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GENERAL PRACTICE TRAINING SCHEME VICTORIA HOSPITAL, BLACKPOOL
ST1 Handbook
2019
C o n t e n t s
Welcome. Things you should have done
and things you need to do now!
Page 2
Useful Contacts Page 3
Assessments (e-portfolio) Page 4
ES & CS explanation Page 5
Buddy List (for e-portfolio help) Page 6
Training Programme ’19-20 Pages 7-8
Study leave process Page 9
Study leave during training Pages 10-14
14Fish Page 15
Support for GP trainees Page 16-17
Sickness absence reporting Page 18
Lead Employer & Policies Page 19
2
BLACKPOOL GPST GROUP
AUGUST 2019
Welcome to the Blackpool GPST group! Please let us know if you have any concerns or questions and we’ll try our best to sort things out for you! Things you should have done already…. Registered with the Royal College of General Practitioners (1) Registered with e-Portfolio (1) Completed the Form R Completed the VLC induction module Ensure you have a fully completed Transfer of Information (TOI)
form
Things I need to do now (+/-All of the above!)… Make contact with your Educational Supervisor and arrange an
initial meeting (You should have email address- if not, ask Yvonne!)
Make yourself familiar with Health Education North West website (particularly the Study Leave Guidance) (2)
Make yourself familiar with the RCGP website (1) (1) rcgp.org.uk (2) www.nwpgmd.nhs.uk
3
USEFUL CONTACTS
Dr. Allison Rees: Training Programme Director
Dr. Ruth Cronin: Primary Care Education Facilitator
Dr. Adam Daruzzaman: Primary Care Education Facilitator
Yvonne Coyle: GP Specialty Trainee Co-ordinator
Tel: 01253 (9)55243; e.mail: [email protected]
E.portfolio changes: [email protected]
Yvonne able to change CS and ES names.
Health Education North West :-
www.nwpgmd.nhs.uk/general-practice/welcome-north-western-deanery-gpst-school
Lead Employer Services/St. Helens & Knowsley – for Policy’s :-
http://www.sthk.nhs.uk/workwithus/lead-employer-service/contact-us
STHK Helpdesk: [email protected] Tel: 0151 290 4091/4490
4
ASSESSMENTS
Workplace Based Assessment (WPBA)
Is: The Evaluation of a doctor’s progress in their performance over time, in those areas
of professional practice best tested in the workplace.
WPBA is based on evidence from trainees’ reflections, logs, professional conversations,
audits etc. and a series of repeated assessments and judgements over the training period.
Trainees are not required to pass each one, but to demonstrate a progression of
competence, ensuring that by the end of their training (ST3) they have demonstrated
competence in the 12 required areas.
The 12 competency areas will become your mantra:
1. Communication and consultation skills
2. Practising holistically
3. Data gathering and interpretation
4. Making a diagnosis / making decisions
5. Clinical management
6. Managing complexity and promoting health
7. Primary care administration and IMT
8. Working with colleagues and in teams
9. Community orientation
10. Maintaining performance, learning and teaching
11. Maintaining an ethical approach to practice
12. Fitness to practise
Remember:-
Get the most out of each post
Plan the assessments relevant to the posts. Trainees responsibility to
ensure
that assessments achieved.
Look at relevant part of G.P. Curriculum, but also be aware of the
‘whole’.
Think long term.
The e.portfolio is used to assess progress. Use it effectively to
demonstrate learning and progress.
Please refer to the RCGP website for the definite requirements
BEFORE
each training year.
5
Educational Supervisor (Trainer)
From the beginning of ST1 you will have an Educational Supervisor. This is
normally your Deanery approved trainer in your general practice year ie ST3
All the Trainers are members of the local Blackpool Trainers Group but in
addition under the care of the Deanery and attend Deanery training updates.
They will review your training and experience over your 3 years training.
You will need to meet with your Educational Supervisor for 6 monthly reviews.
They will need to approve any study leave.
Please make contact with your Educational Supervisor in your first month. It is
your responsibility to make contact and arrange reviews.
It is suggested that during each year you spend some time in your training
practice. For this you will need to apply for study leave form in the normal way.
Your Educational Supervisor/Trainer will be based at a local Deanery approved
training practice. This may be town based in Blackpool, Cleveleys, Fleetwood
and Lytham or rural in Kirkham or Great Eccleston.
What is a Clinical Supervisor
Responsible for teaching and supervising the trainee in an individual attachment.
Involved in work based assessments.
Clinical Supervisors’ reports.
Specialty General Practice Training Programme ST1/ST2
Wednesday afternoon, 2-5pm as programme
Attendance compulsory
You are required to inform Yvonne Coyle if unable to attend for any reason
eg. departmental commitments/annual leave, etc.
6
2019 – 20 Buddy System
Kenneth Enahoro
07424 686768
Oyegunwa Ayodele
07706 941990
Vinita Singh
07479 858254
Hamza Aman
07417 408816
Emily Debrzanowski
07491 511693
Amit Kanwar
07973 563212
Babajide Awobamise
07856 696616
Olivia-Rose Kay
07447 019058
Fida Ul-Haq
07729 973267
Hope Ekwensi
07466 577854
Adebowole Adeoso
07405 633206
Oghenevwarhe Esiere
07983 959094
Dr. Upasana
53894 563740
Dipankar Saha
07377 075922
Luke Paterson
07703 591134
Ashleigh Garstang
07939 485524
Sandeep Kumar
07383 200274
Jennifer Harrington
07964 348126
Paolo Siddi
07391 103303
Adeyinka Adebowale
07405 803558
Okechukwu Ndilemeni
07440 307961
Inemesit Edu Udoekwere
07498 589510
Bilal Masaud
47460 021019
Saira Shabbir
07916 483557
Mostafa Abdalwanes
07456 326469
Faran Akbar
07902 323785
Israel Olaluwoye
07846 852129
Rajay Arora
07909 772381
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GPST 1&2 Teaching Programme 2019-2020
2-5pm in Education Centre
21st Aug Resilience/EPortfolio/Reflective Entries etc.
AR/AD ST1s only
28th Aug
Prescribing Magnus Hird AR AL
4th Sept Headaches Steve Cottam
ST3 Ind
11th Sept No teaching AD AL
18th Sept
Epilepsy and Parkinsons Steve Cottam
25th Sept
Consultation models AD/ Anna Riding
2nd Oct
Hepatitis and Blood Born Viruses Dr Peter Flegg
9th Oct
Statistics (ST3s power point presentations)
ST3s to lead (AD)
16th Oct
Falls/Bone Health Dr. S. Talab Helen Veevers, Osteoporosis Lynn Sutfliffe, Lancs Univ
23rd Oct HALF TERM NO TEACHING AD AL
30th Oct HALF TERM NO TEACHING
6th Nov
Managing early pregnancy Problems
Uma Chetan, Janet Purdie & Lorraine Tymond
13th Nov
How to read a qualitative paper
?AR
20th Nov
Consultation- VIDEOS
27th Nov
Coroner’s inquests CORONER Alan Wilson AR AL
4th Dec
CHANGEOVER NO TEACHING AD AL
11th Dec
Childhood allergies Dr. Kate Goldberg
18th Dec
DEBATE
25th Dec XMAS NO TEACHING
1st Jan XMAS NO TEACHING
8TH Jan PROGRESS REVIEWS
15th Jan
Common dermatological problems and how to manage them.
Dr Forgie/Jane Sanderson CSA MOCK
22nd Jan
Depression in young people/perinatal mental
Dr Gillian Strachan, & Mark Worthington
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health/depression in older people
29th Jan
EOL Drs. H Preston, M Varia
5th Feb Changeover NO TEACHING
12th Feb
Physical activity for the north west region.
Dr Emma Pimlott
19th Feb No Teaching Half Term
26th Feb
AWAKEN TEAM Margaret Roe
4th March
Strokes/TIA Dr. Anis Ahmed
11th March
Complaints MDU
18th March
Pain Dr Johnson
25th March
SAFEGUARDING. LTh. Dr. Nigel Laycock (+ST3s)
1st April
No Teaching FY Changeover
8th April No teaching Easter
15th April No teaching Easter
22nd April
Aneamias Haematologists
29th April
Consultations (videos)
6th May 2.00pm 3.30pm
Common surgical problems
Mr Barker
13th May
Childhood resp illness (Bronchiolitis, VIW, Asthma etc
Kate Goldberg
20th May
Consent/Confidentiality Infertility
MDU** Dr. Holly George.
27th May HALF TERM NO TEACHING
3rd June
Rheumatology Dr Jeffries (ST3 Meal)
10th June
Debate
9
Study Leave Process PLEASE TRY TO SUBMIT APPLICATIONS 6 WEEKS PRIOR TO THE COURSE DATE - RETROSPECTIVE
APPROVAL WILL ONLY BE GRANTED UP TO FOUR WEEKS AFTER THE COURSE DATE
ON COMPLETION OF THE COURSE
PLEASE NOTE THAT IF THIS PROCESS IS NOT FOLLOWED YOUR CLAIM WILL NOT BE
APPROVED
Trainee downloads study leave application form from the HE North West website
http://www.nwpgmd.nhs.uk/general-practice/gpst-study-leave
Trainee completes application form prior to the course, after discussion with Education
Supervisor and Rota Master (if applicable) and ticks the appropriate boxes on the form to
indicate the leave is appropriate and has been approved
Trainee emails the form to the Training Programme Director (or their administrator) – please
refer to the contact list provided on the HE North West website
Training Programme Director emails the form to the GP Study Leave email address and trainees
will be copied in for confirmation of approval. The School Administrator will then process the
application.
Travel expenses must be sent to [email protected] (North & South Academy) or
[email protected] (Mersey Academy) within 3 months of the course ending. When the
EDUC form has not been signed by the course organiser, a certificate or proof of payment will
also be required this must also be attached to the same email. Please ensure you only send ONE
email following the course with all the required attachments.
GP School Administrators will send reimbursement claims off in the form of a report to Payroll on
a monthly basis. All claims must be received by noon on the 9th of each month. If you do not
receive payment within two months of submitting your claim please contact either St Helens &
Knowsley HR – [email protected]
10
Study Leave During GP Specialty Training
Study leave is intended to support trainees with release from timetabled work and
financial support for courses to meet career aims and objectives. It should integrate
with the individual education plan for each module of training and with the total training
package.
There is no budgetary limit, however study leave must be used to meet curriculum
requirements. All study leave requests are to be discussed with your supervisors.
Leave to meet core curriculum requirements will take priority over discretionary non-
curriculum requirements.
Trainees should be free to attend educational events appropriate for their career
destination of general practice regardless of which specialty post they are pursuing at
the time, provided essential service commitments are covered.
Trainees are advised to plan their study leave at the regular review meetings with their
educational supervisor. Ideally an outline plan should be produced for the whole 3-year
programme with each course planned at least 6 months in advance. This will facilitate
release from service commitment and ensure best use of the allowance. The
educational supervisor should record this in the e-portfolio either in the review
documentation or as an “educators note”
The school does not encourage the taking of private study leave for any reason. This
includes exam preparation, as the best preparation for both AKT and CSA is consulting
and reflecting on casework.
GP Trainees who are progressing satisfactorily may wish to develop an interest in a
particular specialty and undertake a limited amount of training to that effect, but they
should ensure that this does not hinder their progress or detract from their study of the
core GP Curriculum.
Travel and subsistence (if appropriate) MAY also be reimbursed within the relevant overall limit in accordance with the current regulations. It should however be noted that subsistence will not be paid unless there is an overnight stay involved in the course (not before or after), which is not within the overall course fees. Overnight accommodation will only be reimbursed if the course is a significant distance from the home address (usually more than 50 miles) and if the course spans two or more days. If accommodation or mileage is to be claimed, it MUST be estimated on the form before passing for authorisation. Study leave payments are not intended for costs incurred in taking examinations, e-portfolio costs, affiliation to or membership of the RCGP or registration for certification so none of these will be reimbursed. However, travel costs incurred to attend examinations may be applied for. Approval for attending courses outside of the region will not normally be granted if there is a similar course in the region. LTFT trainees are entitled to pro rata study leave. Extension trainees should seek the opinion of their support Associate Dean regarding study leave approval.
11
TPD can decline funding requests if they feel that a more cost-effective alternative exists. During GP Specialty training study leave should be used at 3 levels, in order of
importance: -
Level I a) Attendance at the GP specialty training programme structured
teaching. Whilst in ST1 and ST2 posts, release to stay in close touch with the training practice and complete the Educational Supervisor Review; (a maximum of five days of study leave per 6-month post).
b) Appropriate life support training certified to meet MRCGP examination requirements.
c) One Level 3 safeguarding during training and 14 Fish blended learning package for AKT and CSA.
Applications for these will be automatically approved.
Level II
These are courses which will supplement areas of the GP curriculum
that may be difficult to access, examples would include Child Health
Surveillance and Minor Surgery courses. Please see table below for
further possibilities.
Level III These are courses which are additional and aspirational courses that go
beyond the GP curriculum e.g. to aid the development of particular
interests.
Approved course list Automatic approval for all trainees
Course Comments
Structured Education Programme Mandatory release, no funding implications
RCGP-provided or accredited CSA course One course attendance per trainee
Fourteen fish AKT and CSA support Funding for whole blended package per trainee.
BLS training One attendance per trainee in ST3
Child protection training One course attendance per trainee. Trainees should ensure that they have completed a Level 3 course by the start of ST3.
GP Update Day e.g. NB Medical / Red Whale
For all in ST3
Courses NOT approved for funding, although time off might be authorised CSA or AKT revision or study courses provided by any other provider.
Repeat courses already undertaken e.g. CSA or AKT preparation
Attendance at courses or conferences overseas
Events outside the region unless authorised by a TPD
12
Courses provided by other organisations that address the difficult to reach parts of the GP curriculum should also be considered, especially if they cover:
RCGP provided or accredited courses or conferences Contraception/sexual health courses Minor surgery Joint injections Palliative care ATLS, BASICs. ENT Ophthalmology Dermatology Mental Health Learning Disability Medical Education Leadership Paediatrics
Veterans’ Health
Homelessness Prescribing Children and young people’s health Dementia Female Genital Mutilation Equality and Diversity Safeguarding Information Governance Leadership and Business Management Courses related to adult learning, self-regulation and reflective learning
Study Leave Application Process The application process is electronic and is described on the HE North West website at http://www.nwpgmd.nhs.uk/general-practice/gpst-study-leave Study leave application forms should be used for any course a trainee needs or may wish to attend (N.B. not required for the in-house structured teaching programme). The forms are for the authorisation of financial reimbursement – the time off must be negotiated with the relevant people before submitting the form for approval. Application forms should be downloaded from the website.
All applications for study leave must be approved by: -
1. The educational supervisor to indicate it is appropriate to meet the educational needs of the trainee. This should normally be discussed at the 6 monthly reviews and indicated in the review documentation. For applications that take place in the interim the approval should be indicated in educator notes on the e-portfolio.
2. The clinical supervisor(s) or rota master(s) in the current post to indicate release from service commitment. NB. in GP+ or integrated posts this will require approval from each element of the post. This should be indicated on the form.
3. The programme director as budget holder to indicate compatibility with the overall programme. Completed forms should be sent to the programme director who will forward the form to the Deanery with final approval
Study leave will not be approved without the necessary authorisations.
13
It is essential that study leave forms are submitted for approval BEFORE the date of the commencement of the course. Trainees are advised that it will normally be necessary to pay for the course in advance and in most cases fees will not be reimbursed until after completion of the course/event. Retrospective applications will only be considered by the Training Programme Director up to one month after the course has taken place, and approval is not guaranteed. If submitting a retrospective application, please state the reason why you are doing so. Principles of study leave and contracted educational sessions in GP posts for
GP specialty training
There have been differing interpretations of study leave guidance and its application for
trainees working in practice. This has partly arisen because the standard junior doctor
contract includes 12 hours of education time but does not specify how this links with
study leave. The principles below are intended to clarify the situation.
These principles should also be applied to hospital and other posts with the difference
that trainees in hospital posts have 4 hours educational time within their contract.
Attendance at the local structured teaching programme is part of contractual arrangements and therefore mandatory. Failure to attend without notifying the programme director and without good reason is therefore a disciplinary matter.
The local GP structured teaching programme is part of study leave and therefore time is deducted from each trainee’s allowance.
Trainers are expected to timetable the structured teaching programme as part of the 12 hours education time within the 2016 Junior Doctor Contract so trainees do not miss clinical time to attend.
Other study leave granted is for the time a course takes place. Trainees are therefore released from whatever activity was programmed for that time, whether it is clinical or educational.
Trainees should therefore not normally be expected to swap timetabled sessions to allow release for approved study leave within the 30 days annual allowance.
Once the 30 days annual allowance has been taken, further study leave is at the discretion of the trainer and so trainees may be asked to do the course in their own time or to forgo personal study time.
Trainees are expected to do 12 hours of education and 28 clinical hours per working week throughout their attachment. It is acceptable for this to be varied by mutual agreement between the trainer and trainee on condition that
o Study leave processes are followed and the above principles applied o The overall balance of educational and clinical time remains 12 hours:
28 hours
The activities that normally take place within the contracted educational sessions include formal tutorials and assessments, recording learning on the e-portfolio, personal study, practice or other education meetings, peer group learning and educationally useful projects such as audit, protocols or other management tasks. In some circumstances there may be some clinical activity with significant educational input e.g. observed surgeries with feedback from the trainer
14
Time in Lieu
Time in lieu will be allowed if the course is undertaken outside of the normal working
week, for example a course undertaken on a Saturday would allow the GPST to take
time in lieu from their educational time in the working week. For LTFT trainees,
attending a course on a non-working day would result in time in lieu being taken from
educational time in their normal working times.
Rob Stokes, Head of GP School – (October 2018)
15
14Fish AKT and CSA Education Resource
HENW have arrangements in place for all NW GP trainees to have access to the 14Fish AKT and
CSA resources. This is not mandatory and you may decide not to join, however, HENW have
observed that those who do, achieve higher results. A brief description of each package is
given below.
Pass the AKT
Content- clinical updates, exam technique, statistics and practice admin. Large question bank
set and run by RCGP examiners. Individual user monitoring and feedback. Key user educator
access to a wide variety of performance data to monitor progress.
Pass the CSA
Content - Consultation skills teaching, examples of various levels of consulting (focus on what
is needed to pass and consult well), clinical updates and exam technique. Live CSA community
to discuss issues and queries.
I have attached the Blackpool programme link should you wish to subscribe.
www.fourteenfish.com/join/heenwblackpool
Only when you register will the subscription costs be deducted directly from your study leave
allowance. It is your choice whether to take advantage of this or not.
You will also be linked with your Educational Supervisor in order that you can be supported as
part of the blended learning process. Therefore, inform them of your action so that they are
aware of being linked in.
For ST1s, the package will be available for the full 3 year programme at a one-off cost of £205.
Individually, the AKT package will cost £85-95 and the CSA package £135 until you pass.
16
Support for GP Trainees
Being a doctor can bring unique stresses and great pressures can be
associated with the role, particularly during training, with the added
burden of exams.
As a team, we want you to know that our doors are always open for
support, and that you should never feel alone or isolated with any issues
you may face. For any of you that would prefer to speak anonymously or
to professional services, there are a number of resources available below.
Your own GP can also offer a wealth of support and local options, and we
would encourage all of you to register with one in the area if you have not
yet done so.
Many of us will face periods of stress, anxiety and mental health
problems over the course of our careers- please don't ever feel that you
have to tackle these alone.
Allison, Adam and Ruth
Blackpool GPST Education team.
--------------------------------------------------------------------------------------------
Resources available.
GP Health. This NHS GP health Service is a confidential service for GPs and GP trainees in
England. It can help with issues relating to a mental health concern, including stress or
depression, or an addiction problem, in particular where these might affect work.
Email on [email protected] or by calling 0300 0303 300. The service is available 8am-8pm
Monday- Friday and 8am- 2pm Saturday
BMA Counselling and Support Service: The BMA offers two services which
are available to all doctors and medical students whether or not they are BMA members.
17
1) Counselling: The service is staffed by professional telephone counsellors 24 hours a day, 7 days a week. They are all members of the British Association for Counseling and psychotherapy and are bound by strict codes of confidentiality and ethical practice.
2) Peer Support: The BMA peer support service offers doctors and medical students in distress or difficulty the choice of speaking in confidence to another doctor. It’s confidential peer support with an emotional focus
The Doctor’s Support Network: Peer support for doctors and medical students
with mental health concerns: includes links to other resources, books and articles.
www.dsn.org.uk
DocHealth. A new not for profit service based in London but open to doctors all over the
UK. Provides confidential consultation, advice about careers, emotional support and when
needed access to other expert help. Offers counselling at a fee based on a sliding scale
depending on the doctor’s grade and circumstances.
www.dochealth.org.uk
The Doctor’s Support Group: Based in London but open to anyone in the UK. Free
regular meetings to support doctors facing suspension, exclusion, investigation of complaints
and/or allegations of professional misconduct. www.doctorssupportgroup.com
Action on Addiction: Rehabilitation for alcohol and drug misuse offering six week
residential care plus aftercare programmes. www.actiononaddiction.org.uk Tel 0300 3300 659
Sick Doctors Trust: (For those with dependency problems)
www.sick-doctors-trust.co.uk Tel: 0370 444 5163
British Doctors and Dentists Group: (for those with a dependency problem)
www.bddg.org
FB Groups:
Resilient GP (closed Facebook group) Support with practices, rotas and more
Tea and Empathy: (Public Facebook Group) National peer to peer informal network based on
SoMe offering support to colleagues working in the NHS.
18
SICKNESS ABSENCE - YOUR RESPONSIBLITIES
Employees Responsibility If you are feel unable to attend work, please contact your Rota Co-ordinator
immediately and as soon as possible prior to your shift commencing. They will ask you the following questions in regard to your absence: Name of caller, Date and time of call, Name of Person absent, Area of work, Line Manager, Start time of Duty, Reason for Absence, how long the person expects to be absent, when are they going to next be in contact, is the absence due to industrial injury, is the absence due to a Road Traffic Accident
It is important that you report your absence personally, unless there are exceptional circumstances
Absence should not be reported by email or text message
If you fail to report your absence from work your OSP (Occupational Sick Pay) could be stopped by the Trust
Your immediate Line Manager/Head of Department/Medical Workforce Team will make contact with you on a regular basis (usually every 7 days), to ensure that you are recovering well and to provide pastoral support to enable you to return to work as soon as possible
Who do I contact for the area I am working in?
Service Rota Coordinator – Report absence
AMU, on-calls, week-ends. Thomas Handforth 01253 9553430
A&E Rachel Scothern 01253 956756
Cardiology & Cardiothoracic Roxanne Sheward 01253 957731
Endocrinology, Gastroenterology, Respiratory, Care of the Elderly, CCU, Stroke Ward, Stroke Rehabilitation, Rheumatology, Haematology, Community Hospitals
Sophie Gee 01253 953572
Trauma & Orthopaedics, ENT, Ophthalmology Emily Connor – 01253 953371
Paediatrics, Obstetrics & Gynaecology Denise Alston – 01253 956940
Psychiatry Claire Jackson – 01253 447911
General Surgery Jane Bentley - 01253 953444
19
LEAD EMPLOYER
St. Helens & Knowsley Trust (STHK)
North West
e.mail: [email protected] (Put Blackpool in Subject box)
tel: 0151 290 4091/4490
POLICIES
For HR Policy and Casework advice, please contact: e.g. Attendance Management, Health
Concerns, Disciplinary/Conduct, Grievance, Respect & Dignity at work, Capability, General HR
Advice and Guidance, etc.
[email protected] 0151 290 4440 - 0151 290 4425
For Payroll queries contact the St Helens and Knowsley payroll department via:
e.g. Payslip/Pay queries, Tax code queries, P45's.
North West [email protected] 0151 290
4516
0151 430
1130
0151 430
1927
For Sick Leave or Maternity queries contact the St Helens and Knowsley department via:
North West [email protected] 0151 430
4091 or 4490 For Pension queries contact the St Helens and Knowsley pension department via:
e.g. Pension Queries. Opt-in/opt-out of NHS Pension Scheme, Purchasing Additional Years etc.
North West [email protected]
0151 430 1115
For Expenses queries contact the St Helens and Knowsley payroll department via:
For non-payment of e.g. study leave, travel expenses, additional duties.
North West [email protected] 0151 290 4516
0151 430 1130
0151 430 1927
For ESR Self-Service queries, please contact: e.g Access to ESR Self-Service, ESR Self-Service
Queries, access to E-payslips
[email protected] 0151 290 4127
For Health Work and Well-Being (HWWB) queries, please contact: e.g. For referrals/Self-
Referrals
[email protected] 0151 430 1985
For Finance and re-charging queries, please contact: e.g. Invoice queries, Invoice payments
(NHS Trusts and HEE only)
[email protected] 0151 430 1048
Return to work interview forms:
Return to: [email protected]
