Resilience based clinical supervision - Echo Sign up form

We're happy to welcome you to our Project ECHO network.

Please complete our registration form to become a member of our Project ECHO. Once you have completed this registration form, you will be able to access the information and resources stored on our Project ECHO page, and attend our regular online meetings.

If you have any queries about the network, or more generally about Project ECHO, please don't hesitate to contact us.

Name of ECHO network

About You

First Name

Last Name

Email address

Telephone number (day)

Mobile

Organisation Details

Job Title

Organisation Type

Organisation Name

Address

City/Town

County

Postcode

Country

IT Support

It is essential that you have a conversation with your IT support team to ensure you are "ECHO ready". Project ECHO's success relies on hardware, software and network support.

Hardware and software installation must be authorised by your IT team - it is likely that your device has been restricted fo security.

Hospice UK cannot, and does not, provide technical support. Further guidance can be found online: https://www.hospiceuk.org/zoomsupport.

I agree to contact, and work with, my IT support team to become ECHO ready

Terms and Conditions

We will never sell or swap your data and we promise to keep it safe and secure in accordance with the Hospice UK privacy statement

I have read the legal information and understand how my data will be processed in relation to Project ECHO

Legal information

About Hospice UK

When Hospice UK and/or its wholly owned trading subsidiary, Help the Hospices (Trading) limited (together "HUK") collect information from individuals either online or manually this is likely to be personal data within the meaning of the General Data Protection Regulation (EU) 2016/679 ("GDPR"), and HUK will be a data controller under the GDPR. This policy deals with the rights of individuals in relation to personal data under the GDPR as well as general approaches to, and standards of, safeguarding privacy adopted by HUK.

Hospice UK will be taking photographs and recording meetings/video-conferencing sessions with the intention of publishing content online for the use of training resources and for publicity.

Hospice UK's privacy policy is published on our website.

Project ECHO

Project ECHO has been developed and is owned by the Regents of the University of New Mexico (“UNM”), the rights to which have been assigned or licensed to the University of New Mexico Health Sciences Center ("UNMHSC"). More about Project ECHO can be found on the following website: https://echo.unm.edu/

How will my data be used?

We process your data in the following ways:

To fulfil the services we have been engaged to perform (Performance of a Contract).
To give you certificates of attendance (Performance of a Contract).
To understand the growth and impact of Project ECHO (Legitimate Interest).
To contact you with regards to important information about Project ECHO (Performance of a Contract).
To contact you to inform you of upcoming ECHO sessions (Performance of a Contract).

Where and why will your data be stored?

Your data will be securely stored within Hospice UK for the purposes outlined below:

To continue to meet our legal obligations (Legal Obligation).
Performing anonymisation or pseudonymisation on personal data sets prior to analysis.
Using analysed and aggregated data for reporting to funding and governmental entities (Legal Obligation).
Using analysed and aggregated data for research related to the ECHO movement (Legitimate Interest).
Using data quality assurance and in decision making related to new initiatives (Legitimate Interest).
For Project ECHO promotional materials (Legitimate Interest).

We will never sell or swap your data and we promise to keep it safe and secure in accordance with the Hospice UK privacy policy.