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I am part of the workforce
I am a Patient and/or Carer Representative
Name
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First
Last
Email
(Required)
Professional Grouping
(Required)
Please select your professional grouping
Advanced Clinical Practitioner / Advanced Nurse Practitioner
Surgeon
Allied Health Professionals
Doctors
Healthcare Sciences
Lecturers / Academics
Medical Associates e.g. Physician Associate
Nursing
Pharmacists
Physician Associate
Management and Clerical
Psychological Professions
Student
Support Workers of all types (Cancer, AHP, Healthcare Assistants)
Other
Job title
(Required)
Length of time in current role
(Required)
Please select the length of time
0-12 months
1-2 years
2-3 years
3-4 years
5 years +
10 years +
15 years +
Please select your Cancer Alliance
(Required)
Please select your Cancer Alliance
Northern Cancer Alliance
Lancashire and South Cumbria Cancer Alliance
West Yorkshire and Harrogate Cancer Alliance
Humber, Coast and Vale Cancer Alliance
Cheshire and Merseyside Cancer Alliance
Greater Manchester Cancer Alliance
South Yorkshire and Bassetlaw Cancer Alliance
West Midlands Cancer Alliance
East Midlands Cancer Alliance
East of England Cancer Alliance
North Central London Cancer Alliance
North East London Cancer Alliance
RM Partners
South East London Cancer Alliance
Kent and Medway Cancer Alliance
Surrey and Sussex Cancer Alliance
Wessex Cancer Alliance
Thames Valley Cancer Alliance
Somerset, Wiltshire, Avon and Gloucestershire Cancer Alliance
Peninsula Cancer Alliance
Scotland
Wales
Northern Ireland
Overseas
Detailed map of all Cancer Alliances
Place of work
(Required)
Please select your place of work
Primary Care e.g. GP practice, Primary Care Network
Secondary Care e.g. Hospital, Trust
Community Care e.g. Care Home, Hospice
Student
Other
(if you’re a boundary spanning role, state the one where you spend the most time)
If other is selected, please specify your place of work.
Greater Manchester Cancer Alliance - Trust List
Bolton NHS Foundation Trust
The Christie NHS Foundation Trust
MFT: Manchester Royal Infirmary
MFT: Wythenshawe
MFT: Royal Manchester Children’s
MFT: North Manchester General
MFT: Trafford General
MFT: Withington Community
NCA: Salford Care (Salford Royal)
NCA: Bury Care (Fairfield General)
NCA: Rochdale Care (Rochdale Infirmary)
NCA: Oldham Care (Royal Oldham)
Stockport NHS Foundation Trust (Stepping Hill)
Wrightington, Wigan and Leigh NHS Foundation Trust
Tameside and Glossop Integrated Care Foundation Trust
If you work in Greater Manchester, please select the locality you predominantly work within
(Required)
Please select your locality within Greater Manchester
Stockport
Salford
Trafford
Tameside
Wigan
Manchester
Rochdale
Oldham
Bury
Bolton
Somerset, Wiltshire, Avon and Gloucestershire (SWAG) Cancer Alliance - Trust List
University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)
North Bristol NHS Trust (NBT)
Salisbury Hospital NHS Foundation Trust
Somerset NHS Foundation Trust (SFT)
Royal United Hospitals Bath NHS Foundation Trust (RUH)
Gloucestershire Hospitals NHS Foundation Trust
East Of England Cancer Alliance - Trust List
Bedfordshire Hospitals NHS FT - Bedford Hospital
Bedfordshire Hospitals NHS FT - Luton and Dunstable University Hospital
Cambridge University Hospitals NHS FT - Addenbrooke’s Hospital
East and North Hertfordshire NHS Trust - Lister Hospital
East Suffolk and North Essex NHS FT - Ipswich Hospital
East Suffolk and North Essex NHS FT - Colchester Hospital
James Paget University Hospitals NHS FT - James Paget Hospital
Mid and South Essex NHS FT - Basildon Hospital
Mid and South Essex NHS FT - Broomfield Hospital
Mid and South Essex NHS FT - Southend Hospital
Milton Keynes University Hospital NHS FT - Milton Keynes Hospital
Norfolk and Norwich University Hospitals NHS FT - Norfolk and Norwich University Hospital
North West Anglia NHS FT - Peterborough City Hospital
North West Anglia NHS FT - Hinchingbrooke Hospital
Queen Elizabeth Hospital King’s Lynn NHS FT - Queen Elizabeth Hospital
The Princess Alexandra Hospital NHS Trust - Princess Alexandra Hospital
West Hertfordshire Teaching Hospitals NHS Trust - Watford General Hospital
West Hertfordshire Teaching Hospitals NHS Trust - Hemel Hempstead Hospital
West Hertfordshire Teaching Hospitals NHS Trust - St Albans City Hospital
West Suffolk NHS FT - West Suffolk Hospital
NHS Healthboards in Wales
Aneurin Bevan University Health Board
Betsi Cadwaladr University Health Board
Cardiff and Vale University Health Board
Cwm Taf Morgannwg University Health Board
Hywel Dda University Health Board
Powys Teaching Health Board
Swansea Bay University Health Board
NHS Healthboards in Scotland
Ayrshire and Arran
Borders
Dumfries and Galloway
Fife
Forth Valley
Grampian
Greater Glasgow and Clyde
Highland
Lanarkshire
Lothian
Orkney
Shetland
Tayside
Western Isles
Northern Ireland Health and Social Care Trusts
Belfast Health and Social Care Trust
South Eastern Health and Social Care Trust
Southern Health and Social Care Trust
Western Health and Social Care Trust
West Midlands Cancer Alliance Care Trusts
Birmingham Women’s and Children’s Hospitals NHS Foundation Trust
Royal Orthopaedic Hospital Birmingham NHS Foundation Trust
University Hospitals Birmingham NHS Foundation Trust (UHB)
University Hospitals Coventry and Warwickshire NHS Trust (UHCW)
George Eliot Hospital NHS Trust
South Warwickshire NHS Foundation Trust (SWFT)
Worcestershire Acute Hospitals NHS Trust
Wye Valley NHS Trust
Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
Shrewsbury and Telford Hospital NHS Trust (SaTH)
University Hospitals of North Midlands NHS Trust (UHNM)
Walsall Healthcare NHS Trust
Sandwell and West Birmingham Hospitals NHS Trust (SWBH)
The Dudley Group NHS Foundation Trust
The Royal Wolverhampton NHS Trust (RWT)
Wessex Cancer Alliance Care Trusts
Dorset County Hospital NHS Foundation Trust (DCHFT)
Hampshire Hospitals NHS Foundation Trust (HHFT)
Isle of Wight NHS Trust (IOW)
Portsmouth Hospitals University NHS Trust (PHU)
University Hospitals Dorset NHS Foundation Trust (UHD)
University Hospital Southampton NHS Foundation Trust (UHS)
Please choose your ICB for Wessex Cancer Alliance
Dorset : Blandford
Dorset : Bournemouth East
Dorset : Central Bournemouth
Dorset : Christchurch
Dorset : Crane Valley
Dorset : Jurassic Coast
Dorset : Mid Dorset
Dorset : North Bournemouth
Dorset : Poole & Bournemouth
Dorset : Poole Central
Dorset : Poole North
Dorset : Purbeck
Dorset : Sherborne
Dorset : Shore Medical
Dorset : South Coast Medical
Dorset : The Vale
Dorset : Weymouth & Portland
Dorset : Wimborne & Ferndown
Hampshire : A31 PCN Group
Hampshire : Andover
Hampshire : Avon Valley
Hampshire : Camrose, Gillies, Hackwood and Beggarwood
Hampshire : Chandlers Ford
Hampshire : Coastal (West Hampshire)
Hampshire : Coastal Fareham & Gosport
Hampshire : East Hants
Hampshire : Eastleigh Health
Hampshire : Fareham and Portchester
Hampshire : Gosport Central
Hampshire : Havant and Waterlooville
Hampshire : Hamble Valley
Hampshire : Hayling Island and Emsworth
Hampshire : Meon Health
Hampshire : Mosaic Healthcare
Hampshire : New Forest
Hampshire : Romsey & North Baddesley
Hampshire : Rural West
Hampshire : Shakespeare Road Medical Practice
Hampshire : Strawberry Health
Hampshire : Swan Medical
Hampshire : Totton
Hampshire : Waterside
Hampshire : Whitewater Loddon
Hampshire : Winchester City
Hampshire : Winchester Rural North & East
Hampshire : Winchester Rural South
Southampton : West
Southampton : North
Southampton : Central
Southampton : Sea City
Southampton : Bitterne
Southampton : Woolston & Townhill
Southampton : Living Well
Isle of Wight : North East Locality
Isle of Wight : South Isle of Wight Locality
Isle of Wight : Central & West
Portsmouth : Brunel
Portsmouth : Island City
Portsmouth : Portsdown
Portsmouth : North
Portsmouth : South Coast
East Midlands Cancer Alliance Care Trusts
Chesterfield Royal Hospital
University Hospitals of Derby and Burton
University Hospitals Leicester
United Lincolnshire Hospitals Trust
Kettering General Hospital
Northampton General Hospital
Nottingham University Hospitals
Sherwood Forest Hospitals Trust
Northern Cancer Alliance Care Trusts
County Durham and Darlington NHS FT (CDDFT)
Gateshead Health NHS Foundation Trust (GH NHS FT)
Newcastle Upon Tyne Hospitals NHS Foundation Trust (NUTH NHS FT)
North Cumbria Integrated Care NHS FT (NCIC FT)
North Tees and Hartlepool NHS FT (NT&H FT)
Northumbria Healthcare NHS Foundation Trust (NHC NHS FT)
South Tees Hospital NHS Foundation Trust (ST NHS FT)
South Tyneside & Sunderland NHS Foundation Trust (ST&S NHS FT)
Northern Cancer Alliance (NCA, NENC ICB)
Lancashire and South Cumbria Care Trusts
Blackpool Teaching Hospitals NHSFT (BTH)
East Lancashire Hospitals NHS Trust (ELHT)
University Hospitals Morecambe Bay (UHMBT)
Lancashire Teaching Hospitals (LTHTR)
Lancashire & South Cumbria ICB
Lancashire and South Cumbria Cancer Alliance
Please choose your ICB
Birmingham and Solihull ICB
Staffordshire and Stoke-on-Trent ICB
Black Country ICB
Coventry and Warwickshire ICB
Herefordshire and Worcestershire ICB
Shropshire, Telford and Wrekin ICB
Please choose your ICB
Lincolnshire
Nottingham
Derby
Northamptonshire
Leicester, Leicestershire, and Rutland
Please choose your ICB for Lancashire and South Cumbria
Barrow Together
Bay Primary Care Network
Blackburn East
Blackburn North
Blackburn West
Blackpool Central PCN
Blackpool Central West PCN
Blackpool North PCN
Blackpool South Central PCN
Blackpool South PCN
Bridgedale
Burnley East
Burnley West
Carnforth and Milnthorpe PCN
Chorley and South Ribble
Chorley Central
Chorley Together
Darwen
Fleetwood PCN
Fylde and Wyre WREN
Grange and Lakes
Greater Preston
Hyndburn Central
Hyndburn Rural
Kendal PCN
Kirkham and Wesham PCN
Lancaster PCN
Leyland
Lytham and St Annes
Mid Furness PCN
Millom
Northern Parishes
Ormskirk
Pendle East
Pendle West
Preston & South Ribble
Preston North & East
Ribblesdale
Rossendale East
Rossendale West
Skelmersdale
Torentum
Western Dales PCN
Wyre Bridge PCN
Wyre Integrated Network
Cheshire and Merseyside Care Trusts
Alder Hey Children's NHS Foundation Trust
Countess of Chester Hospital NHS Foundation Trust
East Cheshire NHS Trust
Liverpool Heart and Chest NHS Foundation Trust
Liverpool University Hospitals NHS Foundation Trust
Liverpool Women's Hospital NHS Foundation Trust
Mersey and West Lancashire Teaching Hospitals NHS Trust
Mid Cheshire Hospitals NHS Foundation Trust
The Clatterbridge Cancer Centre NHS Foundation Trust
The Walton Centre NHS Foundation Trust
Warrington and Halton Hospitals NHS Foundation Trust
Wirral University Teaching Hospital NHS Foundation Trust
Kent and Medway Cancer Alliance Care Trusts
East Kent Hospitals University NHS Foundation Trust (EKHUFT)
Maidstone and Tunbridge Wells NHS Trust (MTW)
Medway NHS Foundation Trust (MFT)
Dartford and Gravesham NHS Trust (DGT)
Queen Victoria Hospital NHS Trust
Peninsula Cancer Alliance Care Trusts
Royal Devon University Healthcare NHS Foundation Trust (RDUH)
University Hospitals Plymouth NHS Trust (UHP)
Torbay and South Devon NHS Foundation Trust (TSDFT)
Royal Cornwall Hospitals NHS Trust (RCHT)
North Central London Cancer Alliance Care Trusts
RFL Group: Barnet Hospital
RFL Group: Chase Farm Hospital
RFL Group: North Middlesex University Hospital
RFL Group: Royal Free Hospital NHS Foundation Trust
Whittington Health NHS Trust: Whittington Hospital
University College London Hospitals NHS Foundation Trust (UCLH)
Royal National Orthopaedic Hospital NHS Trust (RNOH)
North East London Cancer Alliance Care Trusts
Barts Health
Homerton Healthcare
Barking, Havering and Redbridge University Trust (BHRUT)
Organisation
(if you’re in a boundary spanning role, state the one you spend the most time in)
If you work in Greater Manchester, please select the locality you predominantly live within
(Required)
Please select your locality within Greater Manchester
Stockport
Salford
Trafford
Tameside
Wigan
Manchester
Rochdale
Oldham
Bury
Bolton
Select the dropdown that best describes your ethnic group. Data is collected under Article 9(2)(b) of GDPR and is used to fulfil reporting requirements for funding bodies to ensure NHS staff are given equal access to training & development opportunities
(Required)
Select one
Do not wish to disclose
Asian or Asian British (Indian, Pakistani, Bangladeshi, Chinese, Any other Asian background)
Black, Black British, Caribbean or African (Caribbean, African, Any other Black, Black British, or Caribbean background)
Mixed or multiple ethnic groups (White and Black Caribbean, White and Black African, White and Asian, Any other Mixed or multiple ethnic background)
White (English, Welsh, Scottish, Northern Irish or British, Irish, Gypsy or Irish Traveller,Roma, Any other White background)
Other ethnic group (Arab, Any other ethnic group)
What are your sub-speciality areas of interest:
Acute Oncology
Breast
Children
Colorectal
Gynaecology
Haemato-oncology
Head and Neck
HPB
Lung
Neuro-oncology
Oesophago-gastric
Palliative and End of Life Care
Personalised Care
Psychological Care
Sarcoma
Skin
Teenagers and Young Adults
Urology
The Equality Act 2010 protects disabled people - including those with long term health conditions, learning disabilities and so called "hidden" disabilities such as dyslexia. If you tell us that you have a disability we can make reasonable adjustments to ensure that education is accessible.
Physical impairment
Sensory impairment
Learning disability/difficulty
Other
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