Women's & Children's Staff Awards 2022

I would like to nominate...

Name of staff member (full name) or team

Where do they work - which ward, department or area?

What job do they do? (If you're not sure, can you describe them? What uniform were they wearing?) 

Which hospital do they work in? (Or which hospital do you think they're associated with?)

Bristol Royal Hospital for ChildrenSt Michael's HospitalWeston General Hospital

Please tell us why you want to nominate this person or team

I would like to nominate this staff member or team for a recognition award because:

Please describe in a few sentences why you are nominating this person/team to help the judges make their decision. (Maximum of 700 characters.)

Which category or value would you like to nominate them for? (Please select one)

SupportiveRespectfulInnovativeCollaborative

Your details

Please tell us a bit about yourself.

We are asking for this information in case we need to contact you about your nomination (for example, to try and clarify which staff member you are nominating). Your details will not be used for any other purpose. 

I am a...

PatientParent/ carer or family memberStaff member

Your name 

Your phone number (optional)

Your email address

I consent to having my information stored for the purpose of this online nomination form. I know you may need to contact me with information in relation to my nomination. I understand that if I don't consent I cannot submit my nomination online. (Please tick box above.)