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N E T W O R K I N G LEA NING The Scottish Practice Management Development Network Booking Form Standard DOING THINGS DIFFERENTLY The Scottish Practice Management Development Network | Annual Conference 23/24 May 2013 - The Beardmore Hotel and Conference Centre, Clydebank

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NETWORKING

LEA NING

The ScottishPractice ManagementDevelopment Network

Booking Form Standard

DOING THINGSDIFFERENTLY

The Scottish Practice Management Development Network | Annual Conference23/24 May 2013 - The Beardmore Hotel and Conference Centre, Clydebank

CANCELLATION POLICY

The Scottish Practice Management Development Network Conference Doing Things Differently Thursday 23 May / Friday 24 May 2013

QUERIES

Booking form to be returned by 17 April 2013 to:

Chris Riley, Financial Services Assistant, NHS Education for Scotland, Westport 102, West Port,

Edinburgh, EH3 9DN or email to: [email protected]

In the unfortunate circumstances that you have to cancel your booking at any time prior to the event and we are unable to fill your place the following cancellation charges will apply. Please note that cancellations must be made in writing to the events team at the address below.

Cancellation received with more than 61 days notice: 25% of registration feeCancellation received with more than 31 – 60 days notice: 50% of registration feeCancellation received with more than 14 – 30 days notice: 75% of registration feeCancellation received with more than 7 – 14 days notice: 85% of registration feeCancellation received with less than 7 days notice: full charge

Event QueriesEvent TeamMrs Sheila Macaloney/Mrs Rachel PoskittNational Events Co-ordinatorNHS Education for ScotlandWestport 102West PortEdinburgh EH3 9DN

Telephone: 0131 656 3216 (Sheila Macaloney)0131 656 3215 (Rachel Poskitt)

email: [email protected]

Payment Queriesemail: [email protected]

GUIDELINES FOR COMPLETION

• Please ensure that you complete and return pages 2 – 4 and 11 – 12

• Provision has been made on the booking form to allow a maximum of three delegates to register from the same practice/organisation. If this is the case pages 5 – 10 will also be required to be completed.

• Booking form to be returned to: Chris Riley, Financial Services Assistant, NHS Education for Scotland, Westport 102, West Port, Edinburgh, EH3 9DN

or email to: [email protected]

• Deadline for returning booking forms: 17 April 2013

1

DEADLINE FOR RETURN: 17 APRIL 2013

The Scottish Practice Management Development Network Conference Doing Things Differently Thursday 23 May / Friday 24 May 2013

DELEGATE 1 DETAILS

Title Mr Mrs Miss Ms Dr Prof Other

First Name (in full)

Surname

Job Title

Practice Name/Organisation

Address (for correspondence)

Postcode

Telephone Fax

Email Address

Confirm Email Address (confirmation will be sent by email)

Special Requirements

PHOTOGRAPHYPlease note that photographs of the event may be taken for reproduction in publications / websites / social media (Facebook/Flickr etc) by NES and partnership organisations for this event. This may involve flash photography

Please tick if you object to flash photography

Please tick if you do not wish to be included in photographs

DATA PROTECTIONNHS Education for Scotland uses the personal data you provide for purposes associated with our responsibilities for health workforce development, including the administration of courses, monitoring training programmes and circulating information relating to relevant development opportunities.

For more information see http://www.nes.scot.nhs.uk/privacy-and-data-protection Personal data will be retained in line with our records retention policies.

2

CONFERENCE RATES STANDARD RATE TRAINEES 2011/12

Day One Only £79.14 (£65.95 + VAT) £79.14 (£65.95 + VAT)

Day Two Only £77.94 (£64.95 + VAT) £41.94 (£34.95 + VAT)

Both Days £147.48 (£122.90 + VAT) £111.48 (£92.90 + VAT)

DINNER, BED & BREAKFAST Wednesday 22 May 2013 Dinner £21.25 (VAT Exempt) £21.25 (VAT Exempt)

Bed and Breakfast £62.00 (VAT Exempt) £62.00 (VAT Exempt)

Thursday 23 May 2013

Conference Dinner £30.00 (VAT Exempt) £30.00 (VAT Exempt)

Bed and Breakfast £62.00 (VAT Exempt) £62.00 (VAT Exempt)

TOTAL £ plus VAT £ plus VAT

See page 11/12 for payment details

BONNY & CLYDE! (23 May 2013 5.30 pm – 6.30 pm approx)Why not stretch your legs and see what the local countryside has to offer! If you are interested in par-ticipating in a short guided walk along the picturesque Forth and Clyde Canal at the close of day one please indicate below. The Scottish Waterways Trust will provide a guide free of charge, however, they do ask that a small donation be made at the end of the walk. Further details regarding the Forth and Clyde Canal can be found on the following website: http://www.scottishcanals.co.uk/our-canals/forth--clyde-canal

If you are interested in taking part please tick here Further details will follow

The Scottish Practice Management Development Network Conference Doing Things Differently Thursday 23 May / Friday 24 May 2013

REGISTRATION FEES

EXTEND YOUR STAYIf you wish to extend your stay over the weekend and make use of the hotel’s excellent facilities, a rate of £62 plus VAT per night for bed and breakfast is offered to delegates and their family/friends. This is based on single occupancy of a standard twin/double room. All requests will be subject to availability at time of booking. To make reservations call the Beardmore events team on 0141 951 6006 advising that you wish to extend your stay already booked for the NHS Education for Scotland Conference on 23 May 2013. A credit card will be taken as a guarantee of your hotel booking.

DELEGATE 1 NAME

If you are unsure which option to select please contact the events team: [email protected]

3

WORKSHOP SESSIONS

The Scottish Practice Management Development Network Conference Doing Things Differently Thursday 23 May / Friday 24 May 2013

Thursday 23 May 2013 (these workshops will be repeated twice during the day)

Session 1 Session 21. Locality Planning in an Integrated World Alison Taylor, Directorate for Health & Social Care Integration, Scottish Government

2. Time, Work and Life Load Management - You Look Very Busy – How About Some Results David Lee, Institute of Healthcare Management, Royal Society for Public Health

3. Colourful Thinking for Creating Managers Kate Donne, K & S Donne Ltd

4. Improving Patient Safety in Your Practice Dr Neil Houston, Dollar Health Centre

Friday 24 May 2013 Session 1 1. The View From Outside Pennie Taylor, Health Journalist

2. Patient Entitlement to NHS Care Brian Donohoe, NHS Scotland Counter Fraud Services plus UK Border Agency (name tbc)

3. Managing Upwards Hilary Haman, Hilary Haman Consultancy Ltd 4. The Patient Advice and Support Service Christine Lang, Patient Advice and Support Service National Co-ordinator, Citizens Advice Scotland

Please note that if you do not complete all the relevant workshop sessions you will be allocated a workshop.

DELEGATE 1 NAME

You will have the opportunity to attend two workshops on day one and one workshop on day two. Please indicate your 1st, 2nd and 3rd choices for each session. In order to make an informed decision when selecting your workshops please see the workshop summaries contained within the programme.

4

DEADLINE FOR RETURN: 17 APRIL 2013

The Scottish Practice Management Development Network Conference Doing Things Differently Thursday 23 May / Friday 24 May 2013

DELEGATE 2 DETAILS

Title Mr Mrs Miss Ms Dr Prof Other

First name (in full)

Surname

Job Title

Practice Name/Organisation

Telephone Fax

Email address

Confirm email address (confirmation will be sent by email)

Special Requirements

PHOTOGRAPHYPlease note that photographs of the event may be taken for reproduction in publications / websites / social media (Facebook/Flickr etc) by NES and partnership organisations for this event. This may involve flash photography

Please tick if you object to flash photography

Please tick if you do not wish to be included in photographs

DATA PROTECTIONNHS Education for Scotland uses the personal data you provide for purposes associated with our responsibilities for health workforce development, including the administration of courses, monitoring training programmes and circulating information relating to relevant development opportunities.

For more information see http://www.nes.scot.nhs.uk/privacy-and-data-protection Personal data will be retained in line with our records retention policies.

5

CONFERENCE RATES STANDARD RATE TRAINEES 2011/12

Day One Only £79.14 (£65.95 + VAT) £79.14 (£65.95 + VAT)

Day Two Only £77.94 (£64.95 + VAT) £41.94 (£34.95 + VAT)

Both Days £147.48 (£122.90 + VAT) £111.48 (£92.90 + VAT)

DINNER, BED & BREAKFAST Wednesday 22 May 2013 Dinner £21.25 (VAT Exempt) £21.25 (VAT Exempt)

Bed and Breakfast £62.00 (VAT Exempt) £62.00 (VAT Exempt)

Thursday 23 May 2013

Conference Dinner £30.00 (VAT Exempt) £30.00 (VAT Exempt)

Bed and Breakfast £62.00 (VAT Exempt) £62.00 (VAT Exempt)

TOTAL £ plus VAT £ plus VAT

See page 11/12 for payment details.

BONNY & CLYDE! (23 May 2013 5.30 pm – 6.30 pm approx)Why not stretch your legs and see what the local countryside has to offer! If you are interested in participating in a short guided walk along the picturesque Forth and Clyde Canal at the close of day one please indicate below. The Scottish Waterways Trust will provide a guide free of charge, however, they do ask that a small donation be made at the end of the walk. Further details regarding the Forth and Clyde Canal can be found on the following website: http://www.scottishcanals.co.uk/our-canals/forth--clyde-canal

If you are interested in taking part please tick here Further details will follow

The Scottish Practice Management Development Network Conference Doing Things Differently Thursday 23 May / Friday 24 May 2013

REGISTRATION FEES

EXTEND YOUR STAYIf you wish to extend your stay over the weekend and make use of the hotel’s excellent facilities, a rate of £62 plus VAT per night for bed and breakfast is offered to delegates and their family/friends. This is based on single occupancy of a standard twin/double room. All requests will be subject to availability at time of booking. To make reservations call the Beardmore events team on 0141 951 6006 advising that you wish to extend your stay already booked for the NHS Education for Scotland Conference on 23 May 2013. A credit card will be taken as a guarantee of your hotel booking.

DELEGATE 2 NAME

If you are unsure which option to select please contact the events team: [email protected]

6

WORKSHOP SESSIONS

The Scottish Practice Management Development Network Conference Doing Things Differently Thursday 23 May / Friday 24 May 2013

Thursday 23 May 2013 (these workshops will be repeated twice during the day)

Session 1 Session 21. Locality Planning in an Integrated World Alison Taylor, Directorate for Health & Social Care Integration, Scottish Government

2. Time, Work and Life Load Management - You Look Very Busy – How About Some Results David Lee, Institute of Healthcare Management, Royal Society for Public Health

3. Colourful Thinking for Creating Managers Kate Donne, K & S Donne Ltd

4. Improving Patient Safety in Your Practice Dr Neil Houston, Dollar Health Centre

Friday 24 May 2013 Session 1 1. The View From Outside Pennie Taylor, Health Journalist

2. Patient Entitlement to NHS Care Brian Donohoe, NHS Scotland Counter Fraud Services plus UK Border Agency (name tbc)

3. Managing Upwards Hilary Haman, Hilary Haman Consultancy Ltd 4. The Patient Advice and Support Service Christine Lang, Patient Advice and Support Service National Co-ordinator, Citizens Advice Scotland

Please note that if you do not complete all the relevant workshop sessions you will be allocated a workshop.

DELEGATE 2 NAME

You will have the opportunity to attend two workshops on day one and one workshop on day two. Please indicate your 1st, 2nd and 3rd choices for each session. In order to make an informed decision when selecting your workshops please see the workshop summaries contained within the programme.

7

DEADLINE FOR RETURN: 17 APRIL 2013

The Scottish Practice Management Development Network Conference Doing Things Differently Thursday 23 May / Friday 24 May 2013

DELEGATE 3 DETAILS

Title Mr Mrs Miss Ms Dr Prof Other

First Name (in full)

Surname

Job Title

Practice Name/Organisation

Telephone Fax

Email Address

Confirm Email Address (confirmation will be sent by email)

Special Requirements

PHOTOGRAPHYPlease note that photographs of the event may be taken for reproduction in publications / websites / social media (Facebook/Flickr etc) by NES and partnership organisations for this event. This may involve flash photography

Please tick if you object to flash photography

Please tick if you do not wish to be included in photographs

DATA PROTECTIONNHS Education for Scotland uses the personal data you provide for purposes associated with our responsibilities for health workforce development, including the administration of courses, monitoring training programmes and circulating information relating to relevant development opportunities.

For more information see http://www.nes.scot.nhs.uk/privacy-and-data-protection Personal data will be retained in line with our records retention policies.

8

CONFERENCE RATES STANDARD RATE TRAINEES 2011/12

Day One Only £79.14 (£65.95 + VAT) £79.14 (£65.95 + VAT)

Day Two Only £77.94 (£64.95 + VAT) £41.94 (£34.95 + VAT)

Both Days £147.48 (£122.90 + VAT) £111.48 (£92.90 + VAT)

DINNER, BED & BREAKFAST Wednesday 22 May 2013 Dinner £21.25 (VAT Exempt) £21.25 (VAT Exempt)

Bed and Breakfast £62.00 (VAT Exempt) £62.00 (VAT Exempt)

Thursday 23 May 2013

Conference Dinner £30.00 (VAT Exempt) £30.00 (VAT Exempt)

Bed and Breakfast £62.00 (VAT Exempt) £62.00 (VAT Exempt)

TOTAL £ plus VAT £ plus VAT

See page 11/12 for payment details.

BONNY & CLYDE! (23 May 2013 5.30 pm – 6.30 pm approx)Why not stretch your legs and see what the local countryside has to offer! If you are interested in par-ticipating in a short guided walk along the picturesque Forth and Clyde Canal at the close of day one please indicate below. The Scottish Waterways Trust will provide a guide free of charge, however, they do ask that a small donation be made at the end of the walk. Further details regarding the Forth and Clyde Canal can be found on the following website: http://www.scottishcanals.co.uk/our-canals/forth--clyde-canal

If you are interested in taking part please tick here Further details will follow

The Scottish Practice Management Development Network Conference Doing Things Differently Thursday 23 May / Friday 24 May 2013

REGISTRATION FEES

EXTEND YOUR STAYIf you wish to extend your stay over the weekend and make use of the hotel’s excellent facilities, a rate of £62 plus VAT per night for bed and breakfast is offered to delegates and their family/friends. This is based on single occupancy of a standard twin/double room. All requests will be subject to availability at time of booking. To make reservations call the Beardmore events team on 0141 951 6006 advising that you wish to extend your stay already booked for the NHS Education for Scotland Conference on 23 May 2013. A credit card will be taken as a guarantee of your hotel booking.

DELEGATE 3 NAME

If you are unsure which option to select please contact the events team: [email protected]

9

WORKSHOP SESSIONS

The Scottish Practice Management Development Network Conference Doing Things Differently Thursday 23 May / Friday 24 May 2013

Thursday 23 May 2013 (these workshops will be repeated twice during the day)

Session 1 Session 21. Locality Planning in an Integrated World Alison Taylor, Directorate for Health & Social Care Integration, Scottish Government

2. Time, Work and Life Load Management - You Look Very Busy – How About Some Results David Lee, Institute of Healthcare Management, Royal Society for Public Health

3. Colourful Thinking for Creating Managers Kate Donne, K & S Donne Ltd

4. Improving Patient Safety in Your Practice Dr Neil Houston, Dollar Health Centre

Friday 24 May 2013 Session 1 1. The View From Outside Pennie Taylor, Health Journalist

2. Patient Entitlement to NHS Care Brian Donohoe, NHS Scotland Counter Fraud Services plus UK Border Agency (name tbc)

3. Managing Upwards Hilary Haman, Hilary Haman Consultancy Ltd 4. The Patient Advice and Support Service Christine Lang, Patient Advice and Support Service National Co-ordinator, Citizens Advice Scotland

Please note that if you do not complete all the relevant workshop sessions you will be allocated a workshop.

DELEGATE 3 NAME

You will have the opportunity to attend two workshops on day one and one workshop on day two. Please indicate your 1st, 2nd and 3rd choices for each session. In order to make an informed decision when selecting your workshops please see the workshop summaries contained within the programme.

10

PAYMENT DETAILS

The Scottish Practice Management Development Network Conference Doing Things Differently Thursday 23 May / Friday 24 May 2013

Payment must be made prior to the event to guarantee a place. Payment can be made either by invoice or credit/debit card. Please note that NHS Scotland Health Boards are VAT exempt

Delegate 1 Name

Delegate 1 Total £ plus VAT £ = £

Delegate 2 Name

Delegate 2 Total £ plus VAT £ = £

Delegate 3 Name

Delegate 3 Total £ plus VAT £ = £

TOTAL £ plus VAT £ = £

Please tick your method of payment

Invoice Payment

Debit/Credit Card Payment

Please provide payment details, including a purchase order/reference number

Billing Address (this section must be completed)

Billing Organisation

Billing Address

Postcode

Contact Name

Contact Telephone Number

Contact Email Address

Purchase Order/Reference Number

INVOICE PAYMENT

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CREDIT CARD PAYMENT

The Scottish Practice Management Development Network Conference Doing Things Differently Thursday 23 May / Friday 24 May 2013

Please debit £ from my:

Visa Delta/Maestro

Visa Credit

Visa Electron

Mastercard

Card Number / / /

Expiry Date /

Issue Date /

Issue Number

Card Security Code (last 3 digits found on the signature strip of the card)

As displayed on card bills (please supply if different to delegate details)

Name of Card Holder

Card Holder Address

PostcodeTelephone Number

Signature

CARD HOLDER DETAILS

Booking form to be returned by 17 April 2013 to:

Chris Riley, Financial Services Assistant, NHS Education for Scotland, Westport 102, West Port,

Edinburgh, EH3 9DN or email: [email protected]

12