Valuing educators in Primary Care – Registration form – Paid for delegates

Please complete the form below...

Title(*)

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First Name(*)

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Surname(*)

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Email(*)

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Please indicate where you are based(*)

NHS England England (NHSE)

NHS Education for Scotland (NES)

Health Education & Improvement Wales (HEIW)

Northern Ireland Medical & Dental Training Agency (NIMDTA)

Defence Postgraduate Deanery

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Please indicate your NHS England region

Please SelectEast MidlandsEast of EnglandKent Surrey & SussexLondonNorth EastNorth WestSouth WestThames ValleyWessexWest MidlandsYorkshire and the Humber Invalid Input

Please select your menu choices

Starter(*)

Spiced sweet potato soup with toasted coconut & fresh coriander

Smoked haddock & spring onion fishcake with tartare sauce

Grilled chicken skewer with coriander & chilli spiced sweet & sour slaw

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Main(*)

Roast shin of beef with red wine & onion jus, horseradish mashed potato & baked root vegetables

Pan-fried sea bass filet with giant cous cous, chickpeas & sultana salad with a spiced herb & red pepper dressing

Leek and wild mushroom risotto with dressed rocket, pea shoots and crispy fried leeks & onions

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Dessert(*)

Sticky toffee pudding with toffee sauce & vanilla ice cream

Mango panna cotta with toasted coconut and pineapple salsa

Milk chocolate mousse with chocolate & caramel sauce and chocolate brownie crumble

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Please inform of any food allergies or dietary requirements (state N/A if you have none)

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