Nursing, midwifery, and healthcare support worker patient’s choice award nomination form

Each year, we hold our nursing, midwifery, and healthcare support worker awards. If there is a nurse, midwife or healthcare support worker who gave you a positive and lasting experience as a patient, relative or service user at Royal Free London, then we would love you to nominate them for a patient's choice award (this could also be a team of nurses, midwives, and healthcare support workers).

Nominations for the 2024 awards closed on 15 March 2024. Submissions made after that date will be for the 2025 awards.

1. What is this person’s/team’s name?

2. Are they a nurse, midwife, or healthcare assistant/healthcare support worker?

nurse

midwife

healthcare assistant/ healthcare support worker

combination

not sure

3. Our organisation is made up of different locations. Which hospital does the person/team you would like to nominate work in?

4. Which department do they work in? Please leave blank if you do not know.

5. Please describe your experience with the staff member/s and the difference that they made to your time in the hospital

6. What makes them stand out from other individuals/members of staff that you have interacted with in the hospital?

7. Thank you for taking the time to make a nomination. If you are happy for us to contact you in case we need to clarify any detail made in your submission, please share your name and contact details below.

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Page last reviewed: 5 August 2024

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