Service Mapping Tool

SECTION A

SERVICE DIRECTORY
UNIT TITLE
ADDRESS

 

 

POST CODE  
TELEPHONE NO.  
FAX NO.  
OPENING HOURS  
DESCRIPTION  
TARGET GROUP  
TYPE OF UNIT  
FUNDING SOURCE  
CONTACT PERSON  
POSITION  
E-MAIL ADDRESS  
SERVICE MAPPING INFORMATION COLLECTION SHEET

 

SECTION B: Establishment Details

HOW MANY STAFF ARE EMPLOYED IN YOUR UNIT?

Surname & Given Name Title Date of Birth Ethnicity Code Disabled
Y/N
Job title F/Time or P/Time Scale Grade
                 
                 
                 
                 
                 
Staff Personal and Post Details


SECTION B: Qualifications

PROFESSIONAL  NVQ OTHER PRIORITY TRAINING NEEDS
       
       
       

Section C: Vacancy Factor

LEAVERS:

Number of Leavers in the past year

REASONS FOR LEAVING

Reason for leaving Retirement New Post Ill Health Transfer Secondment Other
Number of leavers            

VACANCY FACTOR

Post Description Grade How long has the post been vacant?
     
     
     

 

SECTION D: ETHINICITY OF COHORT AS A WHOLE

WHITE   NUMBER
British A  
Irish B  
European C  
Any other white background D  

 

MIXED   NUMBER
White and Black Caribbean D  
White and Black African E  
White Asian F  
Any other mixed background C  

 

ASIAN OR ASIAN BRITISH   NUMBER
Indian H  
Pakistani I  
Bangladeshi J  
Any other Asian background K  

 

BLACK OR BLACK BRITISH   NUMBER
Caribbean L  
African M  
Any other black background N  

 

OTHER ETHNIC GROUP   NUMBER
Chinese O  
Any Other Ethnic background P  

 

Not Stated Q  
Preferred Culture R