Cohort 3 and 4 NHS Demand and Capacity Management course  
 
Employer name:
YOUR DETAILS
COHORT 3 & 4
Gender:
APPLICATION QUESTIONNAIRE
DEMAND & CAPACITY TRAINER PROGRAMME
COHORT 3 & 4
Employer postcode:
Last name:
Page 1 of 3
Date of birth:
Job Title:
Employer address:
Mobile number:
Postal address:
For each cohort, students will be divided into two groups. You must be able to attend all of the mandatory training dates for a specific group.
These dates, as well as the location of these courses, can be found on the associated PDF file available on
www.elsbusinesstraining.co.uk/certified-courses/nhs-course/
Cohort 3
Application closes: 5 Feb 18
Course location: Birmingham
Course Dates: Mar - Aug 18
Salutation:
I understand that the programme is a continuing process. I confirm I am available to attend all selected mandatory training dates and complete all selected mandatory online training and course assignments, as set out in the learner's contract.
Please select the trust you work for from the options in the drop-down menu:
The personal details requested are required to Register you with the Institute of Leadership and Management (ILM) and for contact purposes by both ELS and the NHS to inform you of your selection for the course. By completing this area with your details, you are consenting to ELS using these details to register you with the ILM (for certification requirement), for contact purposes and that your personal information will not be used for any other purpose. Personal data collected will be managed in accordance with ELS 030. Data Protection Policy (of which can be provided on request).
Cohort 4
Application closes: 5 Feb 18
Course location: London & Peterborough
Course Dates: Mar - Sep 18
First name:
Email address:
I work for none of the above organisations, and will provide details of my employer including name, address and postcode.
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Female
Male
Cohort 4 Group B
Available for all Cohorts/groups
Cohort 3 Group A
Cohort 3 Group B
Please select from below the groups that you are available for:
Please tick all that apply
Cohort 4 Group A
Basildon and Thurrock University Hospitals NHS FT
Bedford Hospital NHS Trust
Birmingham and Solihull NHS FT
Birmingham Children's Hospital NHS FT
Birmingham Community Healthcare NHS Trust
Birmingham Women's Hospital NHS FT
Black Country Partnership NHS FT
Burton Hospitals NHS Ft
Cambridge and Peterborough NHS FT
Cambridge University Hospital NHS FT
Cambridgeshire Community Services NHS Trust
Chesterfield Royal Hospital NHS FT
Colchester Hospital University NHS FT
Coventry and Warwickshire Partnership NHS Trust
Derby Teaching Hospitals NHS FT
Derbyshire Community Health Services
Derbyshire Healthcare NHS FT
Dudley and Walsall Mental Health Partnership NHS Trust
Dudley Group NHS FT
East and North Hertfordshire NHS Trust
East Midlands Ambulance Service NHS Trust
East of England Ambulance NHS Trust
Essex Partnership University FT
George Eliot Hospital NHS Trust
Heart of England NHS FT
Hertfordshire Community NHS Trust
Hertfordshire Partnership University Hospital NHS FT
Ipswich Hospital NHS Trust
James Paget University Hospital NHS FT
Kettering General Hospital NHS FT
Leicestershire Partnership NHS Trust
Lincolnshire Community Hospitals NHS Trust
Lincolnshire Partnership NHS FTThe Point, Lions Way
Luton and Dunstable University Hosp NHS FT
Mid Essex Hospital Services NHS Trust
Milton Keynes University Hosp NHS FT
Norfolk and Norwich University Hosp NHS FT
Norfolk and Suffolk NHS FT
Norfolk Community Health and Care NHS Trust
North Staffordshire Combined Healthcare NHS Trust
North West Anglia Foundation Trust
Northampton General Hospital NHS Trust
Northamptonshire Healthcare NHS FT
Nottingham University Hospitals NHS Trust
Nottinghamshire Healthcare NHS FT
Papworth Hospital NHS FT
Queen Elizabeth Hospital Kings Lynn NHS FT
Robert Jones and Agnes Hunt NHS FT
Royal Orthopaedic Hospital NHS FT
Sandwell and West Birmingham Hospitals NHS Trust
Sandwell and West Birmingham Hospitals NHS Trust
Sherwood Forest Hospital NHS FT
Shropshire Community Health NHS Trust
South Staffordshire and Shropshire Healthcare NHS FT
South Warwickshire NHS FT
Southend University Hospitals NHS FT
Staffordshire and Stoke-on-Trent NHS Partnership Trust
The Princess Alexandra Hospital NHS Trust
The Royal Wolverhampton NHS Trust
United Lincolnshire Hospitals NHS Trust
University Hospital of North Midlands  NHS Trust
University Hospitals Coventry and Warwickshire NHS Trust
University Hospitals of Birmingham NHS FT
University Hospitals of Leicester NHS Trust
Walsall Healthcare NHS Trust
West Hertfordshire Hospitals NHS Trust
West Midlands Ambulance Service NHS FT
West Suffolk Hospitals NHS FT
Worcestershire Acute Hospitals NHS Trust
Worcestershire Health and Care NHS Trust
Wye Valley NHS Trust
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