Hosting a Trainee – South West GMTS Assurance - Commitment to pay and Statement of bid particulars (South West) Step 1 of 3 33% Local Leadership Academy Region: Required South WestEast of EnglandLondonMidlandsNorth East and YorkshireNorth WestSouth EastName of lead host organisation: Required Lead host organisation type Required Foundation TrustMental Health TrustAcute TrustCommunity/Health TrustAmbulance ServiceCommissioning Support UnitClinical Commissioning GroupArms Length BodySustainability and Transformation PlanPrimary Care (GP practice/partnership)OtherIf "Other" organisation type selected please enter type below Required Name of contact at lead host organisation for GMTS placements Required This contact should enable contact (from the GMTS Regional LLL Lead) with the individual who is best placed to discuss the full trainee bid. Job title of lead host contact Required Email address of lead host contact Required Telephone number of lead host contact Required Name of lead host organisation authorised signatory/budget holder for GMTS placements Required This field and those below should contain the details of the individual in a position to commit to and accept the £24k contribution per trainee as part of this arrangement on behalf of the lead host organisation. This individual will also engage in the billing process, further details of which can be found in the Assurance information pack. It is the responsibility of lead organisations to negotiate and recoup any costs to be apportioned to partnering organisation(s). Job title of lead host organisation authorised signatory/budget holder for GMTS placements Required Email address of lead host organisation authorised signatory/budget holder for GMTS placements Required Telephone number of lead host organisation authorised signatory/budget holder for GMTS placements Required Name and contact details of individual who can be contacted in regards to invoicing Required This field should contain the details of the individual in a position to support with invoicing and associated queries - this may be your Business Manager Terms and conditions Required Tick here to acknowledge and agree to the below By entering details into and submitting this form the lead organisation is committing to overseeing the hosting of trainee(s) within the specialism(s) specified in conjunction with partnering organisations. The lead organisation understands that offers of employment to successful scheme applicants will be made upon the basis of submissions of this form and are therefore committed should their bid be successful to the £24k contribution per trainee as part of this arrangement. The £24k contribution will be proportionately aligned to the financial years in which the trainee(s) is on the scheme. Lead organisations will engage in the billing process. It is the responsibility of lead organisations to negotiate and recoup any costs to be apportioned to partnering organisation(s). The lead organisation (in conjunction with partnering organisations as appropriate) will upon instruction from their GMTS Regional LLL Lead (contact details here http://www.nhsgraduates.co.uk/hosting/) proceed to engage in and complete further stages of the assurance process.Can you confirm that the lead host organisation has an executive sponsor who is aware of and supports the whole bid on behalf of all parties? Required YesThe executive sponsor should operate above the Programme Manager and by naming themselves is committing to being accountable for the trainee experience and is the escalation point to which concerns will be raised following Placement and Programme Manager. Bids will not be accepted without executive sponsor support. The lead organisation is confirming this on behalf of all organisations involved in the bid for a trainee.Name of executive sponsor Required Job title of executive sponsor Required Email address of executive sponsor Required Telephone number of executive sponsor Required Please use the button below to add your placements. If you need to save your progress for another party to complete the missing information, please enter xx into the field. You can then save that placement and use the save and continue link to allow the other party to come into this form and edit the placement with the information. Please do not submit your bid until all placements have been fully completed. If you have received the link and need to edit a placement, please click Edit on the relevant row. Fields with an `xx` in them need completing. When have finished editing please click "Edit Entry" to complete the update. Please only click submit if you are certain all placements have been completed, as once submitted this form can no longer be modified.Placement Requirements Specialism Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached.