THIS FORM MUST BE COMPLETED IN ACCORDANCE WITH THE RECRUITMENT AND SELECTION CODE OF PRACTICE 
 
LEEDS CITY COUNCIL  
 
 
EMPLOYEE SPECIFICATION / SHORTLISTING / 
DEPARTMENT OF SOCIAL SERVICES 
INTERVIEW ASSESSMENT FORM 
Post Designation: SOCIAL WORKER (Child Health & 
Post Ref: FC1001 
Grade: SW 
Substantive 
Disability Team)  
Applicants Name:    
 
  Immigration Documentation  
Certificate of Qualification (if applicable) 
Checked:  YES / NO 
Checked:  YES / NO 
Comments: 
Comments: 
 
SELECTION CRITERIA 
SHORTLISTING ASSESSMENT 
INTERVIEW ASSESSMENT & COMMENTS 
 
 
 
To be detailed under each heading as appropriate, 
From the criteria which can be assessed from the 
A = Fully meets specification with no doubts 
identified as Essential or Desirable.  The method(s) of 
application form and/or pre-selection tests, you should 
B = Matches specification fairly well with                        
assessment should be indicated, e.g. interview / 
indicate whether the candidate meets the criteria. 
weaknesses in a few aspects. 
application form, test. 
 
C = Matches specification in some respects but some 
* M of A = Method of Assessment 
important weaknesses. 
D = Does not meet specification. 
SELECTION CRITERIA 
ESS 
DES 
M OF A 
MEETS CRITERIA 
COMMENTS 
A - D 
  
 
 
YES 
NO 
 
RATING 
SKILLS 
 
 
 
 
 
 
 
 
 
 
Ability to use a range of social work interventions 
   E 
 
 
 
 
Ability to pass information effectively, accurately   
 
and concisely between service users, carers,    E 
 
colleagues and other agencies. 
 
 
 
 
 
Ability to develop, implement and co-ordinate care     E 
 
plans. 
 
 
 
Ability to co-ordinate routine meetings. 
   E 
 
 
 
 
Ability to develop constructive working 
   E 
 
relationships with other services and agencies and to   
 
work as a member of a team. 
 
 
 
    
 
Ability to plan, evaluate and prioritise work with     E 
 
users. 
 
 

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Ability to determine the needs of and work with    E 
 
individuals and groups, including children   
 
and families. 
 
 
 
Ability to maintain accurate  records, assessment   
 
reports and follow administrative procedures 
  E 
 
 
 
 
Ability to travel throughout the Leeds City  
 
Council Area 
  E 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
SELECTION CRITERIA 
 
DES 
M OF A 
MEETS CRITERIA 
COMMENTS 
A - D 
  
 
 
YES 
NO 
 
RATING 
EXPERIENCE 
 
 
 
 
 
 
 
 
 
 
Of direct social care work. 
  E 
 
 
Of working with other agencies. 
 
 
 
  E 
 
Of delivering services in the community. 
  E 
 
 
 
 
Of using supervision effectively 
  E 
 
 
   
 
Child protection work 
   
  D 
 
   
 
Of undertaking assessments and formulating care 
   
  D 
plans. 
 
 
 
Of working with a range of user groups. 
  D 
 
 
 
 
   
Of using social work skills in a creative and 
  D 

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flexible manner. 
 
 
 
 
 
 
 
 
SELECTION CRITERIA 
ESS 
DES 
M OF A 
MEETS CRITERIA 
COMMENTS 
A - D 
  
 
 
YES 
NO 
 
RATING 
KNOWLEDGE 
 
 
 
 
 
 
 
 
 
 
CQSW / DipSw, or equivalent 
  E 
 
 
 
Approved Social Worker status, or willingness to 
  E 
 
undertake appropriate training if required. 
 
 
 
 
 
Of relevant legislation, including Children Act & 
  E 
 
Community care Act. 
 
 
 
 
Understanding of the role of other agencies / 
 
 
professionals. 
  E 
 
 
 
Of recent developments in practice. 
  E 
 
 
 
 
Of the needs of service users from a wide range of    E 
 
backgrounds. 
 
 
 
 
Knowledge of recent developments in social work 
 
  D 
practice. 
 
 
 
Knowledge of Departmental policies and 
  D 
procedures. 
 
 
Knowledge of the range of services available to 
 
users and carers. 
  D 
 
 
Of Hospital based Social Work practice. 
  D 
 
 
 
 
 
 
 
SELECTION CRITERIA 
ESS 
DES 
M OF A 
MEETS CRITERIA 
COMMENTS 
A - D 

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YES 
NO 
 
RATING 
BEHAVIOURAL AND OTHER JOB 
 
 
 
 
 
 
 
RELATED CHARACTERISTICS 
 
 
 
 
 
Ability to understand and observe the Council 
E 
 
Equal Opportunities and Health and Safety 
 
 
Policies. 
 
 
 
To carry out all duties having regard to an 
E 
 
employee’s responsibility under the Council’s 
 
 
Health & Safety Policies. 
 
 
 
 
 
Willingness to actively participate in training and 
E 
 
development activities to ensure up to date 
 
 
knowledge and skills. 
 
 
 
 
 
Registered with or in the process of registering 
E 
 
with the General Social Care Council  
D 
 
Knowledge of the problems of disadvantaged 
groups. 
 
SHORTLISTING DECISION 
PANEL MEMBERS:- 
 
NAMES   ....................................................................................................... 
                  ...................................................................................................... 
Were Random Numbers Used?       Yes / No 
                  ...................................................................................................... 
Pre- Selection Test Used?                Yes / No 
What Type ................................................................................................... 
CHAIR OF INTERVIEW PANEL: 
SIGNATURE   ............................................................................................... 
NAME              ................................................. ............................................. 
OVERALL COMMENTS IN SUPPORT OF DECISION AS APPROPRIATE FOR NON-SHORTLISTING, NON-APPOINTMENT OR APPOINTMENT 
 
 
 
 
SOCIAL WORKER (Child Health & Disability Team) .ASS 

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