The Way of the Productivity Ninja – Application Form Name(Required) Email Address(Required) HiddenPractice (If you are a Locum please indicate this).Practice(Required)Please SelectAcorn PracticeAlney PracticeAspen Medical PracticeBeeches Green SurgeryBerkeley Place SurgeryBlakeney SurgeryBrockworth SurgeryBrunston & Lydbrook PracticeCam and Uley Family PracticeChipping Campden SurgeryChipping SurgeryChurch Street MedicalChurchdown SurgeryCirencester Health GroupCleevelands Medical CentreColeford Family DoctorsCotswold Medical PracticeCulverhay SurgeryDockham SurgeryDrybrook SurgeryFive Valleys Medical PracticeForest Health CareFrampton SurgeryFrithwood SurgeryGloucester Health Access CentreHadwen HealthHigh Street Medical CentreHilary Cottage SurgeryHucclecote SurgeryKingsholm SurgeryLeckhampton SurgeryLonglevens SurgeryLydney PracticeMann Cottage SurgeryMinchinhampton SurgeryMitcheldean SurgeryMythe Medical PracticeNewent Family PracticeNewnham SurgeryOverton Park SurgeryPainswick SurgeryPartners in HealthPhoenix Health GroupPrestbury Park PracticePrices Mill SurgeryQuedgeley Medical CentreRegent Street SurgeryRendcomb SurgeryRosebank HealthRowcroft Medical CentreRoyal Crescent SurgeryRoyal Well SurgerySevernbank SurgerySevernside Medical PracticeSixways ClinicSt Catherine’s SurgerySt George's SurgeryStaunton & Corse SurgeryStoke Road SurgeryStonehouse Health ClinicStow SurgeryUnderwood SurgeryUpper Thames Medical GroupWalnut Tree PracticeWest Cheltenham MedicalWeston House PracticeWhite House SurgeryWinchcombe Medical CentreYorkleigh SurgeryYorkley & Bream PracticeOther(if you are a locum please select other)Role(Required)GP (early career, less than 5yrs post CCT)GP (mid-career, 5yrs post CCT)GP (late career, within 5yrs prior to retirement)Practice ManagerNurse (GPN, ANP or ACP)Physio (MSK FCP)DieticianParamedicClinical Pharmacistsocial prescriber/health and wellbeing coach/care coordinatorHealthcare AssistantNursing associate (or TNA)Other
