Simultaneous application to join ALL 3 ABCD nationwide SGLT2 audits: canagliflozin, dapagliflozin and empaglifozin, and gain access to ALL 3 audit tools on N3

If you would like to join both the ABCD nationwide canagliflozin, dapagliflozin and empagliflozin audits and have access the secure audit tools on the latest version of NHSnet (N3) which will allow local analysis and storage of your own data as well as automatically providing the data in anonymised form to the nationwide audit, simply complete and submit the form below.

Please provide the following information:

Title
 
Name
 
Designation (Consultant, GP, SpR, DSN, Practice Nurse etc)
Hospital, Surgery, Town
 
Postcode
 (*required)
If you are a hospital what is the name of the Trust
 
Your telephone number
 
Your email
 
Lead clinician name and title (*required)
Lead clinician telephone number
Lead clinician email
 
Are you a member of ABCD? (Non members may take part)       
  See section headed stucture of the audit - centres and sites on the "both audits" page. If you would like to let us know at this stage about the structure you were thinking of for your location by all means do so in the box below. The centre can however be further developed at any stage in the future, with sites added at any time.
Further information

 
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Revised: 03/02/17.