9th March 2018

Statement Of Competence For The Provision Of Emergency Contraception

Please complete the form below and click submit to send to NHS Shared Services. A copy will also be sent to your email address.

Please note that:

  1. Submission of this form constitutes as electronic signature of the form
  2. You will be required to complete a reaccreditation form declaring your skills, competencies and clinical knowledge every 3 years from the date of submission in order to continue providing the service
  3. An enhanced DBS certificate must be dated within 6 months of you making an initial application for any of the services that require a DBS check i.e. CHOOSE Pharmacy, Emergency Contraception or Smoking Cessation Level 3. A new check is then not required for subsequent applications. If you have any queries regarding your DBS status please email nwssp-primarycareservices@wales.nhs.uk

Please log in to the WCPPE website to submit this form.