4.6 million people in the UK have diabetes and someone is diagnosed every two minutes. With rapidly increasing numbers, we need strong leaders in primary care to positively impact patients' clinical outcomes, their personal wellbeing and NHS finances. This programme has been developed to support and grow local leaders to improve diabetes care. It is for any professional working in primary care with the enthusiasm, passion, and tangible ideas for improving diabetes care in their local area.

It will enable clinicians to develop the skills needed to drive transformational change in diabetes care, and spread improvement beyond the consultation room and across practices. The programme will also be an opportunity for clinicians to identify both barriers and solutions to improving care, and network with colleagues from across the country.

Learning outcomes Know how to use influence and who to influence

Understand how to be an effective leader Identify the barriers to quality care and service improvement and how to

overcome them Develop an action plan to drive change and spread innovation across

local area

DatesModule 1 (days 1 and 2) - Tuesday 7 May to Wednesday 8 May 2019 Module 2 (day 3) - Wednesday 10 July 2019

You must be able to attend all 3 days.Course VenueCardiff, Wales

Diabetes UK will provide accommodation for the Tuesday 7 May.

Please email completed forms to leadership@diabetes.org.uk

Application deadline: 17 March 2019

*Please note that preference will be given to applicants from Wales.

Personal detailsName Click here to enter text.

Job title Click here to enter text.

Employing organisation Click here to enter text.

Address Click here to enter text.

Post code Click here to enter text.

Work phone Click here to enter text. Mobile phone Click here to enter text.

Email Click here to enter text.

What are your personal objectives for taking part in the Primary Care Leadership Programme (maximum 100 words)?

Think about a current challenge to good diabetes care in your practice or local area. Briefly outline the challenge and some ideas for how you could overcome this challenge. Bullet points are fine (maximum 200 words).

AccomodationThe programme will start at 11.30am on Tuesday 7 May and finishes at 6.30pm followed by a dinner. The following day, the course starts at 8.30 am on Wednesday 8 May.

Diabetes UK will provide accommodation for the Tuesday night if needed. Please indicate if you would require accommodation on the Tuesday night.☐ I will require accommodation on Tuesday 7 May.

How did you hear about the Primary Care Leadership Programme?☐ Diabetes UK Professional Conference ☐ Diabetes UK E-newsletter☐ From a colleague who has attended another Diabetes UK Leadership programme☐ From a colleague☐ From a contact at Diabetes UK☐ In a professional publication☐ Other (please specify)

Line manager / practice partnerI understand that the course is designed to support primary care clinicians to become leaders in service improvement. I believe that the above staff member has the capacity to be a leader of positive improvements in diabetes care and I will support them to implement their learnings following the course.

Signed …………………………………..…………… Date Click here to enter text.

Name Click here to enter text.

Job title Click here to enter text. Employing organisation Click here to enter text.

Applicant declarationI declare that, to the best of my knowledge, all the information provided on this form is accurate.

Signed ………….………………………………… Date Click here to enter text.

Please email completed forms to: leadership@diabetes.org.uk

Application deadline: 17 March 2019*The Diabetes UK Primary Care Leadership Programme is kindly supported by a grant from AstraZeneca

Keeping in touchWe’d love to keep you updated about how we support people living with diabetes and how you can help by donating, volunteering and campaigning.

We’ll stay in touch with you by post and phone. It helps us to keep our costs down if we can email you but it’s entirely your choice. Please tick the box to tell us you are happy to receive emails ☐

We want to send you the most relevant information so might ask you for personal data, for example about your diabetes or ethnicity. We promise to store it securely and keep it confidential. Please tick the box to tell us you are happy for us to use this information ☐Occasionally we may need to share personal data with our suppliers to process your orders and requests or to provide other services to us. We promise:

Never to release your personal details to another company for their marketing purposes

To always respect your communication preferencesWe only want to send you relevant information and requests to support us. To do this we may analyse the information you provide and gather extra data. You can find out more about how we use your information at www.diabetes.org.uk/privacyYou can change how you hear from us or ask us to stop communicating with you at any time:Visit us at https://forms.diabetes.org.uk/im-in-charge

Email us at helpline@diabetes.org.uk

Phone us on 0345 123 2399