Royal National Orthopaedic Hospital, NHS Trust

The Royal National Orthopaedic Hospital aims to be the specialist orthopaedic hospital of choice by providing outstanding patient care, research and education.

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Patient representatives

Do you have views about:

  • The information we give to patients
  • The facilities or environment of the hospital such as telephones, signage, waiting areas, the ward areas.
  • Access for disabled people or those whose first language isn't English
  • How we provide our services

If you do have a particular interest concerning these or anything else to do with the hospital that you wish to be involved with then why not become a patient representative? There are many ways that you can become involved in influencing the service we provide and you don't have to be a patient to be part of this.

You do not have to attend meetings here unless you wish to. You may give us your views by post, phone, fax or email.

If you would like to apply to join our Patient Representatives please complete the following application form. You may submit this to us on line or print off a copy and send it to our Patient and Public Involvement lead, who is:

Kim Harris
Customer Care Manager
Royal National Orthopaedic Hospital
Brockley Hill
Stanmore
Middlesex
Telephone 0208 909 5717
Fax 020 8909 5407
Email:

The Trust also works closely with it’s Patient and Public Involvement (PPI) Forum. The work of the Forum is part of the Government’s overall strategy to improve patients’ experiences of the health service as defined in the legislation in the NHS Reform and Health Care Professions Act (2002). If you have any concerns or issues that you would like to raise with a PPI Forum or if you are interested in attending one of their meetings please in public, please contact:
Commission for Patient and Public Involvment in Health
Tel: 0845 120 7111
Email: enquiries@cppih.org
www.cppih.org

 
Patient Representative Form

If you would like to apply to become a Patient Representative please complete the following application form:

*Denotes required field

Name *
Address *
Email *
Telephone *
Are you a? *
Age Group *
Ethnic Origin

(You do not have to answer this question)

Interests *

To help us match your interests to the work of the hospital please state why you are interested in joining the Trust and any experiences/skills that would be of use.

Trust Services *

Which Service(s) of the Trust would you like to be involved in?

Trust Site *

Which Trust site would you like to be involved with?

Available Times *

Please state your available days/times

Confidentiality Statement *

Please read and the following terms/confidentiality statement below

Health & Safety at Work Act
Patient representative's are reminded that, in accordance with the Health and Safety at Work Act 1974, they have a duty to take responsible care to avoid injury to themselves and to others by their work activities and they are obliged to co-operate with the Trust and others in meeting statutory requirements.

Personal Injury
Visitors may be covered for losses arising from personal injuries incurred while directly engaged in Patient Representative activities within the Trust.

Loss/Damage of Personal Effects
The Royal National Orthopaedic Hospital NHS Trust accepts no liability for loss or damage to Patient representatives personal effects arising from burglary, fire, theft or otherwise, incurred during the period of their activity in the hospital. Volunteers are therefore advised to provide their own insurance cover.

Confidentiality
I accept that it is a condition of my Patient representative activities at the Royal National Orthopaedic Hospital NHS Trust, that all personal information in respect of patients, staff and other patient representatives, which comes to my knowledge, directly or indirectly, through the course of my activities shall be treated as confidential and shall not be discussed with, or disclosed to any person including the patients, staff members or other representatives concerned. I understand that a breach of this condition could result in my Patient Representative membership being withdrawn. I also understand that a breach of confidence could result in an action for civil damages.

If you are involved in any procedures that include access to computer systems or data, you are responsible for your own actions and for ensuring security in compliance with UK/EEC legislation, the Data Protection Act 1998 (etc.) and Trust Policies. In particular you should note that security passwords may not be shared or divulged.

Media enquiries should be referred to the Communications Department on 020 8909 5570

Nothing in this clause restricts the provisions of the Public Interest Disclosure Act 1998.

Please tick the below box if you are agree to accept the above Trust terms

 

Royal National Orthopaedic Hospital Appeal