{"text_format":"1","workbook":"xlsx","n_sheets":5,"sheets":["ICB","Amendment Form","Guidance Notes","HWB","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":"ICB","index":0,"n_rows":44,"n_cols":2,"rows_kept":44,"cut":false,"hidden":true,"merged":[]}
["Integrated Care Board Name ","ICB Code"]
["Please Select ICB","N/A"]
["BATH&NE SOMERSET,SWINDON & WILTSHIRE ICB","QOX"]
["BEDFORDSHIRE, LUTON & MILTON KEYNES ICB","QHG"]
["BIRMINGHAM AND SOLIHULL ICB","QHL"]
["BLACK COUNTRY ICB","QUA"]
["BRISTOL, N SOMERSET & SOUTH GLOS ICB","QUY"]
["BUCKS, OXFORDSHIRE & BERKSHIRE WEST ICB","QU9"]
["CAMBRIDGESHIRE & PETERBOROUGH ICB","QUE"]
["CHESHIRE AND MERSEYSIDE ICB","QYG"]
["CORNWALL AND THE ISLES OF SCILLY ICB","QT6"]
["COVENTRY AND WARWICKSHIRE ICB","QWU"]
["DERBY AND DERBYSHIRE ICB","QJ2"]
["DEVON ICB","QJK"]
["DORSET ICB","QVV"]
["FRIMLEY ICB","QNQ"]
["GLOUCESTERSHIRE ICB","QR1"]
["GREATER MANCHESTER ICB","QOP"]
["HAMPSHIRE AND ISLE OF WIGHT ICB","QRL"]
["HEREFORDSHIRE AND WORCESTERSHIRE ICB","QGH"]
["HERTFORDSHIRE AND WEST ESSEX ICB","QM7"]
["HUMBER AND NORTH YORKSHIRE ICB","QOQ"]
["KENT AND MEDWAY ICB","QKS"]
["LANCASHIRE AND SOUTH CUMBRIA ICB","QE1"]
["LEICESTER, LEICESTERSHIRE & RUTLAND ICB","QK1"]
["LINCOLNSHIRE ICB","QJM"]
["MID AND SOUTH ESSEX ICB","QH8"]
["NORFOLK AND WAVENEY ICB","QMM"]
["NORTH CENTRAL LONDON ICB","QMJ"]
["NORTH EAST AND NORTH CUMBRIA ICB","QHM"]
["NORTH EAST LONDON ICB","QMF"]
["NORTH WEST LONDON ICB","QRV"]
["NORTHAMPTONSHIRE ICB","QPM"]
["NOTTINGHAM AND NOTTINGHAMSHIRE ICB","QT1"]
["SHROPSHIRE, TELFORD & WREKIN ICB","QOC"]
["SOMERSET ICB","QSL"]
["SOUTH EAST LONDON ICB","QKK"]
["SOUTH WEST LONDON ICB","QWE"]
["SOUTH YORKSHIRE ICB","QF7"]
["STAFFORDSHIRE AND STOKE-ON-TRENT ICB","QNC"]
["SUFFOLK AND NORTH EAST ESSEX ICB","QJG"]
["SURREY HEARTLANDS ICB","QXU"]
["SUSSEX ICB","QNX"]
["WEST YORKSHIRE ICB","QWO"]

{"sheet":"Amendment Form","index":1,"n_rows":92,"n_cols":7,"rows_kept":92,"cut":false,"hidden":false,"merged":[[51,1,51,6],[61,1,61,6],[54,1,55,1],[54,2,55,6],[62,2,62,3],[60,1,60,6],[56,1,57,1],[56,2,57,6],[58,1,59,1],[58,2,59,6],[52,2,53,6],[52,1,53,1],[64,2,65,3],[64,5,65,6],[62,5,62,6],[63,1,63,6],[64,1,65,1],[64,4,65,4],[10,1,10,6],[12,5,12,6],[11,1,11,6],[13,1,13,6],[12,2,12,3],[14,1,15,1],[14,2,15,3],[14,4,15,4],[14,5,15,6],[16,1,16,6],[38,2,39,6],[36,1,37,1],[25,1,26,1],[29,1,29,6],[30,2,31,6],[25,2,26,6],[32,2,33,6],[34,2,35,6],[36,2,37,6],[27,2,27,6],[28,2,28,6],[17,2,17,6],[21,1,22,1],[21,2,22,6],[23,1,24,1],[23,2,24,6],[20,1,20,6],[18,1,19,1],[18,2,18,6],[19,2,19,6],[30,0,31,0],[30,1,31,1],[50,1,50,6],[42,2,43,6],[44,2,45,6],[48,2,49,6],[40,1,41,1],[40,2,41,6],[48,1,49,1],[38,1,39,1],[32,1,33,1],[46,2,47,6],[46,1,47,1],[42,1,43,1],[44,1,45,1],[34,1,35,1]]}
[]
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[null,"Closure of NHS Pharmacy Contractor"]
[null,"Authorised signatory should complete form and send to: prescriptioninformation@nhsbsa.nhs.uk"]
[null,"ICB Name:","Please Select ICB",null,"ICB Code:",{"$f":"VLOOKUP(C13,ICB!$A$2:$B$44,2,FALSE)","v":"N/A"}]
[]
[null,"Health and Wellbeing Board Area:","Please select HWB",null,"HWB Code:",{"$f":"VLOOKUP(C15,HWB!A1:B163,2,FALSE)","v":"N/A"}]
[]
[null,"Please note: Contractor banking details must be submitted to NHS Prescription Services by following the instructions on our website at: www.nhsbsa.nhs.uk/PrescriptionServices/4031.aspx "]
[null,"Is the closure of the NHS Pharmacy Contractor a result of a consolidation?","Please Select"]
[null,null,"If Yes, please state OCS code of the pharmacy which the closing pharmacy will be consolidated with in the box below."]
[]
[null,"Pharmacy Closure Details"]
[null,"Contractor Code :"]
[]
[null,"Contractor/Owner name (max. 40 characters including spaces):"]
[]
[null,"Contractor Trading Name (max. 40 characters including spaces):"]
[]
[null,"Email address of owner/head office:"]
[null,"NHS Shared Email Address:"]
[null,"Address details (max. 25 characters per line including spaces)"]
[null,"Address line 1:"]
[]
[null,"Address line 2:"]
[]
[null,"Address line 3 (town or city only):"]
[]
[null,"Address line 4 (county or London only):"]
[]
[null,"Postcode:"]
[]
[null,"Telephone number:"]
[]
[null,"LPS Contract:","Please Select"]
[]
[null,"Distance selling Pharmacy?:","Please Select"]
[]
[null,"Distance selling Pharmacy website address (URL):"]
[]
[null,"Closure Date:"]
[]
[]
[null,"Authorised Signatory Details:"]
[null,"Authorised signatory:"]
[]
[null,"Print name:"]
[]
[null,"Contact Number:"]
[]
[null,"Date:"]
[]
[]
[null,"For NHS Prescription Services use only"]
[null,"Private CD Pharmacy Code",null,null,"Divison"]
[]
[null,"MDR input (Date & Initials)",null,null,"Date sent to Divison/CPS"]
[]
[null,null,null,null,null,null,"v5.5 November 2024"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Please Select",null,"Please Select",null,"Please Select"]
[null,"Yes (NHS Prescription Services will allocate a code)",null,"Yes",null,"Yes (Provide details below)"]
[null,"No",null,"No",null,"No"]

{"sheet":"Guidance Notes","index":2,"n_rows":19,"n_cols":2,"rows_kept":19,"cut":false,"hidden":false,"merged":[]}
[]
["ICB Name","The name of the ICB that the NHS Pharmacy Contractor is to be attached to"]
["ICB Code","The code of the ICB. (Q**)"]
["Health and Wellbeing Board Area","The name of the Health and Wellbeing Board Area the NHS Pharmacy Contractor is in"]
["Contractor Code ","The contractor code for England will follow the (F****) format. For Jersey contractors this will be (JER****)."]
["Contractor/Owner name"," The name of the Contractor/Owner (max. 40 characters including spaces)"]
["Contractor Trading Name","The Contractor trading name (max. 40 characters including spaces)"]
["Email address of owner/head office","The email address of the owner/head office"]
["Address","The address must adhere to the following format.  Each line has 25 characters including spaces"]
[null,"1st Line - address details"]
[null,"2nd Line - address details"]
[null,"3rd Line - Town/City only"]
[null,"4th Line - County/London only"]
["Telephone Number","Please state telephone number of NHS Pharmacy Contractor"]
["LPS Contract","Does the NHS Pharmacy Contractor have a Local Pharmaceutical Service contract.  Choose from drop down box"]
["Distance selling Pharmacy?","Choose from drop down box"]
["Distance selling Pharmacy website address (URL)","If a Distance Selling pharmacy please state website address "]
["Closure Date","The date of the closure of the NHS pharmacy contractor"]
["Authorised Signatory","This is the authorised signatory at the ICB (or an agency on their behalf) "]

{"sheet":"HWB","index":3,"n_rows":163,"n_cols":2,"rows_kept":163,"cut":false,"hidden":true,"merged":[]}
["Please select HWB","N/A"]
["Ashford","HW162"]
["Barking and Dagenham ","HW001"]
["Barnet ","HW002"]
["Barnsley ","HW003"]
["Bassetlaw ","HW004"]
["Bath and North East Somerset ","HW005"]
["Bedford Borough","HW006"]
["Bexley ","HW007"]
["Birmingham ","HW008"]
["Blackburn with Darwen ","HW009"]
["Blackpool ","HW010"]
["Bolton","HW011"]
["Bournemouth and Poole ","HW013"]
["Bracknell and Ascot ","HW014"]
["Bradford and Airedale ","HW015"]
["Brent ","HW016"]
["Brighton and Hove ","HW017"]
["Bristol ","HW018"]
["Bromley ","HW020"]
["Buckinghamshire ","HW021"]
["Bury ","HW022"]
["Calderdale ","HW023"]
["Cambridgeshire ","HW024"]
["Camden ","HW025"]
["Canterbury and Coastal","HW163"]
["Central Bedfordshire","HW026"]
["Cheshire East ","HW027"]
["Cheshire West and Chester ","HW028"]
["City of London ","HW029"]
["Cornwall ","HW030"]
["Coventry ","HW031"]
["Croydon ","HW032"]
["Cumberland","HW168"]
["Cumbria ","HW033"]
["Darlington ","HW035"]
["Derby City ","HW036"]
["Derbyshire ","HW037"]
["Devon ","HW038"]
["Doncaster ","HW039"]
["Dorset ","HW040"]
["Dudley ","HW041"]
["Durham ","HW042"]
["Ealing ","HW043"]
["East Riding Of Yorkshire ","HW044"]
["East Sussex ","HW045"]
["Enfield ","HW046"]
["Essex ","HW047"]
["Gateshead ","HW048"]
["Gloucestershire ","HW049"]
["Greenwich ","HW050"]
["Hackney ","HW051"]
["Halton ","HW052"]
["Hammersmith and Fulham ","HW053"]
["Hampshire ","HW054"]
["Haringey ","HW055"]
["Harrow ","HW056"]
["Hartlepool ","HW057"]
["Havering ","HW058"]
["Herefordshire ","HW059"]
["Hertfordshire ","HW060"]
["Hillingdon ","HW061"]
["Hounslow ","HW062"]
["Hull ","HW063"]
["Isle Of Wight ","HW066"]
["Isles of Scilly ","HW067"]
["Islington ","HW068"]
["Kensington & Chelsea ","HW069"]
["Kent ","HW070"]
["Kingston ","HW071"]
["Kirklees ","HW072"]
["Knowsley ","HW073"]
["Lambeth ","HW074"]
["Lancashire ","HW075"]
["Leeds ","HW076"]
["Leicester City ","HW077"]
["Leicestershire ","HW078"]
["Lewisham ","HW079"]
["Lincolnshire ","HW080"]
["Liverpool ","HW081"]
["Luton ","HW082"]
["Manchester ","HW084"]
["Medway ","HW085"]
["Merton ","HW086"]
["Middlesbrough ","HW087"]
["Milton Keynes ","HW088"]
["Newcastle ","HW089"]
["Newham ","HW090"]
["Norfolk ","HW091"]
["North East Lincolnshire ","HW092"]
["North Lincolnshire ","HW093"]
["North Somerset ","HW094"]
["North Tyneside ","HW095"]
["North Yorkshire ","HW096"]
["Northamptonshire ","HW097"]
["Northamptonshire North","HW169"]
["Northamptonshire West","HW170"]
["Northumberland ","HW098"]
["Nottingham City ","HW099"]
["Nottinghamshire ","HW100"]
["Oldham ","HW102"]
["Oxfordshire ","HW103"]
["Peterborough ","HW104"]
["Plymouth ","HW105"]
["Portsmouth ","HW106"]
["Reading ","HW107"]
["Redbridge ","HW108"]
["Redcar & Cleveland ","HW109"]
["Richmond ","HW110"]
["Rochdale ","HW111"]
["Rotherham ","HW112"]
["Rutland ","HW113"]
["Salford ","HW115"]
["Sandwell ","HW116"]
["Sefton ","HW117"]
["Sheffield ","HW118"]
["Shropshire ","HW119"]
["Slough ","HW120"]
["Solihull ","HW121"]
["Somerset ","HW122"]
["South Gloucestershire ","HW123"]
["South Kent Coast","HW164"]
["South Tyneside ","HW124"]
["Southampton ","HW125"]
["Southend on Sea ","HW126"]
["Southwark ","HW127"]
["St Albans ","HW128"]
["St Helens ","HW129"]
["Staffordshire ","HW130"]
["Stockport ","HW131"]
["Stockton-on-Tees ","HW132"]
["Stoke-On-Trent ","HW133"]
["Suffolk ","HW134"]
["Sunderland ","HW135"]
["Surrey ","HW136"]
["Sutton ","HW137"]
["Swale","HW165"]
["Swindon ","HW138"]
["Tameside ","HW139"]
["Telford & Wrekin ","HW140"]
["Thanet","HW166"]
["Thurrock ","HW141"]
["Torbay ","HW142"]
["Tower Hamlets ","HW143"]
["Trafford ","HW144"]
["Wakefield ","HW145"]
["Walsall ","HW146"]
["Waltham Forest ","HW147"]
["Wandsworth ","HW148"]
["Warrington ","HW149"]
["Warwickshire ","HW150"]
["West Berkshire ","HW151"]
["West Sussex ","HW152"]
["Westminster ","HW153"]
["Westmorland and Furness","HW167"]
["Wigan ","HW154"]
["Wiltshire ","HW155"]
["Windsor and Maidenhead ","HW156"]
["Wirral ","HW157"]
["Wokingham ","HW158"]
["Wolverhampton ","HW159"]
["Worcestershire ","HW160"]
["York ","HW161"]

{"sheet":"Revision History","index":4,"n_rows":17,"n_cols":4,"rows_kept":17,"cut":false,"hidden":true,"merged":[]}
["Version","Date","Reason for change","Editor"]
["v4.2","2022-06-14","All STP terms swapped to ICB on amendment sheet & guidance sheet","MICBU"]
["v4.2","2022-06-14","STP-->ICB Dropdown Swap","MICBU"]
["v4.2","2022-06-14","conditionally reformatted all input boxes and dropdowns","MICBU"]
["v4.3","2022-06-28","general text input colour changed to 'dark red' in line with other forms","MICBU"]
["V4.3","2022-06-28","Hidden 'for rx services only box'","MICBU"]
[4.4000000000000004,"2022-06-28","made text bold & slightly larger","LAMAT"]
[4.5,"2022-07-14","removed character limit from URL cell","LAMAT"]
[4.5999999999999996,"2023-02-24","removed data validation from email cell"]
[4.7,"2023-05-10","added migration note - new email","ANSCU"]
[4.8,"2023-05-12","added migration note - new email","ANSCU"]
["5.0","2023-10-06","version updated","MICBU"]
[5.0999999999999996,"2023-11-22","updated character limit for pharmacy code and updated guidance note","FAEVE"]
[5.2,"2024-01-29","Bedford Borough HWB name updated from Bedford","MICBU"]
[5.3,"2024-03-22","Northamptonshire North HW169 added to HWB list as reported missing by PCSE","MICBU"]
["v5.4","2024-04-02","inserted NHS Shared Email Address section","MICBU"]
["v5.5","2024-11-05","updated HWB list","MICBU"]