{"text_format":"1","workbook":"xlsx","n_sheets":4,"sheets":["Amendment Form","Prescriber Transfers","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":127,"n_cols":7,"rows_kept":127,"cut":false,"hidden":false,"merged":[[50,1,51,5],[49,1,49,5],[52,4,52,5],[44,2,45,3],[44,4,45,5],[46,2,47,3],[46,4,47,5],[44,1,47,1],[48,1,48,5],[102,1,103,1],[95,1,96,1],[95,2,96,5],[97,1,98,1],[97,2,98,5],[99,1,99,5],[102,2,103,5],[100,1,101,5],[78,1,78,5],[81,1,83,1],[81,2,82,3],[81,4,82,4],[83,2,83,3],[83,4,83,5],[91,1,92,1],[84,1,85,1],[84,2,85,3],[89,1,89,5],[84,4,85,5],[86,1,88,1],[86,2,88,5],[10,1,10,5],[11,1,11,5],[32,1,33,1],[14,1,14,5],[13,2,13,3],[25,1,26,1],[25,2,26,5],[29,1,30,1],[29,2,30,5],[32,2,33,5],[23,2,24,3],[23,4,24,5],[15,1,24,1],[15,2,16,3],[15,4,16,5],[17,2,18,3],[17,4,18,5],[19,2,20,3],[19,4,20,5],[31,1,31,5],[27,1,28,1],[27,2,28,5],[21,2,22,3],[21,4,22,5],[32,0,33,0],[93,1,94,1],[91,2,92,5],[93,2,94,5],[42,1,43,1],[40,1,41,1],[34,1,35,1],[36,1,37,1],[38,1,39,1],[34,2,35,5],[36,2,37,5],[38,2,39,5],[40,2,41,5],[42,2,43,5],[57,4,57,5],[66,4,66,5],[67,1,68,5],[69,4,69,5],[70,4,70,5],[71,4,71,5],[54,4,54,5],[55,4,55,5],[53,4,53,5],[56,4,56,5],[59,1,59,2],[58,1,58,2],[58,4,58,5],[60,4,60,5],[59,4,59,5],[77,4,77,5],[61,4,61,5],[62,4,62,5],[63,4,63,5],[64,4,64,5],[65,4,65,5],[72,4,72,5],[73,4,73,5],[74,4,74,5],[75,4,75,5],[76,4,76,5],[12,1,12,5],[57,1,57,2],[56,1,56,2],[55,1,55,2],[54,1,54,2],[53,1,53,2],[52,1,52,2],[79,1,79,3],[79,4,79,5],[77,1,77,2],[76,1,76,2],[75,1,75,2],[74,1,74,2],[73,1,73,2],[72,1,72,2],[71,1,71,2],[70,1,70,2],[66,1,66,2],[65,1,65,2],[64,1,64,2],[63,1,63,2],[62,1,62,2],[61,1,61,2],[60,1,60,2]]}
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[null,"GP Practice Merger"]
[null,"Authorised signatory should complete form and send to: prescriptioninformation@nhsbsa.nhs.uk"]
[]
[null,"Parent Org name:",null,null,"Parent Org code:"]
[null,"New GP Practice Details"]
[null,"Codes of GP Practices that are merging:"]
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[null,"Which GP Practice/Cost Centre is to remain open as the main surgery?"]
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[null,"Is the GP Practice that is remaining open going to be a prescribing or dispensing practice?","Please Select"]
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[null,"GP Practice name (as shown on ePACT.net, max. 40 characters including spaces)"]
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[null,"Address details (max. 25 characters per line including spaces)"]
[null,"Address line 1:"]
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[null,"Address line 2:"]
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[null,"Address line 3 (town or city only):"]
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[null,"Address line 4 (county or London only):"]
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[null,"Postcode:"]
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[null,"Telephone Number:"]
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[null,"Who will be the Lead Prescriber?","Lead Prescriber Name:"]
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[null,null,"Lead Prescriber Code:"]
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[null,"If the closed GP Practice(s) is to become a branch surgery please advise NHS Digital at ssd.nationalservicedesk@nhs.net / 0300 303 5035"]
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[null,"Please list all prescribers transferring to main surgery (including any practice employed non-medical prescribers). Please specify if any of the doctors will not adopt main surgery address. Please also note which address applies to them."]
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[null,"Names:",null,"Prescribing Codes:","Notes:"]
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[null,"Please list all prescribers NOT transferring to main surgery (including any practice employed non-medical prescribers). Please specify if any of the doctors will not adopt main surgery address. Please also note which address applies to them."]
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[null,"Names:",null,"Prescribing Codes:","Notes:"]
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[null,"Please tick to indicate use of Prescriber Transfer overspill sheet:"]
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[null,"What is happening with the patient list size?","Transferring to main Surgery:",null,null,"Please State main Surgery Code:"]
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[null,null,"Dispersing within Parent Organisation:"]
[null,"Effective date of Merger:"]
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[null,"Further details of Merger (if applicable):"]
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[null,"Authorised signatory:"]
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[null,"Print name:"]
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[null,"Contact Number:"]
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[null,"Date:"]
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[null,"For NHS Prescription Services use only"]
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[null,"MDR input (Date and Initials)"]
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[null,null,null,null,null,"v3.1 March 2025"]
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[null,"Please Select"]
[null,"Prescribing Only"]
[null,"Prescribing & Dispensing Practice"]
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[null,"Transferring to Main Surgery ",null,"Change of Cost Centre Name",null,"Prescribing"]
[null,"Dispersing within CCG",null,"Change of Cost Centre Address",null,"Dispensing"]
[null,null,null,"Change of Cost Centre Telephone Number"]
[]
[]
[]
[]
[null,null,null,null,null,null,"Yes (list applicable codes below)"]
[null,null,null,null,null,null,"No"]

{"sheet":"Prescriber Transfers","index":1,"n_rows":5,"n_cols":8,"rows_kept":5,"cut":false,"hidden":false,"merged":[[1,5,1,7],[2,5,2,7],[3,5,3,6],[0,5,0,6],[0,0,1048575,0],[0,1,0,2],[3,1,3,2],[1,1,1,3],[2,1,2,3]]}
[]
[null,"Please list all prescribers transferring to main surgery (including any practice employed non-medical prescribers):",null,null,null,"Please list all prescribers NOT transferring to main surgery (including any practice employed non-medical prescribers):"]
[null,"(Please specify if any of the doctors will not adopt main surgery address. Please also note which address applies to them).",null,null,null,"(Please specify if any of the doctors will not adopt main surgery address. Please also note which address applies to them)."]
[]
[null,"Name:","Code:","Notes:",null,"Name:","Code:","Notes:"]

{"sheet":"Guidance Notes","index":2,"n_rows":22,"n_cols":2,"rows_kept":22,"cut":false,"hidden":false,"merged":[]}
[]
["Parent Org name","The name of the Sub-ICB Location that the New GP Practice is to be attached to"]
["Parent Org code","The code of the Sub-ICB Location (three characters)"]
["Codes of GP Practice that are merging","The codes of the GP Practices which are merging"]
["Which GP Practice is to remain open as the main surgery","The code of the GP Practice which is to remain open"]
["GP Practice Name","as shown on ePACT.net, max. 40 characters including spaces"]
["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 GP Practice which is to remain open"]
["Is the closed GP Practice(s) to become a branch surgery","Choose from the drop down box"]
["Codes for Branch Surgery","List all of the codes for the branch surgery(s)"]
["Who will be the Lead Prescriber","Please note the lead prescriber name and code"]
["Please list all prescribers transferring to main surgery ","List all prescribers who are transferring to main surgery including any practice employed Non-Medical prescribers. If required, please continue the list onto the 'Prescriber Transfer' Sheet in the left hand table."]
["Please list all prescribers who aren't transferring to main surgery","List all prescribers who aren't transferring to main surgery including any practice employed Non-Medical prescribers. If required, please continue the list onto the 'Prescriber Transfer' Sheet in the right hand table."]
["Please tick to indicate use of Prescriber Transfer overspill sheet","Please tick 'yes' or 'no' boxes to indicate use of 'Prescriber Transfer' sheet"]
["What is happening with the patient list size","Select either 'transferring to main surgery' or dispersing within parent org'. If 'transferring to main surgery' is selected, please state the practice code."]
["Effective date of Merger","The effective date of the merger"]
["Further Details of Merger","Any information regarding the merger of the GP practice"]
["Authorised Signatory","This is the authorised signatory at the Sub-ICB Location (or an agency on their behalf) "]

{"sheet":"Revision History","index":3,"n_rows":21,"n_cols":4,"rows_kept":21,"cut":false,"hidden":true,"merged":[]}
["Version","Date","Reason for change","Editor"]
[2.1,"2022-02-01","Amended references to CCGs, updated branch surgery contact, hid 'for prescription services only' ","LAMAT"]
[2.2000000000000002,"2022-07-05","general text input colour changed to 'dark red'","MICBU"]
[2.2000000000000002,"2022-07-05","conditional formatting of boxes standardised to red background w/ white text upon blank input","MICBU"]
[2.2000000000000002,"2022-07-05","please select' option added to dropdown, conditionally formatted for change  upon selection","MICBU"]
[2.2000000000000002,"2022-07-05","added 'prescriber transfer' sheet","MICBU"]
[2.2000000000000002,"2022-07-05","added 'prescriber transfer' indication tickboxes","MICBU"]
[2.2000000000000002,"2022-07-05","added 'notes' column to prescriber transfer tables","MICBU"]
[2.2000000000000002,"2022-07-05","added 'please list all prescribers who aren't transferring to main surgery' guidance","MICBU"]
[2.2000000000000002,"2022-07-05","added 'please tick to indicate use of Prescriber Transfer overspill sheet' guidance","MICBU"]
[2.2000000000000002,"2022-07-05","added' What is happening with the patient list size' section","MICBU"]
[2.2000000000000002,"2022-07-05","added 'What is happening with the patient list size' guidance","MICBU"]
[2.2999999999999998,"2022-07-14","Increased all rows in 'prescribers leaving practice' section and input cells in 'leaving prescribers' overspill  from 30 to 60px, accommodating 2 lines of text per box","MICBU"]
[2.4,"2022-08-12","Increased spacing between form and signatory section","ALGRA"]
[2.5,"2023-03-02","Added extra lines to practices merging list","LAMAT"]
[2.6,"2023-05-05","Added email migration information section","MICBU"]
[2.7,"2023-05-25","updated migration date to June 2023","MICBU"]
[2.8,"2023-06-27","updated email info on form header","MICBU"]
[2.9,"2023-07-03","removed migration note","ANSCU"]
[3,"2023-08-31","edit Objects' ticked on sheet security for image insertions","MICBU"]
[3.1,"2025-03-14","new Exeter team contact details added","MICBU"]