Personalised Care in Practice - NEL Care Coordinators

Application form

Please note this programme is no longer accepting new applications. If you wish to be on the wait list please complete the form and we will contact you when we commission the next cohort.

Thank you

Please read the form carefully - Please ensure you are able to attend the dates you choose to attend. We will be in touch within the next 7-10 days with confirmation of place allocation. Please contact nisha.patel16@nhs.net for any further questions

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* 1. Full name

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* 2. Email address

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* 3. Job title

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* 4. How long have you been in your current post?

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* 5. Organisation name

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* 6. Organisation type

General practice

Community pharmacy

Hospital

Other

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* 7. Borough

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* 8. Name of PCN (if applicable)

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* 9. No dates available

You will be contacted with programme options

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* 10. What are you hoping to get from the session?

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* 11. The training will be held via MS Teams with regular breaks. Please can you let us know if there are any additional/accessibility needs that may be required.