PCPA National Leadership Forum

PCPA National Leadership Forum- Application Form

PCPA has created a national network of senior pharmacists and pharmacy technicians across general practice, federations, boards and networks. This network will support members on a local and national level through an online forum hosted on Telegram.

The PCPA National Leadership Forum aims to;
1) Be a collective voice to feed opinions and experiences from their teams to NHS policy
2) Support individual members to develop their leadership skills and scope
3) Demonstrate the worth of Pharmacy professionals in general practice, federations, boards and networks

Please use this form to apply to join the forum and tell us a little bit about yourself. We will contact you shortly to confirm your membership of the forum.

Question Title

* 1. When filling in this application form please remember to answer each question fully

Name

Employer

Job title

City/Town

Email Address

Mobile Number

Question Title

* 2. Please read and agree to comply with the forum terms of engagement https://pcpa.co/LFTCs

Yes

Question Title

* 3. Please tell us which organisations you align to, please complete all fields. (where applicable)

ICS

Place Based Partnership

PCN

GP Federation

Health Board

Question Title

* 4. Do you have responsibility for managing others?

Yes

Sometimes

If yes please tell us a little about your team

PCPA National Leadership Forum