Cohort 5 NHS Demand and Capacity Management course  
 
Please select the trust you work for from the options in the drop-down menu:
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 can be found on the associated PDF files available on
www.elsbusinesstraining.co.uk/certified-courses/nhs-course/
Employer postcode:
Last name:
Postal address:
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.
I work for none of the above organisations, and will provide details of my employer including name, address and postcode.
Salutation:
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).
First name:
Job Title:
Employer address:
Employer name:
APPLICATION QUESTIONNAIRE
DEMAND & CAPACITY TRAINER PROGRAMME
Email address:
Gender:
Page 1 of 3
Date of birth:
COHORT 5
Mobile number:
Cohort 5
Application closes: 25 Mar 18
Course location: Durham & Leeds
Course Dates: April - Oct
Please note that we will be sending your textbook and Pre-Study to the address given above. We will use DPD and the pre-study package will need to be signed fo upon arrival.
COHORT 5
YOUR DETAILS
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Male
Female
Both
Group B
Please select from below the groups that you are available for:
Group A
5 Boroughs Partnership NHS Foundation Trust
Aintree Univrsity Hospital NHS Foundation Trust
Airedale NHS Foundation Trust
Barnsley Hospital NHS Foundation Trust
Bradford District Care NHS Foundation Trust
Bridgewater Community Healthcare NHS Foundation Trust
Cheshire and Wirral Partnership NHS Foundation Trust
City Hospitals Sunderland NHS Foundation Trust
Countess of Chester Hospital NHS Foundation Trust
County Durham and Darlington NHS Foundation Trust
Doncaster and Bassetlaw Hospitals NHS Foundation Trust
East Cheshire NHS Trust
Gateshead Health NHS Foundation Trust
Greater Manchester Mental Health NHS FT
Harrogate and District NHS Foundation Trust
Hull and East Yorkshire Hospitals NHS Trust
Humber NHS Foundation Trust
Leeds and York Partnership NHS Foundation Trust
Leeds Community Healthcare NHS Trust
Liverpool Women's NHS Foundation Trust
Manchester University Foundation Trust
Mersey Care NHS Trust
Mid Yorkshire Hospitals NHS Trust
North Tees and Hartlepool NHS Foundation Trust
Northern Lincolnshire and Goole Hospitals NHS Foundation Trust
Northumberland Tyne and Wear NHS Foundation Trust
Northumbria Healthcare NHS Foundation Trust
Rotherham Doncaster and South Humber NHS Foundation Trust
Royal Liverpool and Broadgreen University NHS Foundation Trust
Salford Royal NHS Foundation Trust
Sheffield Childrens NHS Foundation Trust
Sheffield Health and Socail Care NHS Foundation Trust
Sheffield Teaching Hospitals NHS Foundation Trust
South Tees Hospitals NHS Foundation Trust
South Tyneside NHS Foundation Trust
South West Yorkshire Partnership NHS Foundation Trust
Tees Esk and Wear Valleys NHS Foundation Trust
The Mid Cheshire Hospitals NHS Foundation Trust
The Newcastle Upon Tyne Hospitals NHS Foundation Trust
The Walton Centre NHS Foundation Trust
Warrington and Halton Hospitals NHS Foundation Trust
Wirral University Teaching Hospital NHS Foundation Trust
Wrightington Wigan and Leigh NHS Foundation Trust
York Teaching Hospital NHS Foundation Trust