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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 sex? A question about gender identity will follow later on in the questionnaire
Is the gender you identify with the same as your sex registered at birth? This question is voluntary

What is your ethnic group?

Black or Black British
Asian or Asian British
Which option best describes how you think of yourself?
Do you have any physical or mental health conditions or illnesses lasting or expected to last 12 months or more?
Does your condition or illness reduce your ability to carry out day to day activities?
What is your religion or belief?