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Application to join ABCD nationwide FreeStyle Libre audit and gain access to the audit tool on the NHS network

If you would like to join the ABCD nationwide FreeStyle Libre audit and have access the secure audit tool on the NHS network 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
Are your patients

The town in which the hospital or surgery is based

Type of registration

CCG registration requires a named GP practice.

Name of CCG in Full (no acronyms)*

NHS trusts require a named hospital site

Name of Trust in Full (no acronyms)*

If you want to register multiple GP practices within a CCG include each GP practice.

If you want to register multiple hospital sites within a Trust include each hospital.

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.

See section headed structure of the audit - centres and sites on the audit main page. If you would like to let us know at this stage about the structure you were thinking of for your location by all means do so in the box below. The centre can however be further developed at any stage in the future, with sites added at any time.