Educational Programme Director Change Form

It is important for us to know who the current EPD is in your department. EPDs are our main link with your trust and whilst we circulate our communications to many staff involved in the education and training of pharmacy staff, we require *one main contact to liaise with on the return of data required. 

For our pre-registration programmes, each year upon the return of the Training Agreement, the EPD should be named on this agreement.  If the PRP or PTPT EPD subsequently changes during the year, please inform us by completing the below EPD Change Form and submitting a new Training Agreement which can be downloaded from this page. Any changes to FP EPDs can also be notified via this form without the submission of a Training Agreement. 

We have developed an EPD Orientation guide to support you in your role and how we link in with this, please download this guide. 

*in some cases where there are multiple sites for large trusts two contacts can be named. 

Educational Programme Director Change Form

Please use this form to tell us about a new EPD.

Forename
Surname
Job Title
Work Email
Telephone (work)
Mobile (work mobile only)
Base Name
Please state the name of the previous EPD here who you are replacing.

Training Agreement

If the change of EPD is for PRP or PTPT, please download the appropriate Training Agreement from above and attach a completed copy with this form.

Attach completed Training Agreement

Please refer to the HEE privacy notice https://hee.nhs.uk/about/privacy-notice for information on how HEE manage your data.