Diversity in Health and Care Partners Programme 2023/24

Application form for the 2023/24 programme

This programme supports health and care organisations to create more inclusive workplaces, where difference is welcomed and celebrated. Please submit this form by Friday 23 June 2023. Should you have any technical or accessibility difficulties please email: diversityandinclusion@nhsemployers.org
Data protection notice

All information provided through this form will be held by the NHS Confederation. Any personal data provided will be processed for the Diversity in Health and Care Partners Programme 2023/24. The information collected will be processed via jot form, on behalf of the NHS Confederation and shared within the NHS Confederation. It will not be shared with any other third parties. Please see our privacy policy for further information on how we will handle your data and you may opt out from communications from us at any time.
Name*

First NameLast Name
Email*
example@example.com
Job title*
Phone Number*

Area CodePhone Number
Name of organisation*
Organisation type*
Region*
Name of your EDI lead, or person dealing with EDI if you do not have a lead.
EDI lead email address
example@example.com
Name of the board member who will be sponsoring your organisation's involvement in this programme.
Board member email address
example@example.com
Name of staff network chair(s) who might be participating in the programme.
Staff network chair email address
example@example.com
Please add a link to your equality and diversity strategy (or indicate if this is not yet in place).
Please link to your NHS Workforce Disability Equality Standard action plan and data (or indicate if this is not yet in place):
Please add a link to your NHS Workforce Race Equality Standard action plan and data (or indicate if this is not yet in place).
What was your latest overall CQC rating? (Please include a link to the report on the CQC website)
Why does your organisation want to join the Diversity in Health and Care Partners programme? (250 words max)

0/250
As part of the Diversity in Health and Care Partners programme, what will be your organisation's three main objectives? (250 words max)

0/250
Opt-in to connect with other partners on the programme.

Every year our partners ask if they can have the contact details for other participants on the programme in order to collaborate, share ideas and learning. If you are accepted onto the programme and are happy to have your email address, name, job title and organisation name shared with other partners please opt-in below.
I agree that my contact details can be shared with other partners on the programme.*

Opt in for details to be shared with other partner programme participants.Opt in for potential contact from other partner programme participants, but would like requests to make contact with me to come via NHS Confederation staff.I do not want my contact details sharing with other partner programme participants.
Your data when using Microsoft Teams and Zoom
Please note, we may use Microsoft Teams and Zoom to run meetings for the partners programme, and where we do, your name and email address may be visible through these platforms to other members of the network. This is a functionality of Microsoft Teams and Zoom that we cannot alter.

We will remind you on meeting invitation, but in accepting these invitations, you are consenting for your data to be visible in this way. Please note, during the meeting you may be able to turn off your camera and alter your name. For more information please see our Microsoft Teams and Zoom privacy notice

Application form for the 2023/24 programme