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.

Forename of Trainee
Surname of Trainee
Please tick the information that requires updating, tick all that apply:
Contact details
Trust/Organisation
Educational Supervisor
Placement information
Other

Please complete the following fields

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

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

Trust/Employer Other
Base Name

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
Confirm the date when the placement starts

Educational Supervisor Details

name
Educational Supervisor Forename
name
Educational Supervisor Surname
Educational Supervisor Email
Previous ES Left Trust
Yes
No

In some instances, trainees will be assigned two Educational Supervisors, if this is the case please provide the details below of the second ES.

name
Educational Supervisor Forename 2
name
Educational Supervisor Surname 2
Educational Supervisor 2 Email

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.