Gateshead & South Tyneside LPC  
  • Home
  • News Stream
  • Services
    • Gateshead - Dual Screening Service
    • Gateshead - Naloxone Supply Service
    • Gateshead - Alcohol IBA
    • NHS Health Checks - Gateshead
    • NHS Health Checks - South Tyneside
    • EHC-South Tyneside
    • EHC-Gateshead
  • Events
  • Contact Us
  • Search


PCN Lead
Application
​

Please use the form below to submit your application to become PCN Lead.

(As this is a webform we would advice you formulate your response on a local document and then copy and paste your answers into the boxes.
This will minimise any loss of answers due to web page timing out or a connection drop)


    F Code of the pharmacy you represent
    Your contact number
    Your contact email address
    Proposers
    ​
    You will need to obtain 2 proposers to support your application.  The proposers need to representatives of Pharmacies in the PCN you are applying to be lead off.

    First Proposers
    Second Proposers

    Personal Statement
    ​

Submit Application

Gateshead & South Tyneside Local Pharmaceutical Committee 2016


  • Home
  • News Stream
  • Services
    • Gateshead - Dual Screening Service
    • Gateshead - Naloxone Supply Service
    • Gateshead - Alcohol IBA
    • NHS Health Checks - Gateshead
    • NHS Health Checks - South Tyneside
    • EHC-South Tyneside
    • EHC-Gateshead
  • Events
  • Contact Us
  • Search