It is important that we have up-to-date information on all foundation trainee pharmacists undertaking NHS England commissioned training programmes within London (those employed by hospitals or those undertaking the national foundation trainee pharmacists in General Practice programme in London). This includes information on a trainee’s personal contact details, designated supervisor details and multi-sector rotation(s) information. Please complete the form below to inform us of any changes. Trainee Details Title [Select] Mr Mrs Miss Ms Mstr Mx Dr Other Forename of Trainee Surname of Trainee Trainee Group [Select] Trainee Pharmacist Pre-registration Pharmacy Technician Name of employing Trust/Organisation [Select] Ashford and St. Peter's Hospitals NHS Foundation Trust Barking, Havering and Redbridge University Hospitals NHS Trust Barnet, Enfield and Haringey Mental Health NHS Trust Barts Health NHS Trust Camden and Islington NHS Foundation Trust Central and North West London NHS Foundation Trust Central London Community Healthcare NHS Trust Chelsea and Westminster Hospital NHS Foundation Trust Croydon Health Services NHS Trust Dartford and Gravesham NHS Trust East Kent Hospitals University NHS Foundation Trust East London NHS Foundation Trust East Sussex Healthcare NHS Trust Epsom and St Helier University Hospitals NHS Trust Frimley Health NHS Foundation Trust Great Ormond Street Hospital for Children NHS Foundation Trust Guy's and St Thomas' NHS Foundation Trust Homerton University Hospital NHS Foundation Trust Hounslow and Richmond Community Healthcare NHS Trust Imperial College Healthcare NHS Trust Kent and Medway NHS and Social Care Partnership Trust Kent Community Health NHS Trust King's College Hospital NHS Foundation Trust Kingston Hospital NHS Foundation Trust Lewisham and Greenwich NHS Trust London North West University Healthcare NHS Trust Maidstone and Tunbridge Well+A9s NHS Trust Medway NHS Foundation Trust Moorfields Eye Hospital NHS Foundation Trust NHS Eastbourne, Hailsham and Seaford CCG NHS Lewisham CCG NHS South East London CCG (Southwark Borough) North East London NHS Foundation Trust North Middlesex University Hospital NHS Trust Oxleas NHS Foundation Trust Queen Victoria Hospital NHS Foundation Trust Royal Brompton and Harefield hospitals part of GSTT Royal Free London NHS Foundation Trust Royal National Orthopaedic Hospital NHS Trust Royal Surrey NHS Foundation Trust South London and Maudsley NHS Foundation Trust South West London and St George's Mental Health NHS Trust St George’s University Hospitals NHS Foundation Trust Surrey and Borders Partnership NHS Foundation Trust Surrey and Sussex Healthcare NHS Trust Sussex Community NHS Trust Sussex Partnership Trust The Hillingdon Hospitals NHS Foundation Trust The Royal Marsden NHS Foundation Trust University College London Hospitals NHS Foundation Trust University Hospitals Sussex NHS Foundation Trust formerly Brighton and Sussex University Hospitals NHS Trust University Hospitals Sussex NHS Foundation Trust formerly Western Sussex Hospitals NHS Foundation Trust West London NHS Trust Whittington Health Other Out of LaSE Region If your Trust/Employer is not listed on the dropdown, please enter below. Trust/Employer Other What change is required? What change are you informing us of? [Select] Personal Details Educational Supervisor/Designated Supervisor Update Organisation Change Placement Information Update Other If you are informing us of more than one change or selected Other please note additional changes below More than one change; please state Change of Personal Details name Trainee Personal Email Trainee Trust/Work Email name Telephone (work) Mobile (emergencies only) Placement Information Update If you are have a placement, which is longer than 3 months, away from your employing organisation, please confirm the details below.Please also complete the Educational Supervisor/Designated Supervisor section to inform us who your placement ES/DS will be. Please provide the name of where your placement is Please confirm the number of months you will be at this placement n/a 3 months 6 months 9 months Confirm the date when the placement starts [Day] 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 [Month] Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec [Year] 2023 2024 2025 2026 2027 2028 Educational Supervisor/Designated Supervisor Update Educational Supervisor/Designated Supervisor Add/Change Type N/a Change Educational Supervisor/Designated Supervisor Additional Educational Supervisor/Designated Supervisor Remove Educational Supervisor/Designated Supervisor Supervisor Forename Supervisor Surname Supervisor Email If you are requesting to change an Educational Supervisor/Designated Supervisor, Please State Previous ES Name Has the previous ES/DS left the trust No Yes Additional Changes Required If you have a change which doesn't appear on the above list, please enter below. Other information to be updated: Please refer to the NHS England privacy notice https://www.england.nhs.uk/contact-us/privacy-notice/ for information on how we manage your data. Submit form