the teacher? (required)
5. Do you think you may need any adjustments or assistance to help you to undertake your studies and teaching duties safely and effectively? (required)

The Disability Team in Wellbeing Support Services offers support and advice on disability. The University encourages all applicants to declare any disability or learning difference and to contact the Disability team and their Department as soon as possible to discuss their support requirements during their studies. The Disability team can be contacted through the wellbeing portal or on 024 7657 5570.

DECLARATION (required)
 

Availability for further consultation with the Occupational Health Team

(Please complete the below if you have answered YES to any of the questions above)
If you have answered YES to any of the above questions, you will be required to undertake further consultation with the OH Team. The OH Team work Monday to Friday between the hours of 8am and 6pm. Please indicate below the best suitable weekday for contact.

NOTE: Occupational Health will use the email address you use to submit the health form to contact you if necessary so please use an email address which is confidential to you.

 

If you do not have access to a personal email, please print and return your completed form (you can download a copy at the bottom of the page) to the address below and make sure you include a telephone number so Occupational Health can contact you if necessary. You should also confirm to cte.admission@warwick.ac.uk that you have returned this form by post as soon as you have submitted a hard copy form.

 

Occupational Health
University Safety & Occupational Health Services,
Westwood House,
Westwood,
The University of Warwick,
Coventry
CV4 7AL

Privacy notice

Your answers to this questionnaire will be confidential to Occupational Health and the CTE admissions Team and the department Senior Tutor.

The details within this form will be used to help determine if you have any health problems, disabilities or learning differences which may affect your capability to fulfil the criteria required for teaching and teacher training. It involves consideration of the potential for duties to affect any existing health condition or disability you may have as well as such conditions on your ability to undertake teacher training and teaching duties safely and effectively.

The Occupational Health Practitioner is both Data Controller and Data Processor and committed to protecting the rights of the individual, acknowledging that any personal data handled will be processed in accordance with the Data Protection Act 1998 (DPA) and the new General Data Protection Regulations (GDPR) 2018.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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