It is important that we have up-to-date information on all trainees, including current placement information, educational supervisors’ details and contact details. Please complete the form below to inform us of any changes.

Trainee Details

Title
Forename of Trainee
Surname of Trainee
Trainee Group
Name of employing Trust/Organisation

If your Trust/Employer is not listed on the dropdown, please enter below.

Trust/Employer Other

What change is required?

What change are you informing us of?

If you are informing us of more than one change or selected Other please note additional changes below

More than one change; please state

Change of Personal Details

name
Trainee Personal Email
Trainee Trust/Work Email
name
Telephone (work)
Mobile (emergencies only)

Placement Information Update

If you are have a placement, which is longer than 3 months, away from your employing organisation, please confirm the details below.
Please also complete the Educational Supervisor section to inform us who your placement ES will be.

Please provide the name of where your placement is
Please confirm the number of months you will be at this placement
Confirm the date when the placement starts

Educational Supervisor Update

Educational Supervisor Add/Change Type
Educational Supervisor Forename
Educational Supervisor Surname
Educational Supervisor Email
If you are requesting to change an Educational Supervisor, Please State Previous ES Name
Has the previous ES left the trust

Additional Changes Required

If you have a change which doesn't appear on the above list, please enter below.

Other information to be updated:

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