Flexible working time and work pattern policy - NHS Ayrshire and ...

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APPLICATION FOR A CHANGE TO WORKING HOURS/ WORK PATTERNTo be completed by EmployeeFull Name ………………………………………………………………Post Held ………………………………………………………………Location ………………………………………………………………Ward/Dept ………………………………………………………………Appendix 4Application made under the FLEXIBLE/ FLEXI TIME / TERM TIME/ PART TIME/ SCHOOLTIME/COMPRESSED HOURS/ANNUALISED HOURS/ ZERO HOURS/ WORKING AT HOMEPolicy **I wish to make a request for the following change to my working time/pattern:(please give details of request)with effect from ……………. and understand that I will require to discuss how the change inhours will impact on service delivery. I accept that this would necessitate a permanent changeto my contractual terms and conditions of employment.Signed ………………………………………….. Date ……………………...HEAD OF DEPARTMENT/LINE MANAGERApproved/Rejected (delete as appropriate)**I support this application and confirm that this post is suitable for the change of workinghours/pattern requested/compromise agreement reached (please detail)…………………………………………………………………………………………………………………………………………………………………………………………………………………....**I do not support this application. The reason/s for rejection are:……………………………………………………………………………………………………………………………………………………………………………………………………………………Signed ……………………………………………. Date ………………………Job title:…………………………………………… Location:……………………………………..** Delete as applicableDraft August 200832
Draft May 2008 33
Page 7 and 8: Debit or credit up to 8 hours may b
Page 9 and 10: • Larger blocks of family and lei
Page 11 and 12: Reduced hours patterns enable peopl
Page 13 and 14: Information on both patient/service
Page 15 and 16: SECTION 6 - JOB SHARE1. DefinitionJ
Page 17 and 18: and then line manager and must be a
Page 19 and 20: childcare/carer arrangements must r
Page 21 and 22: Prior to agreement being given to T
Page 23 and 24: The individual effect on pay, pensi
Page 25 and 26: STANDARD APPLICATION PROCESSHow to
Page 27 and 28: Professional / Trade Union Represen
Page 29 and 30: TERM TIME AGENDA FOR CHANGE - PART
Page 31: JOB SHARE PROCESS FLOW CHARTAppendi

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