Resuscitation Council UK Widget

Email:

Subject of your enquiry:

Briefly explain your enquiry:

Full name:

Professional Registration Number (if applicable):

Enquiry category:

<div class="control-group ticket_section">
                 <label class=" required control-label cf_i_am_a_1107128-label " for="helpdesk_ticket_cf_i_am_a_1107128">I am a:</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_i_am_a_1107128" name="helpdesk_ticket[custom_field][cf_i_am_a_1107128]"><option value="">...</option>
<option value="Lay individual" data-id="3043000738549">Lay individual</option>
<option value="Dentist" data-id="3043000738550">Dentist</option>
<option value="Doctor" data-id="3043000738551">Doctor</option>
<option value="First aid trainer" data-id="3043000738552">First aid trainer</option>
<option value="Nurse" data-id="3043000738553">Nurse</option>
<option value="Paramedic" data-id="3043000738554">Paramedic</option>
<option value="Other clinical" data-id="3043000738555">Other clinical</option>
<option value="Other" data-id="3043000738556">Other</option></select>
            </div> 
                </div>

<div class="control-group ticket_section">
                 <label class=" required control-label cf_current_course_type_1107128-label " for="helpdesk_ticket_cf_current_course_type_1107128">Course type:</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_current_course_type_1107128" name="helpdesk_ticket[custom_field][cf_current_course_type_1107128]"><option value="">...</option>
<option value="Adult resuscitation e-learning" data-id="3043000739844">Adult resuscitation e-learning</option>
<option value="ALS" data-id="3043000738568">ALS</option>
<option value="ARNI" data-id="3043000738569">ARNI</option>
<option value="EPALS" data-id="3043000738570">EPALS</option>
<option value="FEEL" data-id="3043000738571">FEEL</option>
<option value="GIC" data-id="3043000738572">GIC</option>
<option value="ILSi" data-id="3043000738573">ILSi</option>
<option value="ILS" data-id="3043000738574">ILS</option>
<option value="NLS" data-id="3043000738575">NLS</option>
<option value="PILS" data-id="3043000738576">PILS</option>
<option value="Other" data-id="3043000738577">Other</option>
<option value="Not applicable" data-id="3043000738578">Not applicable</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_your_course_is_taking_place_at_1107128-label " for="helpdesk_ticket_cf_your_course_is_taking_place_at_1107128">Course Centre Name:</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_your_course_is_taking_place_at_1107128" name="helpdesk_ticket[custom_field][cf_your_course_is_taking_place_at_1107128]"><option value="">...</option>
<option value="AAT - A & A Training Ltd" data-id="3043000740788">AAT - A & A Training Ltd</option>
<option value="ABD - Aberdeen Royal Infirmary" data-id="3043000740789">ABD - Aberdeen Royal Infirmary</option>
<option value="AET - A to E Training & Solutions Ltd" data-id="3043000740790">AET - A to E Training & Solutions Ltd</option>
<option value="AGA - Aga Khan University Hospital" data-id="3043000740791">AGA - Aga Khan University Hospital</option>
<option value="AGH - Airedale General Hospital" data-id="3043000740792">AGH - Airedale General Hospital</option>
<option value="AHM - Ashford Hospital" data-id="3043000740793">AHM - Ashford Hospital</option>
<option value="AIN - Aintree University Hospitals NHS Foundation Trust" data-id="3043000740794">AIN - Aintree University Hospitals NHS Foundation Trust</option>
<option value="ALE - BMI Alexandra Hospital" data-id="3043000740795">ALE - BMI Alexandra Hospital</option>
<option value="ALV - BMI Mount Alvernia Hospital" data-id="3043000740796">ALV - BMI Mount Alvernia Hospital</option>
<option value="AMS - Army Medical Services Training Centre" data-id="3043000740797">AMS - Army Medical Services Training Centre</option>
<option value="ANT - Northern Health and Social Care Trust" data-id="3043000740798">ANT - Northern Health and Social Care Trust</option>
<option value="ARB - Argyll & Bute" data-id="3043000740799">ARB - Argyll & Bute</option>
<option value="ARU - Anglia Ruskin University" data-id="3043000740800">ARU - Anglia Ruskin University</option>
<option value="BAN - Ysbyty Gwynedd" data-id="3043000740801">BAN - Ysbyty Gwynedd</option>
<option value="BAS - Basildon Hospital" data-id="3043000740802">BAS - Basildon Hospital</option>
<option value="BCH - Belfast Trust" data-id="3043000740803">BCH - Belfast Trust</option>
<option value="BCU - Betsi Cadwalader University Health Board" data-id="3043000740804">BCU - Betsi Cadwalader University Health Board</option>
<option value="BED - Bedford Hospital" data-id="3043000740805">BED - Bedford Hospital</option>
<option value="BHH - University Hospitals Birmingham" data-id="3043000740806">BHH - University Hospitals Birmingham</option>
<option value="BHM - Spire Hospital Manchester" data-id="3043000740807">BHM - Spire Hospital Manchester</option>
<option value="BHW - Wigan Infirmary" data-id="3043000740808">BHW - Wigan Infirmary</option>
<option value="BIR - Birmingham Children's Hospital" data-id="3043000740809">BIR - Birmingham Children's Hospital</option>
<option value="BLI - BMI Lincoln Hospital" data-id="3043000740810">BLI - BMI Lincoln Hospital</option>
<option value="BOL - Royal Bolton Hospital" data-id="3043000740811">BOL - Royal Bolton Hospital</option>
<option value="BOR - NHS Borders" data-id="3043000740812">BOR - NHS Borders</option>
<option value="BOU - Royal Bournemouth Hospital" data-id="3043000740813">BOU - Royal Bournemouth Hospital</option>
<option value="BRA - Bradford Teaching Hospitals NHS Trust" data-id="3043000740814">BRA - Bradford Teaching Hospitals NHS Trust</option>
<option value="BRH - Spire London East Hospital" data-id="3043000740815">BRH - Spire London East Hospital</option>
<option value="BRI - University Hospital Bristol" data-id="3043000740816">BRI - University Hospital Bristol</option>
<option value="BRN - Barnsley Hospital" data-id="3043000740817">BRN - Barnsley Hospital</option>
<option value="BRO - Broomfield Hospital" data-id="3043000740818">BRO - Broomfield Hospital</option>
<option value="BTL - Back to Life" data-id="3043000740819">BTL - Back to Life</option>
<option value="BUR - Queen's Hospital (Burton)" data-id="3043000740820">BUR - Queen's Hospital (Burton)</option>
<option value="BVH - Blackpool Victoria Hospital" data-id="3043000740821">BVH - Blackpool Victoria Hospital</option>
<option value="BWH - Birmingham Women's Hospital" data-id="3043000740822">BWH - Birmingham Women's Hospital</option>
<option value="CAM - Addenbrookes Hospital" data-id="3043000740823">CAM - Addenbrookes Hospital</option>
<option value="CAR - University Hospital Wales - Llandough" data-id="3043000740824">CAR - University Hospital Wales - Llandough</option>
<option value="CCH - Countess of Chester Hospital" data-id="3043000740825">CCH - Countess of Chester Hospital</option>
<option value="CHA - BMI Chaucer Hospital" data-id="3043000740826">CHA - BMI Chaucer Hospital</option>
<option value="CHR - Christie Hospital NHS Trust" data-id="3043000740827">CHR - Christie Hospital NHS Trust</option>
<option value="CHU - BMI Clementine Churchill Hospital" data-id="3043000740828">CHU - BMI Clementine Churchill Hospital</option>
<option value="CLA - Wirral University Teaching Hospital NHS Foundation Trust" data-id="3043000740829">CLA - Wirral University Teaching Hospital NHS Foundation Trust</option>
<option value="CLH - Calderdale Royal Hospital" data-id="3043000740830">CLH - Calderdale Royal Hospital</option>
<option value="CLY - Golden Jubilee National Hospital" data-id="3043000740831">CLY - Golden Jubilee National Hospital</option>
<option value="COL - Colchester General Hospital" data-id="3043000740832">COL - Colchester General Hospital</option>
<option value="COV - University Hospital Coventry & Warwickshire" data-id="3043000740833">COV - University Hospital Coventry & Warwickshire</option>
<option value="CPH - Ramsay Clifton Park Hospital" data-id="3043000740834">CPH - Ramsay Clifton Park Hospital</option>
<option value="CRH - Chesterfield Royal Hospital" data-id="3043000740835">CRH - Chesterfield Royal Hospital</option>
<option value="CRO - Cromwell Hospital" data-id="3043000740836">CRO - Cromwell Hospital</option>
<option value="CSG - Central Scotland" data-id="3043000740837">CSG - Central Scotland</option>
<option value="CTC - Liverpool Heart & Chest Hospital NHS Trust" data-id="3043000740838">CTC - Liverpool Heart & Chest Hospital NHS Trust</option>
<option value="CWM - Chelsea & Westminster Hospital" data-id="3043000740839">CWM - Chelsea & Westminster Hospital</option>
<option value="CYP - RAF Akrotiri" data-id="3043000740840">CYP - RAF Akrotiri</option>
<option value="DAR - Darent Valley Hospital" data-id="3043000740841">DAR - Darent Valley Hospital</option>
<option value="DCI - Devon & Cornwall ILS Centre" data-id="3043000740842">DCI - Devon & Cornwall ILS Centre</option>
<option value="DMH - Darlington Memorial Hospital" data-id="3043000740843">DMH - Darlington Memorial Hospital</option>
<option value="DON - Doncaster Royal Infirmary" data-id="3043000740844">DON - Doncaster Royal Infirmary</option>
<option value="DOR - Dorset County Hospital" data-id="3043000740845">DOR - Dorset County Hospital</option>
<option value="DRI - Royal Derby Hospital" data-id="3043000740846">DRI - Royal Derby Hospital</option>
<option value="DRY - Dryburn Hospital" data-id="3043000740847">DRY - Dryburn Hospital</option>
<option value="DRY - County Durham & Darlington NHS Foundation Trust" data-id="3043000740848">DRY - County Durham & Darlington NHS Foundation Trust</option>
<option value="DUD - Russells Hall Hospital" data-id="3043000740849">DUD - Russells Hall Hospital</option>
<option value="DUM - Dumfries Royal Infirmary" data-id="3043000740850">DUM - Dumfries Royal Infirmary</option>
<option value="DUN - Ulster Hospital" data-id="3043000740851">DUN - Ulster Hospital</option>
<option value="EAB - East Anglian Air Ambulance" data-id="3043000740852">EAB - East Anglian Air Ambulance</option>
<option value="EAL - Ealing Hospital" data-id="3043000740853">EAL - Ealing Hospital</option>
<option value="EAS - East Sussex Healthcare NHS Trust" data-id="3043000740854">EAS - East Sussex Healthcare NHS Trust</option>
<option value="EEA - East of England NHS Ambulance Trust" data-id="3043000740855">EEA - East of England NHS Ambulance Trust</option>
<option value="EHU - Edge Hill University" data-id="3043000740856">EHU - Edge Hill University</option>
<option value="EPS - Epsom & St. Helier Hospitals" data-id="3043000740857">EPS - Epsom & St. Helier Hospitals</option>
<option value="ESH - East Surrey Hospital" data-id="3043000740858">ESH - East Surrey Hospital</option>
<option value="EUX - Ramsay Euxton Hall Hospital" data-id="3043000740859">EUX - Ramsay Euxton Hall Hospital</option>
<option value="EXE - Royal Devon & Exeter Hospital" data-id="3043000740860">EXE - Royal Devon & Exeter Hospital</option>
<option value="FAI - Fairfield General Hospital" data-id="3043000740861">FAI - Fairfield General Hospital</option>
<option value="FPH - Frimley Park Hospital" data-id="3043000740862">FPH - Frimley Park Hospital</option>
<option value="FRE - North Bristol NHS Trust" data-id="3043000740863">FRE - North Bristol NHS Trust</option>
<option value="FYL - Bupa Fylde Coast Hospital" data-id="3043000740864">FYL - Bupa Fylde Coast Hospital</option>
<option value="GBH - Gilbert Bain Hospital" data-id="3043000740865">GBH - Gilbert Bain Hospital</option>
<option value="GCH - Glan Clwyd Hospital" data-id="3043000740866">GCH - Glan Clwyd Hospital</option>
<option value="GEH - George Eliot Hospital NHS Trust" data-id="3043000740867">GEH - George Eliot Hospital NHS Trust</option>
<option value="GHA - Gibraltar Health Authority" data-id="3043000740868">GHA - Gibraltar Health Authority</option>
<option value="GMH - Glasgow Maternity Hospitals" data-id="3043000740869">GMH - Glasgow Maternity Hospitals</option>
<option value="GOS - Great Ormond Street NHS Trust" data-id="3043000740870">GOS - Great Ormond Street NHS Trust</option>
<option value="GRH - Gloucestershire Royal Hospital" data-id="3043000740871">GRH - Gloucestershire Royal Hospital</option>
<option value="GRH - Gloucestershire Hospitals NHS Trust" data-id="3043000740872">GRH - Gloucestershire Hospitals NHS Trust</option>
<option value="GRI - Glasgow Royal Infirmary" data-id="3043000740873">GRI - Glasgow Royal Infirmary</option>
<option value="GUE - Princess Elizabeth Hospital (Channel Island)" data-id="3043000740874">GUE - Princess Elizabeth Hospital (Channel Island)</option>
<option value="GUI - Royal Surrey County Hospital" data-id="3043000740875">GUI - Royal Surrey County Hospital</option>
<option value="GUY - Guy's & St Thomas' Hospital" data-id="3043000740876">GUY - Guy's & St Thomas' Hospital</option>
<option value="GWH - Great Western Hospital" data-id="3043000740877">GWH - Great Western Hospital</option>
<option value="HAA - Spire Hospital Portsmouth" data-id="3043000740878">HAA - Spire Hospital Portsmouth</option>
<option value="HAM - Hammersmith Hospital (Imperial Healthcare)" data-id="3043000740879">HAM - Hammersmith Hospital (Imperial Healthcare)</option>
<option value="HCC - Historical course centre" data-id="3043000740880">HCC - Historical course centre</option>
<option value="HDH - Harrogate District Hospital" data-id="3043000740881">HDH - Harrogate District Hospital</option>
<option value="HER - Hereford County Hospital" data-id="3043000740882">HER - Hereford County Hospital</option>
<option value="HES - Healthcare Education & Skills Training Ltd" data-id="3043000740883">HES - Healthcare Education & Skills Training Ltd</option>
<option value="HHB - Heartlands Hospital" data-id="3043000740884">HHB - Heartlands Hospital</option>
<option value="HIL - Hillingdon Hospital" data-id="3043000740885">HIL - Hillingdon Hospital</option>
<option value="HIN - North West Anglia NHS Foundation Trust" data-id="3043000740886">HIN - North West Anglia NHS Foundation Trust</option>
<option value="HOM - Homerton Hospital" data-id="3043000740887">HOM - Homerton Hospital</option>
<option value="HOP - Salford Royal Hospitals NHS Trust" data-id="3043000740888">HOP - Salford Royal Hospitals NHS Trust</option>
<option value="HUL - Hull Royal Infirmary" data-id="3043000740889">HUL - Hull Royal Infirmary</option>
<option value="INM - Institute of Naval Medicine" data-id="3043000740890">INM - Institute of Naval Medicine</option>
<option value="INV - NHS Highland" data-id="3043000740891">INV - NHS Highland</option>
<option value="IOM - Noble's Hospital" data-id="3043000740892">IOM - Noble's Hospital</option>
<option value="IOW - St Mary's Hospital (Isle of Wight)" data-id="3043000740893">IOW - St Mary's Hospital (Isle of Wight)</option>
<option value="IPS - Ipswich Hospital" data-id="3043000740894">IPS - Ipswich Hospital</option>
<option value="IRH - Inverclyde Royal Hospital" data-id="3043000740895">IRH - Inverclyde Royal Hospital</option>
<option value="JER - Jersey General Hospital" data-id="3043000740896">JER - Jersey General Hospital</option>
<option value="JMU - Liverpool John Moores University" data-id="3043000740897">JMU - Liverpool John Moores University</option>
<option value="KCH - King's College NHS Foundation Trust" data-id="3043000740898">KCH - King's College NHS Foundation Trust</option>
<option value="KEE - Keele University Hospital" data-id="3043000740899">KEE - Keele University Hospital</option>
<option value="KEN - University Hospitals Morecambe Bay" data-id="3043000740900">KEN - University Hospitals Morecambe Bay</option>
<option value="KET - Kettering General Hospital NHS Trust" data-id="3043000740901">KET - Kettering General Hospital NHS Trust</option>
<option value="KGH - Queen's Hospital (Romford)" data-id="3043000740902">KGH - Queen's Hospital (Romford)</option>
<option value="KHD - Kingsway Hospital" data-id="3043000740903">KHD - Kingsway Hospital</option>
<option value="KIL - Crosshouse Hospital" data-id="3043000740904">KIL - Crosshouse Hospital</option>
<option value="KIM - KIMS Hospital" data-id="3043000740905">KIM - KIMS Hospital</option>
<option value="KIN - Kingston Hospital" data-id="3043000740906">KIN - Kingston Hospital</option>
<option value="KMC - King's Mill Hospital" data-id="3043000740907">KMC - King's Mill Hospital</option>
<option value="KYA - Gertrude's Garden Children's Hospital" data-id="3043000740908">KYA - Gertrude's Garden Children's Hospital</option>
<option value="LAY - Layton Medical Centre" data-id="3043000740909">LAY - Layton Medical Centre</option>
<option value="LBH/HCA - Learning Academy" data-id="3043000740910">LBH/HCA - Learning Academy</option>
<option value="LCL - London Clinic" data-id="3043000740911">LCL - London Clinic</option>
<option value="LEI - University Hospital Leicester" data-id="3043000740912">LEI - University Hospital Leicester</option>
<option value="LEW - Lewisham & Greenwich NHS Trust" data-id="3043000740913">LEW - Lewisham & Greenwich NHS Trust</option>
<option value="LGI - Leeds Teaching Hospitals NHS Trust" data-id="3043000740914">LGI - Leeds Teaching Hospitals NHS Trust</option>
<option value="LIH - BMI London Independent Hospital" data-id="3043000740915">LIH - BMI London Independent Hospital</option>
<option value="LIN - Lincoln County Hospital" data-id="3043000740916">LIN - Lincoln County Hospital</option>
<option value="LIV - Alder Hey Children's Hospital" data-id="3043000740917">LIV - Alder Hey Children's Hospital</option>
<option value="LMH - Liverpool Women's Hospital" data-id="3043000740918">LMH - Liverpool Women's Hospital</option>
<option value="LOT - NHS Lothian" data-id="3043000740919">LOT - NHS Lothian</option>
<option value="LRI - Royal Liverpool & Broadgreen University Hospital Trust" data-id="3043000740920">LRI - Royal Liverpool & Broadgreen University Hospital Trust</option>
<option value="LTH - Lancashire Teaching Hospitals NHS Trust" data-id="3043000740921">LTH - Lancashire Teaching Hospitals NHS Trust</option>
<option value="LUT - Luton & Dunstable Hospital" data-id="3043000740922">LUT - Luton & Dunstable Hospital</option>
<option value="MAI - Maidstone & Tunbridge Wells NHS Trust" data-id="3043000740923">MAI - Maidstone & Tunbridge Wells NHS Trust</option>
<option value="MAN - Advanced Life Support Group" data-id="3043000740924">MAN - Advanced Life Support Group</option>
<option value="MAR - East Kent Hospitals University NHS Foundation Trust" data-id="3043000740925">MAR - East Kent Hospitals University NHS Foundation Trust</option>
<option value="MAY - Croydon Health Services NHS Trust" data-id="3043000740926">MAY - Croydon Health Services NHS Trust</option>
<option value="MCH - Leighton Hospital" data-id="3043000740927">MCH - Leighton Hospital</option>
<option value="MCN - Mersey Care NHS Foundation Trust" data-id="3043000740928">MCN - Mersey Care NHS Foundation Trust</option>
<option value="MDH - Macclesfield District General Hospital" data-id="3043000740929">MDH - Macclesfield District General Hospital</option>
<option value="MED - Medway Maritime Hospital" data-id="3043000740930">MED - Medway Maritime Hospital</option>
<option value="MER - Prince Charles Hospital" data-id="3043000740931">MER - Prince Charles Hospital</option>
<option value="MHO - Manor Hospital Oxford" data-id="3043000740932">MHO - Manor Hospital Oxford</option>
<option value="MID - James Cook University Hospital" data-id="3043000740933">MID - James Cook University Hospital</option>
<option value="MKH - Milton Keynes General Hospital" data-id="3043000740934">MKH - Milton Keynes General Hospital</option>
<option value="MOR - ABMU Health Board" data-id="3043000740935">MOR - ABMU Health Board</option>
<option value="MRI - Manchester Royal Infirmary" data-id="3043000740936">MRI - Manchester Royal Infirmary</option>
<option value="MRY - St Mary's Hospital (London)" data-id="3043000740937">MRY - St Mary's Hospital (London)</option>
<option value="NAP - Edinburgh Napier University" data-id="3043000740938">NAP - Edinburgh Napier University</option>
<option value="NCH - New Cross Hospital" data-id="3043000740939">NCH - New Cross Hospital</option>
<option value="NDD - North Devon District Hospital" data-id="3043000740940">NDD - North Devon District Hospital</option>
<option value="NEB - North East Ambulance Service NHS Foundation Trust" data-id="3043000740941">NEB - North East Ambulance Service NHS Foundation Trust</option>
<option value="NGH - Newham University Hospital NHS Trust (Barts Health)" data-id="3043000740942">NGH - Newham University Hospital NHS Trust (Barts Health)</option>
<option value="NGH - Barts Health (Newham University Hospital)" data-id="3043000740943">NGH - Barts Health (Newham University Hospital)</option>
<option value="NGR - NHS Grampian" data-id="3043000740944">NGR - NHS Grampian</option>
<option value="NIN - NHS Tayside" data-id="3043000740945">NIN - NHS Tayside</option>
<option value="NMA - North Manchester General Hospital" data-id="3043000740946">NMA - North Manchester General Hospital</option>
<option value="NMH - North Middlesex University Hospital NHS Trust" data-id="3043000740947">NMH - North Middlesex University Hospital NHS Trust</option>
<option value="NNH - Norfolk & Norwich University Hospital" data-id="3043000740948">NNH - Norfolk & Norwich University Hospital</option>
<option value="NOR - Northampton General Hospital" data-id="3043000740949">NOR - Northampton General Hospital</option>
<option value="NOT - Nottingham City Hospital" data-id="3043000740950">NOT - Nottingham City Hospital</option>
<option value="NPH - Northwick Park Hospital" data-id="3043000740951">NPH - Northwick Park Hospital</option>
<option value="NST - University Hospital North Midlands" data-id="3043000740952">NST - University Hospital North Midlands</option>
<option value="NTG - University Hospital North Tees" data-id="3043000740953">NTG - University Hospital North Tees</option>
<option value="NTS - Northumbria NHS Trust" data-id="3043000740954">NTS - Northumbria NHS Trust</option>
<option value="OLD - Royal Oldham Hospital" data-id="3043000740955">OLD - Royal Oldham Hospital</option>
<option value="ORH - Oxford University Hospital NHS Trust" data-id="3043000740956">ORH - Oxford University Hospital NHS Trust</option>
<option value="ORM - Southport Ormskirk" data-id="3043000740957">ORM - Southport Ormskirk</option>
<option value="ORM - Southport & Ormskirk NHS Trust" data-id="3043000740958">ORM - Southport & Ormskirk NHS Trust</option>
<option value="OSW - Robert Jones & Agnes Hunt" data-id="3043000740959">OSW - Robert Jones & Agnes Hunt</option>
<option value="PAH - Princess Alexandra Hospital" data-id="3043000740960">PAH - Princess Alexandra Hospital</option>
<option value="PAI - Royal Alexandra Hospital" data-id="3043000740961">PAI - Royal Alexandra Hospital</option>
<option value="PAP - Royal Papworth Hospital NHS Trust" data-id="3043000740962">PAP - Royal Papworth Hospital NHS Trust</option>
<option value="PEN - Penrith Community Hospital" data-id="3043000740963">PEN - Penrith Community Hospital</option>
<option value="PET - Peterborough City Hospital" data-id="3043000740964">PET - Peterborough City Hospital</option>
<option value="PIL - United Lincolnshire Hospitals NHS Trust" data-id="3043000740965">PIL - United Lincolnshire Hospitals NHS Trust</option>
<option value="PIN - Mid Yorkshire Hospitals NHS Trust" data-id="3043000740966">PIN - Mid Yorkshire Hospitals NHS Trust</option>
<option value="PLY - Derriford Hospital" data-id="3043000740967">PLY - Derriford Hospital</option>
<option value="PNH - Nuffield Hospital Plymouth" data-id="3043000740968">PNH - Nuffield Hospital Plymouth</option>
<option value="POL - Poole Hospital NHS Trust" data-id="3043000740969">POL - Poole Hospital NHS Trust</option>
<option value="POR - Queen Alexandra Hospital" data-id="3043000740970">POR - Queen Alexandra Hospital</option>
<option value="PRI - BMI Priory Hospital" data-id="3043000740971">PRI - BMI Priory Hospital</option>
<option value="PSG - Paramedic Science, St George's University" data-id="3043000740972">PSG - Paramedic Science, St George's University</option>
<option value="QEB - Queen Elizabeth Hospital (Birmingham)" data-id="3043000740973">QEB - Queen Elizabeth Hospital (Birmingham)</option>
<option value="QEG - Queen Elizabeth Hospital (Gateshead)" data-id="3043000740974">QEG - Queen Elizabeth Hospital (Gateshead)</option>
<option value="QEH - Queen Elizabeth Hospital (Kings Lynn)" data-id="3043000740975">QEH - Queen Elizabeth Hospital (Kings Lynn)</option>
<option value="QEW - South London Healthcare NHS Trust" data-id="3043000740976">QEW - South London Healthcare NHS Trust</option>
<option value="QEW - Lewisham and Greenwich NHS Trust" data-id="3043000740977">QEW - Lewisham and Greenwich NHS Trust</option>
<option value="QMC - Queens Medical Centre" data-id="3043000740978">QMC - Queens Medical Centre</option>
<option value="QMH - NHS Fife" data-id="3043000740979">QMH - NHS Fife</option>
<option value="QPH - Royal Blackburn Hospital" data-id="3043000740980">QPH - Royal Blackburn Hospital</option>
<option value="QPH - East Lancashire Hospitals NHS Trust" data-id="3043000740981">QPH - East Lancashire Hospitals NHS Trust</option>
<option value="RBH - Royal Berkshire Hospital" data-id="3043000740982">RBH - Royal Berkshire Hospital</option>
<option value="RBR - Royal Brompton & Harefield NHS Foundation Trust" data-id="3043000740983">RBR - Royal Brompton & Harefield NHS Foundation Trust</option>
<option value="RFH - Royal Free London NHS Foundation Trust" data-id="3043000740984">RFH - Royal Free London NHS Foundation Trust</option>
<option value="RGH - Royal Gwent Hospital" data-id="3043000740985">RGH - Royal Gwent Hospital</option>
<option value="RGR - Belfast Health & Social Care Trust" data-id="3043000740986">RGR - Belfast Health & Social Care Trust</option>
<option value="RHC - Hampshire Hospitals NHS Foundation Trust" data-id="3043000740987">RHC - Hampshire Hospitals NHS Foundation Trust</option>
<option value="RHH - BMI Ross Hall Hospital" data-id="3043000740988">RHH - BMI Ross Hall Hospital</option>
<option value="RLH - Barts Health (Royal London Hospital)" data-id="3043000740989">RLH - Barts Health (Royal London Hospital)</option>
<option value="RMH - Royal Maternity Hospital" data-id="3043000740990">RMH - Royal Maternity Hospital</option>
<option value="RMN - Royal Marsden Hospital" data-id="3043000740991">RMN - Royal Marsden Hospital</option>
<option value="RNO - Royal National Orthopaedic Hospital" data-id="3043000740992">RNO - Royal National Orthopaedic Hospital</option>
<option value="ROH - Rochdale Royal Infirmary" data-id="3043000740993">ROH - Rochdale Royal Infirmary</option>
<option value="ROT - Rotherham District General Hospital" data-id="3043000740994">ROT - Rotherham District General Hospital</option>
<option value="RSC - Brighton & Sussex University Hospitals NHS Trust" data-id="3043000740995">RSC - Brighton & Sussex University Hospitals NHS Trust</option>
<option value="RSH - Shrewsbury & Telford Hospital NHS Trust" data-id="3043000740996">RSH - Shrewsbury & Telford Hospital NHS Trust</option>
<option value="RUH - Royal United Hospital NHS Trust" data-id="3043000740997">RUH - Royal United Hospital NHS Trust</option>
<option value="SAL - Salisbury District Hospital" data-id="3043000740998">SAL - Salisbury District Hospital</option>
<option value="SAN - City Hospital" data-id="3043000740999">SAN - City Hospital</option>
<option value="SAN - Sandwell & West Birmingham Hospital NHS Trust" data-id="3043000741000">SAN - Sandwell & West Birmingham Hospital NHS Trust</option>
<option value="SAR - BMI Sarum Road Hospital" data-id="3043000741001">SAR - BMI Sarum Road Hospital</option>
<option value="SCA - Scarborough Hospital" data-id="3043000741002">SCA - Scarborough Hospital</option>
<option value="SCU - Northern Lincolnshire & Goole Hospitals NHS Foundation Trust" data-id="3043000741003">SCU - Northern Lincolnshire & Goole Hospitals NHS Foundation Trust</option>
<option value="SEC - South East Coast Ambulance NHS Trust" data-id="3043000741004">SEC - South East Coast Ambulance NHS Trust</option>
<option value="SHB - Spire Hospital Bristol" data-id="3043000741005">SHB - Spire Hospital Bristol</option>
<option value="SHE - Sheffield Teaching Hospitals NHS Trust" data-id="3043000741006">SHE - Sheffield Teaching Hospitals NHS Trust</option>
<option value="SHH - Stepping Hill Hospital" data-id="3043000741007">SHH - Stepping Hill Hospital</option>
<option value="SHS - Southern Health & Social Care Trust" data-id="3043000741008">SHS - Southern Health & Social Care Trust</option>
<option value="SOH - Southend Hospital" data-id="3043000741009">SOH - Southend Hospital</option>
<option value="SOT - Lifeskills Medical" data-id="3043000741010">SOT - Lifeskills Medical</option>
<option value="SOU - Southampton General Hospital" data-id="3043000741011">SOU - Southampton General Hospital</option>
<option value="SPL - Spire Hospital Leeds" data-id="3043000741012">SPL - Spire Hospital Leeds</option>
<option value="STA - Stafford Hospital" data-id="3043000741013">STA - Stafford Hospital</option>
<option value="STE - Lister Hospital" data-id="3043000741014">STE - Lister Hospital</option>
<option value="STF - South Tyneside District Hospital" data-id="3043000741015">STF - South Tyneside District Hospital</option>
<option value="STG - St George's Hospital" data-id="3043000741016">STG - St George's Hospital</option>
<option value="STH - Sheffield Teaching Hospital" data-id="3043000741017">STH - Sheffield Teaching Hospital</option>
<option value="STI - NHS Forth Valley" data-id="3043000741018">STI - NHS Forth Valley</option>
<option value="STM - Stoke Mandeville Hospital" data-id="3043000741019">STM - Stoke Mandeville Hospital</option>
<option value="STO - Stobhill Hospital" data-id="3043000741020">STO - Stobhill Hospital</option>
<option value="STP - St Peter's Hospital" data-id="3043000741021">STP - St Peter's Hospital</option>
<option value="STR - Western Sussex Hospitals NHS Trust" data-id="3043000741022">STR - Western Sussex Hospitals NHS Trust</option>
<option value="SUN - Sunderland Royal Hospital" data-id="3043000741023">SUN - Sunderland Royal Hospital</option>
<option value="TAC - Kingsbridge Private Hospital" data-id="3043000741024">TAC - Kingsbridge Private Hospital</option>
<option value="TAM - Tameside General Hospital" data-id="3043000741025">TAM - Tameside General Hospital</option>
<option value="TAU - Taunton & Somerset Hospital" data-id="3043000741026">TAU - Taunton & Somerset Hospital</option>
<option value="TFH - Newcastle upon Tyne Hospitals NHS Foundation Trust" data-id="3043000741027">TFH - Newcastle upon Tyne Hospitals NHS Foundation Trust</option>
<option value="TOR - Torbay Hospital" data-id="3043000741028">TOR - Torbay Hospital</option>
<option value="TRU - Royal Cornwall Hospital" data-id="3043000741029">TRU - Royal Cornwall Hospital</option>
<option value="TWN - Nuffield Hospital Warwickshire" data-id="3043000741030">TWN - Nuffield Hospital Warwickshire</option>
<option value="TYR - Western Health & Social Care Trust" data-id="3043000741031">TYR - Western Health & Social Care Trust</option>
<option value="UAB - University of Aberdeen" data-id="3043000741032">UAB - University of Aberdeen</option>
<option value="UCH - University College Hospital" data-id="3043000741033">UCH - University College Hospital</option>
<option value="UEA - University of East Anglia" data-id="3043000741034">UEA - University of East Anglia</option>
<option value="UOU - Ulster University" data-id="3043000741035">UOU - Ulster University</option>
<option value="VIG - Queen Elizabeth University Hospital (Glasgow)" data-id="3043000741036">VIG - Queen Elizabeth University Hospital (Glasgow)</option>
<option value="WAL - Manor Hospital" data-id="3043000741037">WAL - Manor Hospital</option>
<option value="WAR - Warrington & Halton Hospitals NHS Foundation Trust" data-id="3043000741038">WAR - Warrington & Halton Hospitals NHS Foundation Trust</option>
<option value="WCH - West Cumberland Hospital" data-id="3043000741039">WCH - West Cumberland Hospital</option>
<option value="WEX - Frimley Health" data-id="3043000741040">WEX - Frimley Health</option>
<option value="WGW - Weston General Hospital" data-id="3043000741041">WGW - Weston General Hospital</option>
<option value="WHC - Barts Health (Whipps Cross University Hospital)" data-id="3043000741042">WHC - Barts Health (Whipps Cross University Hospital)</option>
<option value="WHH - West Hertfordshire Hospitals Trust" data-id="3043000741043">WHH - West Hertfordshire Hospitals Trust</option>
<option value="WHI - Whiston Hospital" data-id="3043000741044">WHI - Whiston Hospital</option>
<option value="WHP - Whittington Hospital NHS Trust" data-id="3043000741045">WHP - Whittington Hospital NHS Trust</option>
<option value="WIG - Gartnavel General Hospital" data-id="3043000741046">WIG - Gartnavel General Hospital</option>
<option value="WIH - Western Isles Hospital" data-id="3043000741047">WIH - Western Isles Hospital</option>
<option value="WIS - NHS Lanarkshire" data-id="3043000741048">WIS - NHS Lanarkshire</option>
<option value="WMH - West Middlesex University Hospital" data-id="3043000741049">WMH - West Middlesex University Hospital</option>
<option value="WOR - Worcestershire Acute Hospitals NHS Trust" data-id="3043000741050">WOR - Worcestershire Acute Hospitals NHS Trust</option>
<option value="WRH - Worcester Royal Hospital" data-id="3043000741051">WRH - Worcester Royal Hospital</option>
<option value="WRM - Wrexham Maelor Hospital" data-id="3043000741052">WRM - Wrexham Maelor Hospital</option>
<option value="WRT - Worthing & Southlands Hospital" data-id="3043000741053">WRT - Worthing & Southlands Hospital</option>
<option value="WRW - Warwick Hospital" data-id="3043000741054">WRW - Warwick Hospital</option>
<option value="WSH - West Suffolk Hospital" data-id="3043000741055">WSH - West Suffolk Hospital</option>
<option value="WWG - West Wales NHS Trust" data-id="3043000741056">WWG - West Wales NHS Trust</option>
<option value="WYT - Wythenshawe Hospital" data-id="3043000741057">WYT - Wythenshawe Hospital</option>
<option value="YAR - James Paget University Hospital" data-id="3043000741058">YAR - James Paget University Hospital</option>
<option value="YEO - Yeovil District Hospital" data-id="3043000741059">YEO - Yeovil District Hospital</option>
<option value="YHG - Royal Hospital for Children Glasgow" data-id="3043000741060">YHG - Royal Hospital for Children Glasgow</option>
<option value="YOR - York Teaching Hospitals NHS Foundation Trust" data-id="3043000741061">YOR - York Teaching Hospitals NHS Foundation Trust</option>
<option value="YSC - Yorkshire Clinic" data-id="3043000741062">YSC - Yorkshire Clinic</option>
<option value="Other" data-id="3043000741110">Other</option>
<option value="Not known" data-id="3043000741111">Not known</option>
<option value="KED - King Edward VII's Hospital" data-id="3043000756468">KED - King Edward VII's Hospital</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label cf_current_course_date_1107128-label " for="helpdesk_ticket_cf_current_course_date_1107128">Course date:</label>
            <div class="controls  support-date-field ">
              <input class="  date section_field datepicker_popover" data-date-format="d M, yy" data-show-image="true" id="helpdesk_ticket_custom_field_cf_current_course_date_1107128" name="helpdesk_ticket[custom_field][cf_current_course_date_1107128]" readonly="readonly" type="text" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label cf_current_course_id_if_known_1107128-label " for="helpdesk_ticket_cf_current_course_id_if_known_1107128">Course ID (if known):</label>
            <div class="controls   ">
              <input class="  text section_field span12" id="helpdesk_ticket_custom_field_cf_current_course_id_if_known_1107128" name="helpdesk_ticket[custom_field][cf_current_course_id_if_known_1107128]" size="30" type="text" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_currently_i_am_a_1107128-label " for="helpdesk_ticket_cf_currently_i_am_a_1107128">Course role:</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_currently_i_am_a_1107128" name="helpdesk_ticket[custom_field][cf_currently_i_am_a_1107128]"><option value="">...</option>
<option value="Candidate" data-id="3043000738558">Candidate</option>
<option value="Course Administrator" data-id="3043000738559">Course Administrator</option>
<option value="Course Director/Medical Director" data-id="3043000738560">Course Director/Medical Director</option>
<option value="Instructor" data-id="3043000738561">Instructor</option>
<option value="Instructor Candidate" data-id="3043000738562">Instructor Candidate</option>
<option value="Instructor Potential" data-id="3043000738563">Instructor Potential</option>
<option value="Recruitment Consultant" data-id="3043000738565">Recruitment Consultant</option>
<option value="Regional Representative" data-id="3043000738566">Regional Representative</option>
<option value="Other" data-id="3043000738567">Other</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_enquiry_category_1107128-label " for="helpdesk_ticket_cf_enquiry_category_1107128">Enquiry relates to:</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_enquiry_category_1107128" name="helpdesk_ticket[custom_field][cf_enquiry_category_1107128]"><option value="">...</option>
<option value="Account access (e.g. invalid login, password)" data-id="3043000738579">Account access (e.g. invalid login, password)</option>
<option value="Account profile (e.g. updating profile page)" data-id="3043000738580">Account profile (e.g. updating profile page)</option>
<option value="Cancelling a course" data-id="3043000738581">Cancelling a course</option>
<option value="Course access (e.g. can't access enrolled course)" data-id="3043000738582">Course access (e.g. can't access enrolled course)</option>
<option value="Course certificate (e.g. correcting name)" data-id="3043000738583">Course certificate (e.g. correcting name)</option>
<option value="Course certification verification" data-id="3043000738584">Course certification verification</option>
<option value="Course manual" data-id="3043000738585">Course manual</option>
<option value="Course materials" data-id="3043000738586">Course materials</option>
<option value="Instructor status confirmation" data-id="3043000738587">Instructor status confirmation</option>
<option value="Lapsed Instructor" data-id="3043000738588">Lapsed Instructor</option>
<option value="Missing records/qualifications" data-id="3043000738589">Missing records/qualifications</option>
<option value="Online modules (e.g. module access/tracking)" data-id="3043000738590">Online modules (e.g. module access/tracking)</option>
<option value="Pre-course MCQ (e.g. can't preview test)" data-id="3043000738591">Pre-course MCQ (e.g. can't preview test)</option>
<option value="Request to merge multiple accounts" data-id="3043000738592">Request to merge multiple accounts</option>
<option value="Other" data-id="3043000738593">Other</option></select>
            </div> 
                </div>

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