Community Pharmacy Engagement Lead EOI

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1. Please enter your name *

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2. Please enter a contact telephone number and email *

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3. Name and Address of pharmacy where you work *

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4. What is your role in the pharmacy? *

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5. Which Integrated Neighbourhood area are you applying for? If your not sure which area your pharmacy is in you can check this list - https://docs.google.com/spreadsheets/d/1UrcDBDxJTcLOjx-HNs9-hAsZtEAC9r8u/edit?usp=sharing&ouid=107642967583418910440&rtpof=true&sd=true *

A1 & Huntingdon
BMC Paston & Peterborough Partnerships
Bretton, Park, Hampton, Peterborough & East
Cam, Granta and Meridian
Cambridge City 4 & Cantab
Cambridge City & Cambs Northern Villages
Central, Thistlemoor, Thorpe Road and South Peterborough
Ely North & South
Fenland, South Fenland & Wisbech
St Ives & St Neots

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6. Please briefly explain why you are interested in the Community Pharmacy PCN Lead role? *

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7. What skills and experience do you have that would help you be effective in the role? *

8. Please provide any further information, which may support your application?

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