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Full Name / Team: (Block Capitals Please)

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Job Role

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Department

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Award Category

To view the award categories, click here
Please complete all the boxes below. Each box needs to be completed in full for your nomination to be considered. The more information and evidence you provide, enables the judging panel to make more informed decisions. Please use the award descriptors for support.

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Detail below why you are nominating this person / team for the chosen award:

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Provide examples of the impact on patient care, staff experience and the improvement on Trust performance:

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Provide evidence on how this person / team lives the Trusts Values (Respect / Compassion / Excellence / Pride / Openness / Innovation):

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Name

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Contact Number

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Email Address

Please note: if your nomination is shortlisted you may be required to film your nomination for the Staff Awards Ceremony
 
Thank you for taking the time to nominate!

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