If you would like to join the ABCD DIY APS audit and have access the secure audit tool which will allow local analysis and storage of your own data as well as automatically providing the data in anonymised form to the nationwide audit, simply complete and submit the form below. Your Details Title Dr.ProfessorMr.Mrs.Ms.MissAssociate ProfessorThe Right Honourable Lady First Name Last Name Designation Consultant PhysicianConsultant PaediatricianSpecialist RegistrarGPPractice NurseSpecialist Nurse Practitioner (Diabetes) - Hospital/Community careSpecialist Nurse Practitioner (Diabetes) - Primary/Community careDietitianRetired healthcare professionalCommercialOther (please specify)Pharmacist Designation (other) Town The town in which the hospital or surgery is based Postal Code Centre name in full (Hospital trust, ICS etc) Please provide the full name of your NHS Trust/CCG (centre) and Hospital/GP Practice (site). Please do not abbriviate. Site name in full (Hospital, GP surgery etc) Phone Number Email How we will use your data In order to join the audit you need to agree that the audit organisers are allowed to see all the details above about you and your site/centre. The audit organisers will be analysing only anonymised patient data but they are not prepared to receive data from anonymised contributors. Please tick the boxes to agree to this and that we may contact you at any time about anything to do with this audit and to invite you to join future audits that might be applicable to you. Opt in I agree that ABCD may contact me at any time about this audit I would like to be invited to join future audits that might be applicable to me Further Information About text formats Plain text No HTML tags allowed. Web page addresses and email addresses turn into links automatically.
