Patient Choice Award

Do you know a member of staff who has made a positive contribution to you or a loved one? This is your opportunity to give them the recognition they deserve. Nominations can be made for all of our staff in any part of the organisation. Please tell us in as much detail as possible how they impacted you or those you love.

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About you

Your name

Your contact number

Your email address

About nominee

Who are you nominating?

Nominee name Team or department name

Nominee department

Relationship to staff member (e.g. colleague) Relationship to team or department (e.g. staff member, service user)

Why this staff member? (Give as much detail as possible) Why this team or department? (Give as much detail as possible)

If checked, indicates that you would like to remain anonymous.

Thank you

Your nomination has been received.

Click here to submit another nomination.