World Class Colleague Nomination

Our World Class Colleagues recognition scheme was launched in January 2016 to recognise excellent care and service all year round.

It gives you the opportunity to highlight an individual or a team who have provided amazing care or service.

Nominations are open for any member of staff.

Once a quarter, one winner will be picked out of all our nominees to collect their certificate and a special badge from the Trust Board.

Each nominee is also automatically entered into consideration for our annual Outstanding Service and Care Awards.

* = Required fields

Full name of staff member (kindly nominate one staff member per form) *

Date of Hospital Visit *

Clinical or Non-Clinical Team Member *

Clinical

Non-Clinical

Department of area they work in *

Which Trust Value do they represent?

Your Name *

Phone

Please contact me if the staff member is chosen to that I may attend the celebration if I am available

I am a *

Patient

Family/Visitor

Colleague

Date

Our values