Download Registration Form

‘Best People’ Management and Leadership Development Programme
REGISTRATION FORM
Please complete this form in conjunction with the full programme information and send a completed copy to
the Organisational Development Team for approval and set up.
Name:
Job Title:
Dept.
CSC:
Email:
Phone:
Managers
Name:
Managers
Email:
Managers
Job Title:
Managers
Phone:
1. Describe how you think the Best People Programme learning outcomes will align with your personal and
Departmental/CSC/Organisational priorities.
150 words
2. How will this be evidenced in your practice/work, thinking about patient experience, quality of care and
safety?
150 words
3. Describe using examples how you will demonstrate your commitment to personal leadership and your own
development.
150 words
4. What is the one key outcome from your participation in this programme that you believe will enhance your
role as a leader and manager?
150 words
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Please select the level (1, 2 or 3) and the elements that will make up your Best People programme to fulfil your Personal Development
Plan requirements. Accredited and/or equivalent prior learning/experience must be demonstrated for any elements that you have
already completed i.e. Edward Jenner, Mary Seacole, Elizabeth Garrett Anderson, and any internal or external programmes.
Level 1
Level 2
Level 3
Coach/Mentor/Colleague or buddy
Coach/Mentor/Colleague or buddy
Coach/Mentor/Colleague or buddy
Leadership Self-Assessment Tool
Leadership Self-Assessment Tool
Leadership Self-Assessment Tool
Edward Jenner (mandatory)
Mary Seacole (optional) Or
Elizabeth Garrett Anderson (Optional)
demonstrable equivalent prior
learning/experience
Or demonstrable equivalent prior
learning/experience
(Appraisal) Performance Review
Leadership Qualities and Behaviours
Attendance Management and
Occupational Health Referrals
Managing Poor Performance
Frontline nursing and midwifery
programme
(Appraisal) Performance Review
Frontline nursing and midwifery
programme
PHT Induction for Leaders
Recruitment Master Class
Attendance Management and
Occupational Health Referrals
Managing Poor Performance
Values Based Recruitment
Interviewing Skills and Techniques
Engaging for Success
Shadow Days
Time Management, Organisation and
Planning
Communications skills and
Assertiveness
Attends team brief
Recruitment Master Class
Values Based Recruitment
Interviewing Skills and Techniques
Engaging for Success
Budget Management
Procurement and the Supply Chain
Senior Operational Leaders
Programme
Wessex Influence with Integrity
Wessex Coach to Lead or Coaching
Skills Programme
Wessex Leadership Development
Centre
PHT Leading Together
(Appraisal) Performance Review
Attendance Management and
Occupational Health Referrals
Recruitment Master Class
Administration NVQ
Leading a High Performing Team
Customer Care NVQ
(Managing) Difficult Conversations
Action Learning Sets
Wessex Mentoring Development
Programme
Shadow Days
Engaging for Success
Time Management, Organisation and
Chairing a Hearing
Staff Engagement
Values Based Recruitment
Interviewing Skills and Techniques
Managing Poor Performance
Procurement and the Supply Chain
Planning
Communications skills and
Assertiveness
Action Learning sets
Leading a High Performing Team
Listening into Action
Shadow Days
Myers Briggs
Secondment
(Managing) Difficult Conversations
Wessex Master class
Action Learning sets
Master class PHT
Listening into Action
Myers Briggs
360 degree feedback
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Learning contract (agreement)
Employee’s agreement
I Will:
 Attend the required study times and complete learner activities unless there is a legitimate reason.
 Agree that failure to attend study times/training programmes (unless for a legitimate reason) may
result in costs being recovered from my department.
 Submit or participate in the required academic or practical assignments to meet the programme
schedule.
 Complete each programme contained within the level within a designated time frame that has been
agreed with my line manager.
Expected Completion Date
Put completion date here…




Mid-point review
Put mid-point review date here…
Communicate and discuss any potential issues or problems I may be facing with my line manager.
Provide feedback on the programme as and when requested.
Endeavour to use learning and new skills to benefit my department and the Trust.
Repay study leave and funding if I do not complete the programme or leave the Trust within 6 months
of completion of the programme (or repayment in line with external organisations policy providing
particular training/development).
Signed:
Date:
Manager’s Agreement
I have had an Appraisal (Performance Review) with the individual and agree to support them as part of their
personal development to achieve the learning outcomes of the Management and Leadership Development
Programme and to enable them to bring learning back into the department and Trust.
I agree to:
 Maintain contact with the individual and discuss their progress throughout the programme.
 Contact the Organisational Development Team [email protected] or 02392 322028 if further
support for the individual is required.
 Allow reasonable time off to complete development that does not compromise the needs of the
service.
 Agree reasonable study days/study hours sufficient to enable completion.
Weekly
Put how many hours/days here?

Monthly
Or put how many days/hours per month here?
Ad hoc
I agree to reimburse the Trust for training/development sessions that the employee does not attend
either due to operational reasons or because the employee has failed to do so for other reasons.
Signed:
Date:
Once completed please keep a copy in the individuals personal file and email a copy to:[email protected]
or post to Organisational Development, Cambridge House, QAH for approval .
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