Take five minutes to share your experiences 

NHS and social care staff are doing everything they can to keep us well during these challenging times, but there might be things that can be improved for you and your loved ones. Please take five minutes to share your story with us.

To understand how we will use your information read the 'How we use this information' at the end of the page.

Please enter your name if this feedback is about your experience. If you're completing this on someone else's behalf please use their name. You can remain anonymous if you want to.
Please provide a phone number or email address if you would like us to follow up on your comments. If you'd like us to send you a free copy of our calendar please leave your address here. We won't share any of your information.
Choose the area of care you would like to tell us about?
Please specify the service type
e.g. name of GP practice, hospital or ward, and the street address if you know it.
What went well? What could have been better?

You can receive our monthly e-bulletin by subscribing here.

You don't have to give us your personal details but some extra information about you might help us to respond to your questions/comments with greater accuracy. Please indicate the options that best apply to you, if you're happy to do so.
How we use this information. The information you share with us helps us spot trends to identify areas for improvement. We may use quotes in our reports, but we will not use any information that will identify you. As well as your feedback, we also ask you to volunteer some personal information. This helps us to help us understand how different groups experience local health and social care services and supports our focus on improving equality, diversity and inclusion. If you are sharing information on behalf of another person, make sure that you have their permission to do so, or the information you do share should be anonymous. Please see our Privacy Terms & Conditions for more information. Tick this box if you're happy to give consent.