Assistant/Associate/Advanced Practitioner Role Expression of Interest Form To be eligible for funding your organisation must be an NHS organisation or a not-for-profit organisation providing NHS care. Please submit ONE form per service area to ONE university only (see page 2 for details) Your details Organisation name Service area Type of role required Assistant Practitioner (Health and Social Care) ☐ (tick one only) Assistant Practitioner (Radiography) ☐ Assistant Practitioner (Radiotherapy) ☐ Associate Practitioner (Healthcare Science) ☐ Advanced Practitioner ☐ Number of roles required Service manager’s name Service manager’s email address Declaration By submitting this form you are confirming that: This role represents a planned service development and has board level support within the organisation You have read and agree to the Workforce Modernisation Protocols (and NW Concordat for Advanced Practitioners) You are familiar with the education programme in question, its entry requirements and its requirements of practice in relation to work-based learning opportunities The successful trainee(s) will be released from practice to attend university as specified by each education programme Mentors will be identified and will provide support to the trainee(s) in practice An appropriately banded/graded post will be made available for the trainee(s) on successful completion of the education programme A job description has been developed for the qualified role Name: Position: Email address: Phone number: Signed: Developing people for health and healthcare Date: www.nw.hee.nhs.uk twitter.com/HENorthWest Please return the completed form to the appropriate contact below Assistant Practitioner (Health and Social Care): For organisations in Greater Manchester University of Bolton michelle.powell@bolton.ac.uk For organisations in Cheshire or Merseyside University of Chester sue.flynn@chester.ac.uk For organisations in Cumbria or Lancashire University of Central Lancashire hrobinson1@uclan.ac.uk Assistant Practitioner (Radiography): University of Central Lancashire hrobinson1@uclan.ac.uk Assistant Practitioner (Radiotherapy): Sheffield Hallam University a.j.jessop@shu.ac.uk Associate Practitioner (Healthcare Science): Manchester Metropolitan University j.ashworth@mmu.ac.uk Advanced Practitioner: For organisations in Greater Manchester University of Bolton University of Salford l.tomlins@bolton.ac.uk a.s.gloster@salford.ac.uk For organisations in Cheshire or Merseyside Edge Hill University Liverpool John Moores University University of Chester University of Liverpool owensd@edgehill.ac.uk r.mccarthy@ljmu.ac.uk g.hardy@chester.ac.uk m.flynn@liverpool.ac.uk For organisations in Cumbria or Lancashire University of Central Lancashire University of Cumbria lharrison2@uclan.ac.uk Kathryn.haigh@cumbria.ac.uk NB If you have a particular reason for choosing a university outside your organisation’s geographical area please email christina.hawkins@nw.hee.nhs.uk for advice. Developing people for health and healthcare www.nw.hee.nhs.uk twitter.com/HENorthWest