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2026 Group Clinics Programme
Expression of Interest Form (Stage 1)
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1.
Please provide your full name:
(Required.)
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2.
Please provide your full job title:
(Required.)
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3.
Please provide your email address:
(Required.)
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4.
Please provide your place of work:
(Required.)
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5.
Are you looking to set up a Group Clinic in your Practice or PCN?
(Required.)
Practice
PCN
Comments:
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6.
What are your main reasons for setting up a Group Clinic Programme?
(Required.)
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7.
Do you know which Group Clinic you would like to initially set-up or are you unsure at the moment?
E.g. Asthma, Hypertension, Menopause or Diabetes
(Required.)
Yes
No
Unsure
If yes, please state your preferred Group Clinic:
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8.
Have you or one of your Team attended an ELC Webinar previously?
(Required.)
Yes
No
Unsure
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9.
Are you willing to attend a scoping meeting with the training provider (ELC) to progress your application?
A Practice/PCN Clinical Lead and Administration Lead will be required to attend. The meeting will provide further information about the programme, including the infrastructure and time commitment required to deliver Group Clinics, and there will be an opportunity to ask questions.
If you select yes, a member of the ELC team will contact you to arrange a suitable date and time.
(Required.)
Yes
No
Comments
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10.
Once you have attended the ELC Briefing (Stage 2) and submitted the Registration Form to secure funding (Stage 3), when do you anticipate your Practice/PCN team will be ready to start delivering Group Clinics?
Please provide an approximate timeframe (e.g. September 2026).
(Required.)
11.
Do you have any other comments, questions, or concerns?
