1. [Potential NHS site title]
Organisation Logo
[Potential NHS site title]
Test Beds Programme

2. The Potential Site Name of site: Lead organisation: Map of the region
Key partner organisations:
Supporting AHSN:
Scale of test bed:
Geography:
Number of providers/commissioners:

3. The Health and Social Care Challenges
The challenges the test bed is looking to address:
Key outcomes we want to achieve:

4. What we are looking for….
Types of innovations: (for example)
Technology
Data systems
New models of working
Other
What we are looking for in an innovator: (for example)
Onsite assistance
Preferred method of evaluation
Outcomes we hope to achieve