*1.Full name(Required.)

*2.NHS email address(Required.)

3.Job role

4.Contact number (in case of cancellation/changes)

5.Practice name

6.PCN name

*7.Practice Manager name(Required.)

*8.Practice Manager's email address(Required.)

*9.Which area of West Yorkshire do you work in?(Required.)

Leeds

Bradford

Wakefield

Calderdale

Kirklees

10.What course(s) are you applying for? (Maximum of 2 courses per person)

Asthma Foundation Course (Rotherham Respiratory)

Asthma Diploma (Respiratory Matters)

Asthma Certificate (Respiratory Matters)

Asthma Advancing Care Course (Rotherham Respiratory)

Asthma Update (Rotherham Respiratory)

Paediatric Asthma (Rotherham Respiratory)

Advancing Paediatric Asthma Care (Rotherham Respiratory)

COPD Foundation Course (Rotherham Respiratory)

COPD Diploma (Respiratory Matters)

COPD Certificate (Respiratory Matters)

COPD Advancing Care (Rotherham Respiratory)

COPD Update (Rotherham Respiratory)

Performing Paediatric Spirometry (Rotherham Respiratory)

Spirometry - Interpretation (Respiratory Matters)

Spirometry - Interpretation (7 Steps) (Rotherham Respiratory)

Spirometry - Performance (Respiratory Matters)

Spirometry - Performance (Rotherham Respiratory)

Spirometry - Full Certificate (Respiratory Matters)

Spirometry Advancing Care (Rotherham Respiratory)

Spirometry Update - Performance and Interpretation (Respiratory Matters)

Spirometry Update (Rotherham Respiratory)

Atrial Fibrillation (Rotherham Respiratory)

Coronary Heart Disease (Rotherham Respiratory)

Heart Failure Foundation Course (Rotherham Respiratory)

Heart Failure Advancing Care (Rotherham Respiratory)

Heart Failure Update (Rotherham Respiratory)

Hypertension (Rotherham Respiratory)

Diabetes Foundation Course (Rotherham Respiratory)

Diabetes Advancing Care (Rotherham Respiratory)

Diabetes Update (Rotherham Respiratory)

New to Immunising for RHCPs (2 day) (The Health Academy)

Introduction to Travel Health (The Health Academy)

Fundamentals of Travel Health - eLearning (The Health Academy)

Travel Health (M&K)

Travel Health Update

Ear Irrigation and Instrumentation (Rotherham Ear Care Centre)

Ear Irrigation Update (Rotherham Ear Care Centre)

Cervical Cytology Screening

Introduction to Menopause (Practicum Primary Care Training)

Introduction to Contraception and Sexual Health (Practicum Primary Care Training)

Womens Health for Primary Care Clinicians (M&K)

Contraception for Practice Nurses (M&K)

Vaginal Prolapse and Fitting Ring Pessaries (M&K)

Wound Management for Nurses/AHPs (M&K)

Wound Management for Nurses (Primary Wound Care & Training Solutions)

Leg Ulcer Management (Primary Wound Care & Training Solutions)

Non-medical Prescribing Update (Rotherham Respiratory)

Non-medical Prescribing Update (M&K)

Introduction to Pathology Tests and Interpretation of Results (Practicum Primary Care Training)

Understanding Blood Results (M&K)

Minor Illness (M&K)

Infection Prevention and Control in General Practice (M&K)

3 Step Leadership and Management (M&K)

Teaching and Training Skills (M&K)

NB Plus - Annual Subscription (NB Medical)

PCN Support 1-Year Subscription (Red Whale)

Red Whale Unlimited - 1 Year Subscription

*11.You must have permission from your Practice Manager to apply for this course and ensure you can be released from practice to attend(Required.)

I have permission

I don't have permission

12.We will need to share your details with the training provider.

I am happy for you to share my details

I am NOT happy for you to share my details

13.You will automatically be added to our distribution list to receive our fortnightly WY PCWTH Bulletin containing information on our programmes/courses/training/funding etc.. If you wish to opt out, select the following box.

I do not wish to receive the fortnightly bulletin

14.Please leave any comments or questions in the textbox below.