Regional Audit Group Meeting Database - Form 1

Please complete the form below for online submission (or click here to download the form as a Word document for postal submission to Gavin Barry).

* denotes mandatory field.

Group constitution
	Name of Region *
	Total membership of your group. How many of each of the following groups are included in regional audit group meetings? *
	Consultants (NHS or University) *
	FTTA's *
	SpR's *
	Lecturers *
	Specialist Practitioners *
	Community Orthodontists *
	Other (please specify) *
	Does your group have regular support from an audit assistant or other clerical / secretarial support *
	If so, how many hours or sessions weekly *
	How is this funded *
Regional group meetings
	Are minutes kept of each meeting *	Yes No
	How often does your group meet each year *
	How long do meetings last on average *
	Does your group receive any financial or other support locally (for instance from the Health Authority). Please state from what source *
	If so, who is the contact person responsible for allocating funds (eg Consultant in Public Health) *
Reporting
	Does your group present a report of its activity *	Locally Elsewhere
	If so, to whom *
	How frequently *
	Any other comments or relevant information *
	Your email address *