Yorkshire and the Humber Regional END OF LIFE CARE WORKSHOPS Cedar Court, Denby Dale Road, Calder Grove, Wakefield WF4 3QZ 12.00 Registration; 12.30am Welcome and Introduction; 4.30pm Close 7-Day working in EoLC Thursday 20th November 2014, 12.30 – 4.30, Cedar Court, Wakefield Integration and Coordination for EoLC Wednesday 17th December 2014, 12.30 – 4.30, Cedar Court, Wakefield EPaCCS Implementation Thursday 12th February 2015, 12.40 – 4.30, Cedar Court, Wakefield EoLC in Dementia Thursday 12th March 2015, 12.30 – 4.30, Cedar Court, Wakefield A maximum of 40 places available for each workshop Who should attend? These workshops are suitable for clinicians, managers and commissioners involved in End of Life Care. Study methods: Lectures, small group work, group discussions, question and answer sessions, and discussions. Reservations: Please complete the reservation form overleaf and either post to: Events Administrator, Andrew Sims Centre, The Mount, 44 Hyde Terrace, Leeds LS2 9LN or fax to: 0113 85 55632. Phone 0113 85 55638 Course Fees: The workshops are free to attend. RESERVATION FORM End of Life Care Workshops YOUR DETAILS  HOW TO BOOK  PLEASE PRINT YOUR DETAILS IN BLOCK CAPITALS  Dr  Mr  Mrs  Miss Please send your fully completed reservation form to: Events Administrator, Andrew Sims Centre, The Mount, 44 Hyde Terrace, Leeds LS2 9LN or fax to: 0113 85 55632. If you are paying by credit or debit card, why not BOOK ONLINE? Other First name: Surname: THE VENUE  Job title: Cedar Court, Denby Dale Road, Calder Grove, Wakefield WF4 3QZ By Car: 0.01 miles from M1 J39 By Train: 12.6 miles from Leeds Train Station / 3.5 miles from Wakefield Westgate Station 3.9 miles from Wakefield Kirkgate Station / 3.4 miles from Wakefield Centre Speciality: Trust / Organisation: Email address: OVERNIGHT ACCOMMODATION  Post address: (work preferred) A delegate accommodation booking service is available from Calder Conferences by calling 0844 375 3288 or emailing [email protected] quoting reference ASC1. Postcode: Telephone no: Any special reqs: Signature: Date: Pre-booked overnight hotel accommodation will be provided at the conference venue. Rooms are for sole occupancy and breakfast is included. Evening meals and any other extras are not included and must be paid for by the delegate on check-out. If you would like to book a room for the night prior to the conference, please contact us for availability. Only a limited number of bedrooms are available at this rate and must be requested by DD Month 20YY. Rooms requested after this date are subject to availability. CONFIRMATION OF RESERVATIONS  All reservations will be confirmed immediately in writing. Further details including programme times and venue information, will be forwarded approximately 2 weeks prior to the event date. Please ensure you have provided an email address as all booking confirmations will take place by email. COURSE FEES   FREE RESERVATION & CANCELLATION POLICY  CHOICE OF WORKSHOP  7-Day working in EoLC 20 November 2014  Integration and Coordination for EoLC 17th December 2014  EPaCCS Implementation 12th February 2015  EoLC in Dementia 12th March 2015 th Cancellations must be received in writing at least two weeks prior to the course date, a substitute delegate will be welcomed in your place at any time. FURTHER INFORMATION  For further information visit www.andrewsimscentre.nhs.uk email [email protected] or call 0113 85 55638. If you are visiting our website, why not book online? The Andrew Sims Centre (“ASC”) is part of Leeds and York Partnership NHS Foundation Trust (“LYPFT”). Your personal information will be stored and processed by the ASC, Pure360 and Cloudspotting Ltd according to the Data Protection Act 1998. If you would like further information about this please contact us. Your personal information will be used by the ASC to process your application to attend our events and to keep you informed of ASC and LYPFT events and activities. If you no longer wish to receive information about our activities, please tick this box  Your personal information may be made available to selected event co-partner organisations, or to companies sponsoring or exhibiting at our events. If you do not want your details to be made available to our third-party partners, please tick this box  LYPFT reserves the right to change the programme without prior notice. Where for any reason beyond its reasonable control the LYPFT cancels an event, the liability of the LYPFT shall be limited to a refund of the fee payable to the LYPFT for that particular event. FOR ASC OFFICE USE ONLY: Booked in  Date: …...……….. Payment ref: ………………….……… www.andrewsimscentre.nhs.uk [email protected] call 0113 85 55638