People’s Choice Award nomination form
The People’s Choice Award for Personal and Compassionate Care
| Tell us who you are nominating
You can only nominate an individual, team or service in one category. However, you can nominate as many teams or individuals as you like |
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| Full name of person, team or service you are nominating |
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| Their role (if known) | |
| Their department and site/location |
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| Their contact details (if known) | |
| Tell us about yourself
It is essential that you complete the information below so we can contact you if your nomination is shortlisted |
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| Your full name | |
| Your contact number in full | |
| Your email address in full | |
| Your relationship to the individual, team or service being nominated | I am a patient,
I am a carer, family member or friend of a patient. I am a visitor I am a member of the public
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| Category and Award | |
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The People’s Award for Personal and Compassionate Care recognises those who have made a significant and memorable difference to the lives and experiences of patients and their families in outpatient, inpatient or community settings, during the last 12 months. Nominations from Patient, Carers, Family or Friends of the Patient, Or Visitors or Members of the Public ONLY. The nomination can be for an individual or a team. |
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| WHO do you want to say thank you to? (Tell us in no more than 100 words)
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| WHY do you want to say thank you. What did they do over and above their day job to provide personal and compassionate care? Please give specific examples (Tell us in no more than 100 words)
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Please print out this page or download the PDF document (see download button) and return completed nominations by 5pm on Monday 8 July 2024
By post to: Maria Earley/Leona Wheals, Staff Engagement Team; CMEC Office, Wycombe Hospital, Queen Alexandra Road, High Wycombe, Bucks, HP11 2TT.
Or by email to: m.earley@nhs.net or leona.wheals@nhs.net.