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Feedback Form

Contact our Patient Advice and Liaison Service (PALS) via our online Feedback Form.

If you need advice and support, contact our Patient Advice and Liason Service (PALS) - a free, confidential NHS service for patients, carers, families and members of the public.

Do you want to: *
 
 
 
 
How would you like us to contact you? *
 
 
 
 

Thank you for completing our feedback form; if you have asked for a response we will be in touch.

 

Could we please ask you to take a minute to complete the equality monitoring questions below. The answers you provide will help us gain a better understanding of the people who use our services, so that we can continue to improve our services.

If you would prefer not to answer these questions, please go to the bottom of the page and click the 'Submit' button.

 

What is your ethnic group?

White
 
 
 
Black or Black British
 
 
 
Asian or Asian British
 
 
 
 
 
Mixed