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EVENT BOOKING FORM
Living with Schizophrenia:
Findings from the National Audit of Schizophrenia
Monday 27 October 2014
Royal York Hotel, York
10:30am – 16:20pm
Yorkshire and Humber,
North East and East Midlands
Regional Learning Event
ABOUT THE EVENT
The report of the second round of the National Audit of Schizophrenia (NAS) is being launched on the morning of Friday
10 October 2014 at our ‘Launch Event’ in London. This has been timed to coincide with World Mental Health Day, the
theme of which this year is ‘Living with Schizophrenia’.
The National Audit of Schizophrenia is an initiative of the Royal College of Psychiatrist's Centre for Quality Improvement
(CCQI). It is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical
Audit and Patient Outcomes Programme (NCAPOP). It is a Trust level audit consisting of an audit of practice plus patient
experience and carer satisfaction surveys.
The Yorkshire and Humber, North East and East Midlands Regional Learning Event gives Trusts the opportunity to come
together with the National Audit team to discuss their own local results and consider relevant service
development/planning issues.
REGISTER FOR EVENT
Places at this event are free. Please note that up to eight places from each Trust will be allocated for the learning event
and a multidisciplinary attendance is encouraged (for example psychiatrists, pharmacists, CPNs and governance
personnel, service users and carers). Learning materials, refreshments and buffet lunch will be provided.
Please complete the registration form overleaf and return to:
Royal College of Psychiatrists, CALC, 21 Prescot Street, London, E1 8BB, fax: 020 3701 2761, email: [email protected]
CONFIRMATION / CANCELLATIONS / SUBSTITUTIONS
Cancellations - (Notice must be given in writing by land mail or e-mail [email protected]). Should you be unable to
attend, a substitute delegate is welcomed – please advise of any name changes.
Confirmation: All registrations will be confirmed in writing. Details of venue and map will be confirmed in writing.
Applicants are advised not to book travel/accommodation until written confirmation from The Royal College of
Psychiatrists (RCPsych) has been received. The RCPsych reserve the right to change the programme without prior notice.
Where for any reason beyond its reasonable control, the RCPsych cancels an event, the liability of the RCPsych shall be limited to a refund of any fee
payable to the RCPsych for that particular event.
York NAS Learning Event 27/10/2014
PERSONAL INFORMATION
DELEGATE 1
TITLE
FIRST NAME
SURNAME
PLACE OF WORK & LOCATION
MAILING ADDRESS
TOWN
POST CODE
EMAIL
TEL (DAYTIME)
VEGETARIAN
YES / NO
SPECIAL DIETS/REQUIREMENTS
DELEGATE 2
TITLE
FIRST NAME
SURNAME
PLACE OF WORK & LOCATION
MAILING ADDRESS
TOWN
POST CODE
EMAIL
TEL (DAYTIME)
VEGETARIAN
YES / NO
SPECIAL DIETS/REQUIREMENTS
DELEGATE 3
TITLE
FIRST NAME
SURNAME
PLACE OF WORK & LOCATION
MAILING ADDRESS
TOWN
POST CODE
EMAIL
TEL (DAYTIME)
VEGETARIAN
YES / NO
SPECIAL DIETS/REQUIREMENTS
DELEGATE 4
TITLE
FIRST NAME
SURNAME
PLACE OF WORK & LOCATION
MAILING ADDRESS
TOWN
POST CODE
EMAIL
TEL (DAYTIME)
VEGETARIAN
YES / NO
SPECIAL DIETS/REQUIREMENTS
York NAS Learning Event 27/10/2014
DELEGATE 5
TITLE
FIRST NAME
SURNAME
PLACE OF WORK & LOCATION
MAILING ADDRESS
TOWN
POST CODE
EMAIL
TEL (DAYTIME)
VEGETARIAN
YES / NO
SPECIAL DIETS/REQUIREMENTS
DELEGATE 6
TITLE
FIRST NAME
SURNAME
PLACE OF WORK & LOCATION
MAILING ADDRESS
TOWN
POST CODE
EMAIL
TEL (DAYTIME)
VEGETARIAN
YES / NO
SPECIAL DIETS/REQUIREMENTS
DELEGATE 7
TITLE
FIRST NAME
SURNAME
PLACE OF WORK & LOCATION
MAILING ADDRESS
TOWN
POST CODE
EMAIL
TEL (DAYTIME)
VEGETARIAN
YES / NO
SPECIAL DIETS/REQUIREMENTS
DELEGATE 8
TITLE
FIRST NAME
SURNAME
PLACE OF WORK & LOCATION
MAILING ADDRESS
TOWN
POST CODE
EMAIL
TEL (DAYTIME)
VEGETARIAN
YES / NO
SPECIAL DIETS/REQUIREMENTS
Please complete and return your registration form to:
Royal College of Psychiatrists, CALC, 21 Prescot Street, London, E1 8BB
: 020 3701 2604  020 3701 2761 Email: [email protected]
DATA PROTECTION STATEMENT
The College’s Data Protection Statement can be viewed at http://www.rcpsych.ac.uk/dataprotection