Application form Role: Public Reference Group member Introduction We are recruiting people to join our Public Reference Group. The Public Reference Group (PRG) supports the CCG to ensure public and patient involvement is at the heart of our commissioning and business functions. Membership of the Public Reference Group To be eligible for a place on the PRG, you must live in the borough of Lewisham and/or work in association with Lewisham health services and/or, have experience of Lewisham health services. You should also have a positive commitment to helping us improve local health services. The PRG consists of individuals recruited to this role who will reflect Lewisham’s diversity. Meetings usually take place once every six weeks. There will be some training and induction sessions for new members. On average, we would expect the role to have approximately five hours commitment per month. There will be a payment for participation and attendance at the meetings and training. It is the to ensure that any incentive payment made does not affect individual’s responsibility their benefits entitlement, tax or national insurance position. The application form should be completed and returned by noon on Tuesday 31 July 2018. The first round of interviews is scheduled for 21st June 2018. If you would like further information, please phone Teresa Rodriguez, Engagement Officer on 020 3049 3208 or email . Application form for Public Reference Group Personal details Title (Mr, Mrs, Ms, Miss,etc) First Name Surname/Family Name
Application form Role: Public Reference Group member Introduction We are recruiting people to join our Public Reference Group. The Public Reference Group (PRG) supports the CCG to ensure public and patient involvement is at the heart of our commissioning and business functions. Membership of the Public Reference Group To be eligible for a place on the PRG, you must live in the borough of Lewisham and/or work in association with Lewisham health services and/or, have experience of Lewisham health services. You should also have a positive commitment to helping us improve local health services. The PRG consists of individuals recruited to this role who will reflect Lewisham’s diversity. Meetings usually take place once every six weeks. There will be some training and induction sessions for new members. On average, we would expect the role to have approximately five hours commitment per month. There will be a payment for participation and attendance at the meetings and training. It is the individual’s responsibility to ensure that any incentive payment made does not affect their benefits entitlement, tax or national insurance position. The application form should be completed and returned by noon on Tuesday 31 July 2018. The first round of interviews is scheduled for 21st June 2018. If you would like further information, please phone Teresa Rodriguez, Engagement Officer on 020 3049 3208 or email . Application form for Public Reference Group Personal details Title (Mr, Mrs, Ms, Miss,etc) First Name Surname/Family Name
PRG%20-%20Application%20form%202018.docx