Patient Choice Awards 2024: Nomination form

 

Have you received excellent care from a member of staff at one of our centres?

Has a member of staff made a real difference and provided outstanding care?

If you feel a member of staff deserves recognition for the work they do, please enter them for the Patient Choice Award!

If you require assistance with completing your nomination, please contact the corporate affairs team via communications.gtd@nhs.net

Please note, the deadline for nominations is Wednesday, 6 November 2024.

Information about the person you are nominating

1. Please provide the details of the member of staff you are nominating.
If you are unsure of the name of the member of staff you are nominating, please contact the service who may be able to assist. We are unable to accept nominations that do not provide names. Further information about our services is available here. *

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The nomination

2. Please state the reason for your nomination and include examples to support your nomination. Please write your nomination between 100 and 200 words. *

 

Your details

3. Please provide your details below. *

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Thank you for taking the time to complete this nomination form.