Executive Director Pathway Application Form – Application Form for NHS Leadership Academy's Executive Director Pathway programme

Applicant ID
Privacy Agreement
Any information you provide in completing this application will be stored and processed in accordance with our Data Privacy Policy which you are required to read and accept before completing your application.
Please check the box below to accept our Data Privacy Policy*
I confirm I have read and accept the Academy’s Data Privacy Policy

Terms and Conditions*
I agree to the Terms and Conditions
Please can you review the Terms and Conditions below as part of the application process, please read and agree to the conditions below before submitting your application. EDP is a scheme which is 12 – 24 months long which will require a lot of dedicated time, you will be required to give meaningful contribution in group activities as well as completion of modules so attendance to sessions is a crucial part of your learning. Attendance will be monitored closely so that we can ensure that participants’ levels of engagement maintain throughout the duration of the scheme, to ensure possible best outcomes of our participants.

The applicant confirms to have read, and agree to, the terms and conditions of this document.

The applicant confirms that:

1.1 I confirm that all the information provided in the application form is up-to-date and accurate.

1.2 I have full support in place from my Nominated Senior Leader, for me to commit to all aspects of learning, for the full duration of the EDP.

1.3 I will ensure that I keep the Talent Pipeline team informed of any changes in my information, to ensure accuracy.

1.4 I understand I am applying for the EDP which is a new NHS development offer. I will ensure I provide feedback and participate in evaluation when requested to do so, which includes after I finish the EDP.

1.5 I understand any information I provide in completing this application will be stored and processed in accordance with NHS England Data Privacy Policy, which I am required to read and accept before completing my application.

1.6 I understand my information will be used for reporting purposes as part of NHS England work.

1.7 I understand there may be audio recording, filming and photography of me taken whilst on the EDP. I agree that NHS England may use photographs, film, audio and video recordings of me made during the EDP to showcase the EDP including promoting it in the NHS, to Central Government, and to the public via the NHS England and NHS Improvement’s website or other media.

1.8 I explicitly consent to the data and information sharing as outlined in sections 1.5–1.7.

1.9 I understand that I can opt out of any aspect of the data and information sharing as outlined in sections 1.5–1.7 at any time by writing to [email protected] that I wish this information to be withheld.

1.10 I understand that, if I opt out of any data and information sharing as outlined in section 1.8–1.10, I may not be able to be offered the optimal development opportunities the EDP aims to provide, and may not be able to complete the stages required for assessment onto the EDP.

1.11 I will ensure I access any online components of the EDP, e.g., engaging with a virtual community of EDP participants. I will make NHS England aware of any accessibility issues I have in this regard, so that appropriate support can be found before the EDP starts.

Attendance requirements –
1.12 It is a condition of acceptance onto the EDP scheme that:

You attend/complete 100% of:
Uni professional modules & commit to being present in the half day session
Compulsory multi-professional modules whether virtual or in person.
The selected virtual campus multi-professional modules that are part of your unique learning agenda
Attend the quarterly Pathway Groups
Pathway Guidance sessions (Coaching/Mentoring).

1.13 If in exceptional circumstances, you are unable to attend, you must confirm your reasons to the EDP team and to your Pathway Group Facilitator/Pathway Guide.

1.14 Only in exceptional circumstances will authorisation for non-attendance be granted. Such circumstances would be so exceptional that they would bring someone back from an overseas holiday (a busy workload, important meeting, or job change would not qualify).

1.15 If, under special circumstances, such as long term illness or accident, you are unable to continue the scheme or require to withdraw temporarily from a number of planned modules or groups, you can make a case to the EDP Senior Manager for you to be included in a future cohort or special arrangements to be made. Such requests will be dealt with on a case by case basis.

1.16 If participants fail to attend modules without informing the EDP team (DNA) on more than one occasion this will be communicated to the participant’s Executive Sponsor and Pathway Guide. Support will be given to the individual to understand what the barriers are to attendance and how this can be overcome.

1.17 Any travel needs must be arranged around the stated start and finish times of both workshops and learning sets and you should not seek permission to leave early or arrive late on any days.

Contact Details
Name:*
First Last
Email address:*

Your primary professional work email address
Preferred Phone number:*
Current Role:*
How would you professionally categorise your current role?*
Please specify*
How would you professionally categorise your aspirant role?*
Please specify*
Pay Band or Salary Equivalent:*
Please enter your current pay band:*
Organisation Name:*
Please specify the region in which your organisation is in?*
Are you one of the Nye Bevan Alumni?*
If yes, please list your exit date from the Nye Bevan programme:*
MM slash DD slash YYYY

Equality & Diversity
We hold the principles of equality and inclusion at the heart of everything we do and all that we stand for. Each programme is held to account for its inclusion practice through a review of anonymised statistics based on this data. Your equality and diversity data is not used to determine the success of your application. This data is stored securely in compliance with the General Data Protection Regulation (GDPR) 2016.
Please select an age group*
Which of the following best describes your gender?*
Other Gender:
Are you now or have you ever defined yourself as Trans?*
Which of the following best describes your sexual orientation?*
Other Sexual Orientation:
Do you consider yourself to have a disability?*
Many people do not consider themselves to be disabled. However under the Disability Discrimination Act 1995 and the Equality Act 2010, you are protected from discrimination if you have a physical or mental impairment or long term health condition, the effects are expected to last – or have lasted – for a year or longer and have a substantial impact on your ability to carry out day to day activities; or your day to day activities would be limited without medication, treatment or adjustments (for example the use of inhalers, physiotherapy, a hearing or visual aid or insulin). Taking this into account, do you consider yourself to have a disability?
Which of the following best describes your ethnic background?*
Other Ethnic Group:
Which of the following best describes your religion or belief system?*
Other Belief System:

Career History
Please upload your CV which details your career history, please restrict this to no more than 2 pages.
Max. file size: 98 MB.
How soon do you feel you'll be ready to apply for a Director role?*

Assessment of Board Level Competencies
Can you please tell us more about any career conversation before you applied?
For some of you, your manager may be part of a national pilot for a particular career conversation approach called Scope for Growth and if so, we suggest taking up this opportunity. If your manager is not part of the pilot, we encourage you to hold a career conversation using your organisation’s existing approach. The type of conversation you have does not affect how your application will be considered
Have you had a formal career development conversation in the last 12 months?*
Please read and complete the Self Assessment – you will only submit part of this with the application in the questions below regarding what your strengths are, aligned to the competencies, and what your areas of development are. EDP is designed to support you with your identified areas for development whilst strengthening what you are already achieving.
Have you read and completed the self assessment which contains the competencies and behaviours required for aspiring Executive Directors before applying?*
Strategy Development – do you see this as being a strength or an area where you require development?*
Person centred culture – do you see this as being an area of strength or an area where you require development?*
Governance and holding to account – do you see this as being an area of strength or an area where you require development?*
Focus on outcomes – do you see this as being an area of strength or an area where you require development?*
System collaboration – do you see this as being an area of strength or an area where you require development?*
Social justice – do you see this as being an area of strength or an area where you require development?*
Thinking back to your self-assessment, please explain your motivation to become an Executive Director and the steps that you may have already taken to develop to the next level. You may use bullet points if useful. (Maximum 300 words)*
Let's imagine you have been employed as an Executive Director – what would your priorities be in the first 100 days?. (Maximum 300 words)*

Nominated Senior Leader Details
To enter the Executive Director Pathway, participants must have Board level sponsorship. This is required, firstly as you will need their agreement and full support to attend all of the compulsory learning modules within the EDP, and secondly you will need agreement for any experiential placement you undertake as part of the EDP scheme. The EDP offers the opportunity of an experiential placement for up to 12 months, which may require a temporary vacation of participant’s existing role (this may be either part or full time). However is most participants will undertake a discreet, shorter term project in their own organisation. Your experiential placement which will be aligned to your development needs and agreed with your Pathway Guide and your Nominated Senior Leader once you join the scheme. Your Nominated Senior Leader from your organisation will be a Board director, governing body director or the equivalent in an Arm’s Length Body and someone who is able to provide evidence on your behalf later in this process. This does not need to be your direct line manager. Please provide details below.
Name:*
First Last
Role:*
Organisation Name:*
Please specify the region thier organisation is in?*
Email Address:*
Phone Number:*
Relationship to you:*

EDP Application Form

Step 1 of 8

Privacy Agreement

Contact Details

Equality & Diversity

Assessment of Board Level Competencies

Nominated Senior Leader Details