FacultyofHealthStudies

SpecialistSkillsandPostRegistrationDevelopment(SSPRD)FundingForm

Please completethis forminblockcapitals. Completedforms tobesent to: Admissions Office, University of Bradford, C52 Richmond Building, Richmond Road,Bradford,West YorkshireBD71DP orscanand emailcompletedformstoth Education England (HEE)within Yorkshireandthe Humberfundthemajorityofour Specialist Skills andPost RegistrationDevelopment(SSPRD)opportunities previouslyknownas (CPD)offeredatthe UniversityofBradford.Tocheck ifyouareeligiblefor(SSPRD) Fundingand for terms and conditions,pleasevisit:

PleasecompleteSectionAandB ofthis formand askyour designatedManager tocompleteSectionC toconfirm

thatyouare employed by aqualifyingOrganisationandsupportyouonthe programme.Qualifyingorganisations listedin SectionD.

Section A:Student –Personal Details(tobecompleted by the student)

UB Number(If known): / DateofBirth:
Surname: / First Name:
EmployerName:
EmployerAddress:
Contact Number:

Section B:Course Details:(tobe completed by thestudent)

Courseor Moduleapplied for:

Section C:Designated Manager(tobe completed by theManager)

Manager’sFull Name:
(Please print)
Position:
If NHS pleaseprovidedetails ofTrust/CCG:
If Private Healthcareorother nonNHS pleaseprovidefullnameofOrganisation:
Ward/Dept/Hospital/Other:
EmployerAddress: / OfficialStamp:IfStampisnotavailablepleaseaffixcomplimentsliptotheform
Signature / Date

Section D:NHSTrusts/CCGS in theYorkshire and Humberregion

WestYorkshire

AiredaleNHS FoundationTrust Bradford District CareTrust

BradfordTeaching Hospitals NHS FoundationTrust CalderdaleandHuddersfieldNHS FoundationTrust Leeds &YorkPartnerships NHS FoundationTrust Leeds Community HealthcareNHS Trust

Leeds Teaching Hospitals NHS Trust MidYorkshire Hospitals NHS Trust

NHS AiredaleWharfedaleandCravenCCG NHS BradfordCity CCG

NHS BradfordDistricts CCG NHS CalderdaleCCG

NHS Direct WestYorkshire

NHS Greater HuddersfieldCCG NHS Leeds NorthCCG

NHS Leeds SouthandEast CCG NHS Leeds West CCG

NHS NorthKirklees CCG NHS WakefieldCCG

West YorkshireCommissioning Hub

SouthYorkshireandBassetlaw

BarnsleyHospitalNHS FoundationTrust

Doncaster andBassetlaw Hospitals NHS FoundationTrust NHS Barnsley CCG

NHS Bassetlaw CCG NHS DoncasterCCG NHS RotherhamCCG NHS SheffieldCCG

NHS West andSouthYorkshireandBassetlawCommissioningSupport Unit RotherhamDoncaster andSouth Humber NHS FoundationTrust Rotherham NHSFoundationTrust

SheffieldChildren's NHS FoundationTrust

Sheffield HealthandSocialCare NHS FoundationTrust SheffieldTeaching Hospitals NHS FoundationTrust South West YorkshirePartnershipNHS FoundationTrust SouthYorkshireandBassetlaw Commissioning Hub

NorthYorkshireandHumberHarrogate &District NHSFoundationTrust HullandEast Yorkshire Hospitals NHS Trust Humber NHS FoundationTrust

NHS East Ridingof YorkshireCCG

NHS HambletonRichmondshireandWhitby CCG NHS Harrogate andRuralDistrict CCG

NHS HullCCG

NHS NorthEast LincolnshireCCG

NHS NorthLincolnshireCCG

NHS ScarboroughandRyedaleCCG

NHS Valeof YorkCCG

NorthYorkshireand Humber CommissioningSupport Hub

NorthYorkshireand Humber CommissioningSupport Unit

NorthernLincolnshireandGoole Hospitals NHS FoundationTrust ScarboroughandNorthEast Yorkshire HealthCareNHS Trust YorkTeaching HospitalNHS FoundationTrust

Other

City HealthCarePartnerships HealthEducationEngland Locala Community Partnerships

NAViGO HealthandSocialCareCIC NHS Funded - Other

YHPrivate Voluntary andCharity HealthcareOrganisations YorkshireAmbulanceServiceNHS Trust

Yorkshireand Humber Hospices Yorkshireand Humber Nursing Homes Yorkshireand Humber Prisons