GP Registrars are advised to apply to join the Performers List at least three months before they complete their training. Please contact the team for information on how to apply for inclusion in the Performers List. The Team can be contacted at : gp.pcs@ggc.scot.nhs.uk
Fully Qualified GP
There are fourteen Health Boards in Scotland, and you should apply to the board, where you intend to undertake the majority of your work for appraisal/revalidation purposes.
Right to work check
You’ll need to prove your right to work in the UK to allow you to provide general medical services within Scotland.
The share code should be generated and sent along with your Performers List application.
Share Codes/ Sponsorship/Visas
Visa and immigration rules changed in 2022. In the past, workers on Tier 2 visas could work only for the sponsoring employer. Following the rule changes, skilled workers are now entitled to work either unlimited hours with their sponsoring employer, or to work up to 20 additional hours with another employer (or for the worker’s own business) as long as the worker is still being sponsored for the original job.
In addition to the sponsored job, a skilled worker GP could now work:
for another independent GP practice in the same Board area;
for a Board-run (2C) practice in the same Board area;
for a Board’s OOH service in the same area; or
for all of the variants above but in a different Board area, or perhaps in multiple Board areas.
The responsibility of any individual employer is only to monitor the hours done by the employee if they have employed the GP as a Partner or a Salaried and to report any breaches of the Regulations
The GP has personal obligations to ensure that they do not exceed the 20-hour limit.
Application for Inclusion on the Performer’s List
Please find below a sample application form. Please note that this sample application form cannot be used to apply and is for information only.
In order to work as a GP in Scotland, you will need to be a member of the Disclosure Scotland, PVG Scheme, and to work in NHS Greater Glasgow & Clyde, you will need to be on the NHS Primary Medical Services Performer’s list for Glasgow and Clyde. To obtain a copy of the application pack, please contact the FHS Team at gp.pcs@ggc.scot.nhs.uk
Response from NSS – Any GP, including Sessional GPs, are entitled to an NHSmail account. The issue is whether they should be attached to the practice they work in or not. I would suggest that if they are likely to work in a practice for 3 months or more they should be attached to the practice and if they move to another practice they are marked as a leaver from that practice and then added to the next by the practice admins. This would need to be done by your local administrator. If they are only working for a week here or there, they should float within the Board (not attached to anything except GGC Board).
To get an NHS Mail account a Sessional GP should phone DAISY, the IT Company NHS Greater Glasgow and Clyde use to support their systems, on 0344 863 1244 and log a call. The operator will take the GP through a series of questions, including which Health Board they are hosted by, take contact details, and then the account will be set up.
If a GP has an NHS Mail account from working in a practice can they retain it if they leave the practice to work as a Sessional GP?
Yes – When the GP is working for a Practice they will be attached to that practice, if they move to another practice they will be marked as a leaver from that practice and then added to the next by the practice admins. This would need to be done by your local administrator. If they are only working for a week here or there, they should float within the Board (not attached to anything except GGC Board).
What are the implications for a person’s PVG Scheme membership if they move from working in a practice to working sessionally, or if they come from another part of the UK?
PVG application is carried out as part of a new GP’s induction process, along with Performers List application, when they wish to practice as a GP. It is a national scheme and covers them wherever they work in Scotland, and whether they work as a Principal in a practice or sessionally. If a GP comes from another part of the UK they will have to complete the Scottish PVG process even if they are members of the scheme elsewhere in the UK
How would Sessional GPs access BNF online?
The BNF can be accessed from the Medicines Complete website at British National Formulary (BNF) | Pharmaceutical Press in order to access the site you must be working in a GP Practice, a member of NHS Scotland staff, student on NHS placements, or partner in local authorities and the voluntary health sector.
How would Sessional GPs Access the NHSGGC formulary?
You can access the GGC Formulary through Staffnet. If you are working in a practice the permissions on the PC should be sufficient. There are also smartphone apps that can be downloaded, however you need a SharePoint account in order to open either the online formulary or the app: GGC Clinical Info – Home (sharepoint.com)
How would Sessional GPs Access the online BNF?
Go to https://bnf.nice.org.uk/ and you can access the BNF on your device, either desktop or mobile.
Please click on the links below to view the Medical (GP) Lists.
Clicking on the link below will take you to the GGC Medicines webpage which contains a link to the current GGC Drug Formulary and other useful information.
We are all living in an increasingly digitized world. How we connect with this at home is a personal choice. But how we connect at work is becoming increasingly essential to how we provide and deliver our services, ensuring our patients and families are supported along the way.
So, we hope this website will offer support and help you to work as a digitally enabled clinician on a day-to-day basis but also to consider what it takes to become a digital champion in your area.
Digital literacy
The skills and capabilities that equip us to work in a digital workplace are called ‘digital literacy’.
A useful framework that describe the various aspects of digital literacy is:
Description: The “Jenny and the Bear” story book and Name the Teddy competition, are part of a co-ordinated programme which aims to increase awareness of the effects of secondhand smoke on children and what parents/carers can do to ensure their children are not exposed to its harmful effects.
The programme consists of a story being read to pupils by their class teacher, followed by a classroom activity to agree a name for the bear in the story. The teddy bear names are then entered into a competition and the winners will be awarded a teddy mascot for their class (1 class from each local authority area in GG&C). Letters are sent out to all primary schools in GG&C at the start of the school year with information on how to register for the programme.
The story of the little girl and her teddy offers the opportunity to explore the themes of secondhand smoke, a favourite toy, rewarding positive behaviours and consideration for others. In addition, all children who take part in the programme will be given a booklet version of the story to take home. It is hoped that this will support parents/carers reading to their children and raising awareness of the issues of secondhand smoke within the wider family.
Type: Lesson Plan, Online Resource, Film, Book
Target group: Early
IT/practical requirements: A video version of this story is available as a YouTube link for live streaming
Description: Togther with PACE Theatre, Choices for Life have produced a series of dramas “Someday” which are all interlinked. They tell the story of Liam, Sophie and Scott as they experience peer pressure, smoking, drugs and alcohol for the first time.
Liam’s story is about a young boy and his school ates who try to persuade him to smoke to fit in with the crowd and the consequences that follow (smoking, peer pressure, fitting in). The film lasts approximately 15 minutes and can either be watched on its own or as part of the someday series covering other substance misuse topics.
Type: Online resource, Film
Target group: Second Level
IT/practical requirements: Access to the internet required
Description: The Smokefree 4 Me programme is a health education initiative which aims to prevent smoking uptake and encourage young people to make an informed choice to stay smoke free. The Programme is open to all S1 and S2 classes across Greater Glasgow and Clyde.
Classes can take part in the programme in different ways depending on the interests and needs of the pupils as well as the amount of time available in class to undertake activities. The programme is split into five themes:
Theme 1: Health Effects of Smoking
Theme 2: Peer Influence and Decision Making
Theme 3: Smoking and the Law
Theme 4: The Tobacco Industry, Advertising and Promotion
Theme 5: Tobacco, Poverty and the Environment
Each theme has an accompanying lesson plan with background information on the topic, suggested ideas for lesson development and a topical newsletter.
Type: Lesson Plans, Online Resource, Pack
Target group: Third
IT/practical requirements: All secondary schools in Greater Glasgow and Clyde have previously received a hard copy of the pack but please follow the link below for the most recent version with up to date statistics. Some lessons may require IT access in class depending on activities chosen.
Implications for staff: No training required but CPD sessions may be available in each local authority area via your local CPD calendar.
Cost attached: No.
Resource link: Please note: this resource is currently unavailable. Smokefree 4 Me is under review by NHS GGC. A revised version will be linked here once available.
QA Tool: Please note: this resource is currently unavailable. Smokefree 4 Me is under review by NHS GGC. A revised version will be linked here once available.
Trade Winds
Topic: Tobacco
Description: Trade Winds: Learning about Tobacco is an interdisciplinary resource for primary schools and is targeted at P5-P7 pupils (second level).
The pack covers all curriculum areas and is designed to enable children to extend their learning beyond the health impacts of tobacco to a consideration of broader tobacco issues.
The pack is split into 7 topic areas:
Topic A – Setting the Scene
Topic B – History of Tobacco
Topic C – Health Effects of Smoking
Topic D – Secondhand Smoke
Topic E – Cost of Tobacco (Global and Local)
Topic F – Influences on Smoking (Media and Peer Pressure)
Topic G – Extending Children’s Learning Through the Arts
Type: Lesson Plans, Online Resource, Pack
Target group: Second
IT/practical requirements: All primary schools in Greater Glasgow and Clyde have previously received a hard copy of the pack but please follow the link below for the most recent version with up to date statistics. Some lessons may require IT access in class depending on activities chosen.
Implications for staff: No training required but CPD sessions may be available in each local authority area via your local CPD calendar.
Cost attached: No
Resource link: Please note: this resource is currently unavailable. Trade Winds is under review by NHS GGC. A revised version will be linked here once available.
QA Tool: Please note: this resource is currently unavailable. Trade Winds is under review by NHS GGC. A revised version will be linked here once available.
Tobacco-free Secondary Schools
Topic: Tobacco
Description:
By aspiring to be a smoke-free school, schools can support young people to make confident, responsible, effective decisions about their health and wellbeing. There are many different factors that lead young people to smoke and the extent to which smoking is prominent and accepted in the environment around them plays a crucial part. Consistency between what is experienced in the school environment and reinforcing smoke-free messages in the classroom is key.
The pack includes a range of practical tools and resources and is arranged into 2 parts that can be used independently or together:
Part 1 – Guide to becoming a Tobacco-free School
This guide document is intended to support a school through the steps required in order to become a tobacco free school. It explains the background, why it is important and key issues. This guide replaces the previous “Tobacco-free Schools – Helping You Achieve It” guide by Smokefree Services and Ash Scotland.
The guide breaks down the process into 10 steps – and these are laid out in a very practical way that is easy to follow. There is a suite of templates available to guide the schools through the process – these can be found in Appendix 1 and are fully editable Microsoft Word documents.
Part 2 – Tobacco-free Schools Teaching Pack
Secondary pack aligned to Curriculum for Excellence 3rd and 4th level (S1-S3) although reference is also made in the pack to the importance of continuing activity through Senior Phase, for which this material would be suitable.
There are 23 different activities over 10 topic areas. It is not necessary for all activities or topics to be used – teachers are free to “pick and mix”.
Topics covered include:
introducing tobacco
benefits of being smokefree
smoking and health
dealing with peer pressure and building confidence
e-cigarettes and vaping
smoking and mental health
smoking and physical activity
money money money
towards a Smokefree Scotland
cigarettes, plastic and the environment
Type: Lesson Plan(s), Online Resource
Target group: Third, Fourth, Senior phase
IT/practical requirements:
Quit Your Way Smokefree Schools have 1 printed copy of the resource for every secondary school in Greater Glasgow & Clyde. To request your free copy please email: Quityourway.smokefreeschools@ggc.scot.nhs.uk
Topic: Substance Misuse: drugs (including NPS), alcohol and tobacco
Description:
Provides teachers with suggested lessons and resources to support delivery of substance misuse lessons as part of the PSE curriculum in Secondary Schools. Learners will develop their understanding of the use and misuse of a variety of substances including over the counter and prescribed medicines, alcohol, drugs, tobacco, solvents and new psycho active substances. They will explore and develop their understanding of the impact of risk taking behaviour on their life choices. Learners are enabled to make informed personal choices with the aim of promoting healthy lifestyles.
S1 Module
Lesson 1 – What is a drug
Lesson 2 – Sophie’s Story (Alcohol)
Lesson 3 – Peer Pressure
Lesson 4 – Understanding the school’s policy on drugs
S2 Module
Lesson 1 – Drug names and effects
Lesson 2 – Drugs and the law
Lesson 3 – So what do you think you know about alcohol?
Lesson 4 – Why do people use drugs?
S3 Module
Lesson 1 – What’s in a unit?
Lesson 2 – Helping other people
Lesson 3 – Smoking: attitudes, myths and facts
Lesson 4 – Choices (NPS)
S4 Module
Lesson 1 – Cannabis: the facts
Lesson 2 – Risky situations
Lesson 3 – Keeping safe – emergency action
Lesson 4 – Social implications of substance misuse
Description: The Substance Misuse Education Working Group have created new lesson plans (Early, First and Second Level) which are based on the Substance Misuse Education Resource Pack developed by Educational Services and NHS staff from West Dunbartonshire. A range of activities are provided which include interactive quizzes, paired working and individual learning. Some lesson plans have follow-up activities to further develop children’s learning on the topic. Home activity exercises have been included in some lessons to reinforce learning and promote discussion between parents/carers and their children. Additional lessons will continue to be developed by the Substance Misuse Education Working group in order to create a framework for substance misuse education.
Early levelP1 lesson 1 – People who help meP1 lesson 2 – Unsafe situations and emergenciesFirst levelP2 lesson 2 – Decision makingP3 lesson 2 – RisksP3 lesson 3 – Decisions, Decisions!P4 lesson 1 – ConsequencesP4 lesson 2 – Peer pressureP4 lesson 3 – MedicinesP4 lesson 4 – What to do in an emergencySecond levelP5 lesson 1 – What are substances part 1: alcohol and tobaccoP5 lesson 2 – What are substances part 2: drugs and solventsP5 lesson 3 – Consequences – Risks and effectsP5 lesson 4 – Doing the right thingP6 lesson 1 – What are drugs part 1: legal drugsP6 lesson 2 – What are drugs part 2: illegal drugsP6 lesson 3 – RisksP7 lesson 1 – Consequences: drugs and the lawP7 lesson 2 – ResponsibilitiesP7 lesson 3 – Antisocial behaviour and substance misuse
Type: Lesson plans, online resource
Target group: Early; First; Second.
IT/practical requirements: Access to PC and internet required for some lessons.
Description: The AS IT IS DVD is a resource that tackles the issues of gang fighting, territorialism, offending behaviour and substance misuse. The DVD was produced by a partnership of statutory and voluntary agencies based in Glasgow. Accompanying pack was developed by Glasgow Council on Alcohol. DVD includes interviews with real people and graphic imagery which some people may find disturbing. The resource challenges entrenched thinking by showing how choices made by gang members have impacted in their own and other people’s lives. Police Scotland advise that the resource is an early intervention toolkit and can be used with P7, S1 & S2 pupils. This resource will generate discussion and provoke different thinking with all age groups. It is recommended that parental consent should be obtained if this resource is to be used with persons under the age of 16. It is strongly recommended that staff view the films and teaching aids prior to use. If additional hard copies are required please contact Inspector Stevie Kinvig, Police Scotland.
Type: Pack.
Target group: Second; Third; Fourth.
IT/practical requirements: Access to DVD Player/PC & Projector to allow DVD to be played.
Implications for staff: The nature of this resource means that staff should review prior to use, young people may have experienced gang fighting & consequences & as a result may require support during and after use of the resource. DVD contains graphic scenes of violence.
Cost attached: No.
Resource link: TBC
QA Tool:
Buzzin
Topic: Drugs.
Description: Buzzin explores the impact of solvent abuse on the lives of young people living in the fictional town of Duncastle through the use of a DVD and lesson plans. The resource aims to raise awareness of dangers and effects of volatile substance abuse.
Type: Online resource.
Target group: Third.
IT/practical requirements: Internet required to download pack and film.
Implications for staff: Pack has a teachers guide included.
Description: Drug Awareness is an interactive intervention to introduce the risks and effects of legal and illegal drugs with an alcohol and drugs harm reduction focus. The aim is to raise knowledge and awareness of different legal and illegal drugs and highlight the physical, social and emotional effects of drug use/misuse at a secondary school level and ensure pupils have an understanding of the negative consequences of taking drugs. This intervention uses methods that are interactive, current, and engaging for the young people enabling them to discover information and guidance on drugs.
Type: Lesson plan.
Target group: Third.
IT/practical requirements: List of resources required indicated in facilitator’s notes.
Implications for staff: This resource is normally delivered by GCA in schools.
The Choices resource was produced prior to the 2016 Psychoactive Substances Act and shows a young person buying NPS from a shop. This, however, may be a useful discussion point to demystify any beliefs still held that you can legally purchase NPS from a shop or on-line. This does not detract from the wider learning in the film in relation to risky behaviours and substance misuse in general.
Topic: Drugs (New Psychoactive Substances)
Description: The film focuses on Ben as he is faced with a variety of choices around the topic of New Psychoactive Substances (NPS). This is an interactive video drama where learners get to make the choices for Ben and see the consequences. There are a variety of choices that can be selected.
Type: Online resource, Lesson Plan, Film
Target group: Fourth level, Senior Phase
IT/practical requirements: Access to the internet required
Description: *Resource linked to Fourth Level E’s and O’s, however use is recommended with Senior Phase students* Sun, Sea and Safety is an interactive intervention to increase knowledge of the impact of alcohol on safety whilst abroad taking a harm reduction focus. The aim is to reduce the negative impact of alcohol use/ misuse while abroad and raise awareness of different risky situations and consequences. This intervention uses methods that are interactive, current, age appropriate and engaging for the young people enabling them to discover information and guidance on alcohol.
Type: Lesson plan.
Target group: Senior phase.
IT/practical requirements: List of resources required indicated in facilitator’s notes.
Implications for staff: This resource is normally delivered by GCA in schools.
Resource download link: Sun Sea Safety (zip) http://www.glasgowcouncilonalcohol.org/contact/
Cost attached: No.
QA Tool:
Take a Drink
Topic: Alcohol; Drugs
Description: Drama performed by PACE Theatre Company highlighting the dangers of risk taking behaviour to young people, for example, the consequences/situations facing young people under the influence of alcohol and or drugs. The drama follows three characters who attend a party and all have very different experiences due to their excessive alcohol consumption. Follow up workshops are delivered by Glasgow Council on Alcohol to allow discussion about issues raised in the play. This play is commissioned by NHS GG&C for all Glasgow Secondary Schools at present. If you are interested in running a similiar project outwith the Glasgow area please contact PACE Theatre Company directly. Take A Drink 2012 Evaluation Report available on request.
Type: Performance/Drama
Target group: Third; Fourth; Senior phase.
IT/practical requirements: Stage area required or large hall depending on audience size. Drama company provide all required equipment including sound equipment.
Description: Drugs wheel resource contains up to date names and categories for illegal drugs, new psychoactive substances (drugs formally known as legal highs), solvents and prescription drugs used recreationally. Can be used to raise awareness during class discussion and the Drugs Wheel game supports young people to work as a group to categorise the drugs. Could complement a lesson on the effects of drugs.
Type: Online resource.
Target group: Third; Fourth; Senior phase
IT/practical requirements: All resources are available for download via the website. Powerpoint version also available for use on Smart Board.
Description: Interactive, incentive based information on alcohol, tobacco and other drugs. This online resource contains information for young people and parents/carers as well as video clips, games, competitions and a link to Becky Booze Buster. Provides information on alcohol. Additonal information on drugs and tobacco has recently been added.
Type: Online interactive resource.
Target group: Third; Fourth.
IT/practical requirements: Computer with internet access. You Tube access required to watch videos. Link to Becky Booze Busters is via Facebook or email.
Choices For Life Film: Scott’s Story (Drugs-Cannabis)
Topic: Drugs (Cannabis)
Description: Together with PACE Theatre, Choices for Life have produced a series of dramas “Someday” which are all interlinked. They tell the story of Liam, Sophie and Scott are they experience peer pressure, smoking, drugs and alcohol for the first time and must face the consequences that lead from it.
Scott’s story is about a young adult who decides to use cannabis to help him cope with stress. The film shows how this choice impacts his life. Explores many of the consequences of cannabis: its effects on relationships, motivation, school work, reliability and drug driving. The film lasts approximately 15 minutes and can either be watched on its own or as part of the Someday series covering related themes.
Type: Online resource, Film
Target group: Third Level, Fourth Level, Senior Phase
IT/practical requirements: Access to the internet required
The West of Scotland Research Ethics Service forms part of the UK wide NHS research ethics service (https://www.hra.nhs.uk/) and applications can be reviewed from across the UK. Applicants are free to apply to any suitably flagged REC in the UK although a local REC is advised. The applicant should book a slot that they are able to attend. The meetings are generally held remotely and instructions for joining the meeting are sent out ahead of time.
The central West of Scotland office is manned by four Research Ethics Committee Managers and Assistants who cover the four West of Scotland Research Ethics Committees.
NHS RECs safeguard the rights, safety, dignity and well-being of people participating in research in the National Health Service. They review applications for research and give an opinion about the proposed participant involvement and whether the research is ethical. NHS RECs are entirely independent of research sponsors (that is, the organisations funding and hosting the research) and investigators. This enables them to put participants at the centre of their research. Each year, NHS RECs review around 6,000 research applications. On average, they give an opinion in less than 30 days: well within the maximum allowance of 60 days. Proportionate Review studies are reviewed within a maximum of 21 days.
REC Membership
Each Research Ethics Committee (REC) consists of between seven and 18 volunteer members. At least one-third of the members must be ‘lay’. Lay members are people whose main personal or professional interest is not in a medical research area. The remainder of the committee are expert members, who are specialists including doctors, other healthcare professionals and academics. Membership also includes a category known as ‘lay plus’. This category excludes anyone who has been involved in clinical research other than as a participant. REC members often have the sort of experience which will be useful in scrutinising the ethical aspects of a research proposal. For example, they might be patients, members of the public, nurses, GPs, hospital doctors, statisticians, pharmacists and academics, as well as people with specific ethical expertise gained through a legal, philosophical or theological background.
Interested in becoming a member of an NHS REC?
Please get in touch with us and we can send you further details and let you know of any local vacancies available. All NHS RECs are established by the UK Health Departments for the purpose of reviewing research applications that fall within our remit as set out in GAfREC.
Different types of REC
There are two main types of RECs:
Recognised RECs
These are recognised by the United Kingdom Ethics Committee Authority (UKECA) for the review of clinical trials of investigational medicinal products (CTIMPs), in accordance with The Medicines for Human Use (Clinical Trials) Regulations.
Authorised RECs
Established under GAfREC but not recognised by UKECA. Authorised RECs can review most research that is not a CTIMP.
In the West of Scotland we have one Recognised REC and three Authorised RECs
Information for applicants
Information to help you define if your research project requires review by a Research Ethics Committee can be found here
Research Application Submission
All researchers wishing to undertake a piece of research within the NHS are required to complete an IRAS form. All guidance and information is contained within the site to allow completion of the IRAS form.
Once you have uploaded all of the study documentation the REC Manager will check and validate the submission. The REC Manager will then issue a validation letter indicating the date and time of the Ethics Meeting and inviting the investigator to attend. The dates and times of all ethics meetings can be found here: https://www.hra.nhs.uk/about-us/committees-and-services/res-and-recs/search-research-ethics-committees/
After the meeting the investigator will receive a letter within 10 working days stating the outcome which will be one of four possible decisions:
Final opinion – favourable or unfavourable
Provisional opinion – with request for further information, clarification or revision
No opinion – gone to referee for consultation before opinion given
The national ethics service allows 60 days from the submission of the application to final opinion. Clear guidance is given within the IRAS website for researchers who wish to make an amendment to their application after approval or add extra sites.
Contacts and committee details
Contacts and committee details (dates can vary due to public holidays always check on HRA website)
Committee Details
Meets
Contacts
West of Scotland Research EthicsCommittee 1 WoSREC 1 Recognised Type III Flags: CTIMPs Paediatrics Phase I Patients
Any queries regarding the service or whether an application requires ethical review should be directed to the Scientific Officer / Ethics Manager – Dr Judith Godden
WE HAVE MOVED HOME! This page is no longer updated, please visit the new Sharepoint Community Nursing Webpage.
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March 2022
Update from Non Medical Prescribing team
Wound management: Discontinuation of AQUACEL® Ag and AQUACEL® Ag Extra™ dressings and replacement with Aquacel Ag +
In theory no action should be required since previous notification of this has been sent out. However we do continue to note prescribing activity with old non formulary dressing titles prescribed.
Prescribing implications (apart from loss of rebates)
“Ordinary” Aquacel flat dressings (not ribbon) are discontinued and Aquacel Extra is the only one available. This information has previously been circulated and should be widely known. We do see this starting to be reflected in prism data.
Aquacel Ag as noted is being discontinued and the only range will be formulary Aquacel Ag+ Extra.
Over this year as transition takes place clinicians should try not to inadvertently miss out the all-important “+” sign for silver products! If not prescribed accurately (attached) this could result in the pharmacists contacting NMP to inform them the product has been discontinued and asking for an alternative. This will may cause confusion and risk delays in patients commencing treatment.
FYI the “extra” part accounts for greater absorbency potential and sequestering proteases – whereas the “+” sign for Ag range denotes surfactant has been included.
Useful Links
Please click on the relevant box below to directly access the information.
In each of the localities within Glasgow City HSCP, there are support groups available to community nurses who hold the V100, V150 or V300 prescribing qualifications. Please see the main contact below for each location and feel free to email them to ask for dates and times of meetings you will be able to link in to for support and guidance.