Thank you for taking the time out to nominate a member of staff.

This award will go to the person or team that has made the biggest difference to patients. Nominations should include details about why the individual or team deserve to win the award, as well as details about the impact of their work and how it has improved your experience as a patient.

PLEASE NOTE: Only patients can nominate people or teams for this category. Nominations should include details about why the individual or team deserve to win the award, as well as details about the impact of their work and how it has improved your experience as a patient at CLCH.

* 1. Your name

* 2. Your email address

* 3. Name of staff member or team you are nominating including location (i.e Hammersmith & Fulham)

* 4.
Instructions:
Only patients can nominate people or teams for this category.

Please ensure your answers are only 500 words. If they exceed the word limit, in the spirit of fairness, we will take off any words that go over 500 which may end up affecting how your nomination reads. We recommend that you draft your answers in Word, check the word count and then copy and paste them in the response box here.

If you would prefer to submit your nomination via a paper form please contact the communications team on 0207 798 1422 or email them at: communications@clch.nhs.uk.

Thank you.

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