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Work with us

Leaver's questionnaire

The information submitted on this form is strictly confidential.

Section 1. Personal Details

Full name (optional)

Job title




Line Manager

Date of leaving (dd/mm/yyyy)*

Length of service in final post

Overall length of service

Section 2. Reason for leaving

What is the main reason for leaving


If you are going to a new job can you provide more detail on the reason given above?

If your new job has better benefits and we provided comparable benefits would this have encouraged you to stay with the Trust?

Section 3. Overall job satisfaction

The following questions relate solely to your experience in your most recent job

What aspects of the job were most rewarding and why? (e.g. colleagues, environment, patient contact)

What aspects of the job were least rewarding and why?

Are there any aspects of this job which you would change to enable your role to be more effective? (Please identify why)

Did you feel supported in your role? (Please expand on your answer)

Overall, did you enjoy your job?*

How would you describe your working relationship with your manager?*

How would you describe your working relationships with your colleagues?*

Please use this space to expand on the previous two questions if needed

Are there any changes you could suggest that would benefit the above working relationships?

Considering overall satisfaction with any job, what in your opinion are the three most important issues? (Please list in priority order)




Section 4. Employment with the Trust

The following questions relate to your overall experiences and opinions of the Trust as an employer

What were the positive aspects of your employment with the Trust?

What were the negative aspects of your employment with the Trust?

What could have been done to improve your experience of working for the Trust:

By your colleagues?

By your line manager?

By your director, head of service or senior manager?

By the Trust?

What did you think of the staff benefits offered by the Trust?

Overall, did you enjoy working for the Trust?*

Would you consider re-employment with the Trust in the future? (Please select the likelihood with 0 being 'very unlikely' and 10 being 'very likely'

Section 5. Further comments

Would you like to discuss your answers personally with a representative from the Human Resources department?*

If yes, please provide a phone number or email address we can contact you on

May we share the information on this questionnaire with your line manager?*

Please add any further comments which have not been covered in this questionnaire

Email 2*:

* required fields





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Visiting cancelled

Due to the increasing number of cases of coronavirus across the UK, York Teaching Hospital NHS Foundation Trust has made the decision to cancel all visiting to all its hospital sites in order to ensure the safety of patients and staff.

There are three exemptions to the ruling which are for one parent of a sick child under 18, for the partner of a woman giving birth and end of life patients at the discretion of the ward sister.

We would ask people to respect this decision and to treat our staff, who will be enforcing the visiting restrictions, with courtesy and respect.  For more information visit our website.

Outpatient appointments

We know that NHS services will come under intense pressure as the coronavirus spreads, and as a Trust we need to redirect staff, free up staff for refresher training and carry out any works as necessary, so we are able to maximise capacity for patients for when the number of infections peak.  We also need to reduce the number of people coming into our hospitals to protect our patients, as well as keeping our staff safe, well and able to come into work.

To do this, with effect from Tuesday 24 March 2020, along with other trusts in the Humber Coast and Vale partnerships, we have made the collective decision to suspend all non-urgent routine outpatient appointments for at least three months.  Urgent and emergency cases and cancer appointments will be carrying on as normal.

These are unprecedented times and we thank you for your understanding.  We know many people waiting for treatment will be disappointed or worried but please not contact the hospital as we will be contacting everyone directly affected in the coming days and weeks.

If you do not receive a letter or a phone call from the hospital, please turn up for your scheduled appointment as normal unless you have symptoms of coronavirus, a cold, flu or norovirus in which case you should contact us to cancel your appointment by clicking here.

Coronavirus (COVID-19)

If you have symptoms associated with coronavirus including a new continuous cough and a high temperature, you are advised to stay at home for 7 days.

Please do not book a GP appointment or attend your GP practice.

If you live with other people, they should stay at home for at least 14 days, to avoid spreading the infection outside the home.  After 14 days, anyone you live with who does not have symptoms can return to their normal routine.

But, if anyone in your home gets symptoms, they should stay at home for 7 days from the day their symptoms start. Even if it means they're at home for longer than 14 days. The most up-to-date public guidance is always online at

If your symptoms are serious, or get worse, NHS 111 has an online coronavirus service that can tell you if you need further medical help and advise you what to do.  Only call 111 direct if you are advised to do so by the online service or you cannot go online.