{"text_format":"1","workbook":"xlsx","n_sheets":3,"sheets":["Amendment Form","Guidance Notes","Revision History"],"not_rendered":{"charts":0,"images":1,"macros":0,"external_links":0,"defined_names":6,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Amendment Form","index":0,"n_rows":85,"n_cols":11,"rows_kept":85,"cut":false,"hidden":false,"merged":[[61,1,61,10],[53,2,54,5],[53,7,54,10],[55,2,56,5],[55,7,56,10],[57,2,58,5],[57,7,58,10],[60,1,60,10],[59,1,59,10],[53,1,54,1],[55,1,56,1],[57,1,58,1],[42,6,58,6],[45,2,46,5],[45,7,46,10],[49,2,50,5],[72,1,72,10],[71,1,71,10],[62,2,63,2],[62,1,63,1],[62,3,63,3],[62,4,63,4],[62,5,63,5],[62,6,63,6],[62,7,63,7],[62,8,63,8],[62,9,63,9],[62,10,63,10],[45,1,46,1],[49,1,50,1],[51,1,52,1],[49,7,50,10],[51,2,52,5],[51,7,52,10],[47,1,48,1],[47,2,48,5],[47,7,48,10],[40,3,40,4],[31,1,31,10],[32,1,32,10],[33,1,35,10],[36,5,40,10],[43,7,44,10],[43,2,44,5],[41,1,41,10],[42,2,42,5],[42,7,42,10],[43,1,44,1],[10,1,10,10],[11,1,11,10],[16,1,17,1],[18,1,19,1],[16,2,17,10],[18,2,19,10],[12,1,12,10],[14,2,14,4],[15,1,15,10],[14,7,14,10],[14,5,14,6],[13,2,13,10],[29,1,29,10],[30,3,30,5],[30,7,30,10],[20,1,21,1],[22,1,23,1],[26,2,27,10],[28,1,28,10],[24,1,25,1],[26,1,27,1],[20,2,21,10],[22,2,23,10],[24,2,25,10]]}
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[null,"Notification of Signatories"]
[null,"The senior authorised signatory should complete form and send to: prescriptioninformation@nhsbsa.nhs.uk"]
[null,"Section A"]
[null,"Organisation Type"]
[null,"Org. Name",null,null,null,"Org. Code"]
[]
[null,"Senior Authorised Signatory (electronic signature)"]
[]
[null,"Print Name"]
[]
[null,"Senior Authorised Signatory Title"]
[]
[null,"Senior Authorised Signatory email address"]
[]
[null,"Contact Number"]
[]
[null,"Date"]
[]
[null,"Section B"]
[null,"Type of Change (please select all that apply):"]
[null,"     New Signatory",null,"Signatory Leaving",null,null,null,"Change of signatory details"]
[]
[null,"Section C"]
[null,"Please state below which amendment types are applicable to the signatory being authorised and please state which organisation the signatory is authorised for (see Section D for further information)."]
[]
[]
[null,"GP Practices",null,"Private Prescribers"]
[null,"Cost Centres",null,"NHS Pharmacy Contractors"]
[null,"Hospital Units",null,"Private CD Contractors"]
[null,"Doctors",null,"Appliance Contractors"]
[null,"Non-Medical Prescribers"]
[]
[null,null,"Existing Details",null,null,null,null,"New Details"]
[null,"Org Name"]
[]
[null,"Authorised Signatory Name"]
[]
[null,"Is this person a Senior Authorised Signatory? (can add/remove new signatories)"]
[]
[null,"Email Address"]
[]
[null,"Telephone Number"]
[]
[null,"Address"]
[]
[null,"Postcode"]
[]
[null,"Authorised Signature"]
[]
[]
[null,"Section D"]
[null,"Organisations and the amendment types they can submit to NHS Prescription Services:"]
[null,null,"Doctor","NMP","Private prescriber","GP practice","Cost centre","Hospital unit","Pharmacy  contractor","Appliance contractor","Private CD pharmacy"]
[]
[null,"Independent Sector Healthcare Provider1 ","ü","ü","û","û","ü2","û","û","û","û"]
[null,"NHS Hospital Trust/ Foundation Trust","ü","ü","û","û","ü","ü","û","û","û"]
[null,"Sub-ICB Location (SICBL - formerly CCG)","ü","ü","û","ü3","ü","û","û","û","û"]
[null,"SICBL commissioned support","ü","ü","û","ü3","ü","û","û","û","û"]
[null,"NHS England ICB (Integrated Care Board)","ü","ü","ü","ü","ü","û","ü","ü","ü"]
[null,"NHS England commissioned support","ü","ü","ü","ü","ü","û","ü","ü","ü"]
[null,"Local Authority commissioned support","ü","ü","û","û","ü","û","û","û","û"]
[]
[null,"1. A new Independent Sector Healthcare Provider (ISHP) will need to be authorised by a commissioner i.e. NHS England, CCG or Local Authority.    \n2. New cost centres in an ISHP must be covered by a contract with a commissioner.\n3. GP practices are commissioned by the NHS England (ICB)."]
[null,null,null,null,null,null,null,null,null,null,"v5.9 July 2023"]
[]
[]
[]
[]
[]
[null,"Org list",null,null,"New Signatory",null,null,null,"Yes"]
[null,"NHS England ICB (Integrated Care Board)",null,null,"Signatory Leaving",null,null,null,"No"]
[null,"Sub-ICB location"]
[null,"NHS Trust",null,null,"Change of Signatory Details"]
[null,"Local Authority"]
[null,"Independent Sector Healthcare Provider"]

{"sheet":"Guidance Notes","index":1,"n_rows":6,"n_cols":2,"rows_kept":6,"cut":false,"hidden":false,"merged":[]}
[]
["Section A","To be completed by the senior authorising signatory"]
[]
["Section B","Tick all boxes that apply"]
[]
["Section C","State which amendment types are applicable to the signatory being authorised and please state which organisation the signatory is to be authorised for (see Section D for further information). Senior authorised signatories can add and remove other signatories."]

{"sheet":"Revision History","index":2,"n_rows":11,"n_cols":11,"rows_kept":11,"cut":false,"hidden":true,"merged":[[10,2,10,9],[9,2,9,9],[8,2,8,9],[7,2,7,9],[6,2,6,9],[1,2,1,9],[2,2,2,9],[3,2,3,9],[4,2,4,9],[5,2,5,9]]}
["Version","Date","Reason for change",null,null,null,null,null,null,null,"Editor"]
[5,"2022-06-07","New document from 2017 forms. Added more prescriber types",null,null,null,null,null,null,null,"LAMAT"]
[5.0999999999999996,"2022-06-09","Changed 'type of change' from dropdown to tick boxes.  Changed input font colour",null,null,null,null,null,null,null,"LAMAT"]
[5.2,"2022-06-13","Added org type dropdown",null,null,null,null,null,null,null,"LAMAT"]
[5.3,"2022-06-28","Updated conditional formatting to white text on red background for blank cells. Changed references to Area Tems/CCGs at bottom of form. Changed version number to be sequential from Word format form.",null,null,null,null,null,null,null,"LAMAT"]
[5.4,"2022-07-12","Unlocked org type dropdown",null,null,null,null,null,null,null,"LAMAT"]
[5.5,"2022-10-06","Added ICB option to org dropdown & new seniority dropdown, amended 'authorised signature' field to be clearer after team feedback",null,null,null,null,null,null,null,"LAMAT"]
[5.6,"2023-05-10","added migration note - new email",null,null,null,null,null,null,null,"ANSCU"]
[5.7,"2023-05-12","added migration note - new email",null,null,null,null,null,null,null,"ANSCU"]
[5.8,"2023-07-03","removed migration note",null,null,null,null,null,null,null,"ANSCU"]
[5.9,"2023-07-18","amended link to new email addresss",null,null,null,null,null,null,null,"ANSCU"]