Proposal for an Educational Programme, Training Course or Event Please complete as much of this as possible but the items marked with an asterisk are essential.

1 *Aim(s) of the course

2 *Learning outcomes

3 *Brief indicative content

4 *Rationale for the course. How has the need been identified?

5 *Is there any education or training provision in this field on the Island already? If so, summarise what, who delivers it and how it is financed?

6 *How does the proposed learning programme connect with the Department’s Service Delivery Plan?

7 *Is the programme intended to be assessed? If so at what level?

8 Which target group is your proposed programme aimed at?

Medical and Dental

Nursing and Midwifery

Health Care Assistants and Support Staff

Registered Health Professionals

Social Workers

Social Care Staff

Civil Servants

Managers

9 *Comparing this with other training needs would you describe it as: (Please tick the appropriate box)

RED – essential to complete in this financial year

AMBER – important and quite urgent – need to complete next year

GREEN – would be valuable but is less high priority

10 How many people are likely to need this course over the coming 5 years?

11

Do you already have thoughts on who might deliver the programme? If so who would it be and at what cost?

12 How would you classify the course? (Please tick just one)

Health and safety [including fire, first aid, infection control, moving and handling]

Protection and care [including adult protection, child protection, care awards , prescribing, smoking cessation, nutrition and food]

Data use and management [including data protection/confidentiality/record keeping, applications training e.g. Word, Excel etc]

Personal skills [including equality and diversity, study, research and critical skills]

Management/leadership [including developing, mentoring and assessing others, law and ethics, finance]

13 Is funding available?

If so where would it come from?

14 How do you intend that the administrative support for this programme will be provided?

15

Which organisation or Department do you represent?

Who is the main contact person for the proposed programme?

Name:

Please give their details: Address:

E-mail:

Telephone Number:

Thank you for taking the time to complete this form, please discuss it with those with whom you are planning the course as appropriate and forward it to those from whom you are seeking support. Issued by the Learning Strategy Group. January 2013