PCPA Awards 2024 Excellence in General Practice Pharmacy - Application Form

Excellence in General Practice Pharmacy - Application Form

The PCPA Awards are designed to recognise, highlight, and reward the hard work and innovation that gets carried out every day in all areas of General Practice Pharmacy Care across the UK.

CATEGORIES:

General Practice Pharmacist of the Year

General Practice Pharmacy Technician of the Year

Primary Care Pharmacy Team of the Year

Greener PCPA Award

In Association with Pharmacomm Ltd

Closing date for applications is before 5pm on the 7th November 2024. For any enquiries, please contact Michelle Kaulbach-Mills at michelle@pcpa.org.uk.

PCPA Awards will be presented on the evening of the 19th of November 2024 at the PCPA Online Awards Ceremony.

Question Title

* 1. Award Category entered: (please select as appropriate)

General Practice Pharmacist of the Year

Primary Care Pharmacy Team of the Year

GP Pharmacy Technician of the year

Greener PCPA Award

Question Title

* 2. Please complete your details

Name *

Employer *

Job title

Email Address *

Mobile Number *

Question Title

* 3. Nomination details. All boxes must be completed

Name of Individual if Nominating for the Pharmacist or Pharmacy Technician Award

Their Job Title:

Name of Team if Nominating for the Team of the Year or Greener PCPA Awards

Organisation:

Email Address of Nominator:

Email Address of Nominee/s

Direct Telephone Number:

Question Title

* 4. Your submission must be summarised in no more than 500 words.
Ideally support your application with qualitative or quantitative evidence or published literature, supporting evidence should be provided as appendices.
PLEASE NOTE SUPPORTING EVIDENCE IS REQUIRED
This can be provided via email to Michelle@pcpa.org.uk

Submission:

Thank you so much for your submission. Please press the "SUBMIT" button below