{"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":62,"n_cols":9,"rows_kept":62,"cut":false,"hidden":false,"merged":[[20,1,20,8],[35,1,35,8],[28,1,29,2],[30,1,31,2],[22,1,23,2],[26,1,27,2],[28,3,29,6],[30,3,31,6],[24,3,25,3],[26,3,27,8],[43,1,43,8],[41,3,42,8],[32,1,32,8],[41,1,42,2],[37,3,38,8],[39,3,40,8],[36,1,36,8],[37,1,38,2],[39,1,40,2],[33,4,33,5],[33,7,33,8],[34,1,34,8],[28,7,31,8],[24,4,25,6],[22,5,23,5],[22,6,23,6],[13,3,13,6],[18,3,19,6],[22,7,23,8],[24,1,25,2],[24,7,25,7],[24,8,25,8],[22,3,23,4],[12,3,12,8],[12,1,12,2],[10,1,10,8],[11,1,11,8],[21,1,21,8],[13,1,13,2],[18,1,19,2],[18,7,19,8],[16,1,17,2],[16,3,17,3],[16,7,17,7],[16,8,17,8],[15,1,15,2],[15,3,15,8],[14,1,14,8],[16,4,17,6]]}
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[null,"Doctor Leaving a GP Practice"]
[null,"Authorised signatory should complete form and send to: prescriptioninformation@nhsbsa.nhs.uk"]
[null,"Organisation Type:",null,"Please Select"]
[null,"Organisation Name:",null,null,null,null,null,"Org Code:"]
[]
[null,"Reason for leaving.                                    Please select from drop down:",null,"Please Select"]
[null,"If Doctor leaving is the current Lead Prescriber, please give details of new Lead Prescriber:",null,"Name:",null,null,null,"Prescribing Code:"]
[]
[null,"GP Practice Code:"]
[]
[]
[null,"Doctor details:"]
[null,"Doctor prescribing code (DIN)*:",null,null,null,"Check Digit:"]
[]
[null,"Doctor name (max. 28 characters including spaces):",null,"Surname:",null,null,null,"Initial(s):"]
[]
[null,"GP Practice name (as shown on ePACT.net, max. 40 characters including spaces):"]
[]
[null,"Telephone Number:"]
[]
[null,"Leaving Date:"]
[]
[]
[null,"Doctor Suspension:","Please Select","Start Date:",null,null,"End Date:"]
[null,"Note: if the suspended doctor leaves the practice a new GP Leaver form will be required to remove them from the practice."]
[]
[null,"Authorised signatory details:"]
[null,"Authorised signatory:"]
[]
[null,"Print name:"]
[]
[null,"Contact Number:"]
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[]
[]
[null,null,null,null,null,null,null,null,"v3.1 December 2024"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,"Please Select",null,null,"Please Select","Org list"]
[null,null,null,null,"Resigned",null,null,"Yes","Please Select"]
[null,null,null,null,"Retired",null,null,"No","Sub-ICB location"]
[null,null,null,null,"Deceased",null,null,null,"NHS Trust"]
[null,null,null,null,"Doctor Suspended",null,null,null,"Local Authority"]
[null,null,null,null,null,null,null,null,"Independent Sector Healthcare Provider"]
[null,null,null,null,null,null,null,null,"Guernsey/Jersey/Isle of Man "]

{"sheet":"Guidance Notes","index":1,"n_rows":15,"n_cols":2,"rows_kept":15,"cut":false,"hidden":false,"merged":[]}
["Organisation Type","Choose from dropdown"]
["Organisation Name","The name of the organisation that the Practice is attached to (if Guernsey/Jersey/Isle of Man, please specify which one)"]
["Org Code","The code of the parent organisation"]
["Reason for leaving","Choose from the drop down box"]
["If Doctor leaving is the current Lead Prescriber, please give details of new Lead Prescriber","Please give name and prescriber code of the new lead (senior) prescriber"]
["GP Practice Code","The code of the GP Practice (eg A12345)"]
["Doctor Prescribing Code (DIN)","The doctors own prescribing code (Doctor Index Number). This is not the doctors GMC code.                                           "]
["Doctor Name","State Doctors surname and initials, max. 28 characters including spaces"]
["GP Practice Name","as shown on ePACT.net, max. 40 characters including spaces"]
["Telephone Number","Please state telephone number of GP Practice"]
["Leaving Date","The date the GP left the GP Practice"]
["Superannuation leave only","Please give leaving and return dates of Superannuation"]
["If applicable, will the doctor return as the Lead Prescriber?","Choose from the drop down box"]
["Doctor Suspension","Choose from the drop down box and add suspension dates if applicable. Please note that another leaver form will be required if the Dr leaves the practice."]
["Authorised Signatory","This is the authorised signatory at the parent organisation (or an agency on their behalf) "]

{"sheet":"Revision History","index":2,"n_rows":16,"n_cols":4,"rows_kept":16,"cut":false,"hidden":true,"merged":[]}
["Version","Date","Reason for change","Editor"]
[2,"2022-02-01","New file created from 2017 forms","LAMAT"]
[2.1,"2022-06-09","Added org type dropdown, changed font input colour to darker red, removed 'prescription services only' section","LAMAT"]
[2.2000000000000002,"2022-06-22","CCG references in guidance notes replaced with 'Sub ICB'","MIBUR"]
[2.2000000000000002,"2022-06-22","added 'please select' option to dropboxes, cond.formatted to show as red background w/ white text","MIBUR"]
[2.2000000000000002,"2022-06-22","Cond.formatting of input cells to show white text on red bkg upon initial input","MIBUR"]
[2.2000000000000002,"2022-06-22","General text size reduced from 16-->12 ; Title size 16, subtitles size 14","MIBUR"]
[2.2999999999999998,"2022-06-29","Adjusted text size/orientation in Org Code box","LAMAT"]
[2.4,"2022-07-06","unlocked lead prescriber dropdown","LAMAT"]
[2.5,"2022-08-01","Added 'Guernsey/Jersey/Wales/Isle of Man' to org type dropdown","LAMAT"]
[2.6,"2022-08-03","Removed Wales from dropdown (should get all updates apart from DI7 from T-Drive print). Made space between sections bigger","LAMAT"]
[2.7,"2023-05-05","Added e-mail migration info","LAMAT"]
[2.8,"2023-05-12","Amended email migration info","LAMAT"]
[2.9,"2023-06-06","Amended migration wording","KAYAD"]
[3,"2023-06-23","Updated with new PI email","LAMAT"]
[3.1,"2024-12-03","Added suspended doctor section & guidance notes","MICBU/ANSCU"]