Nomination Form for Trust Values Awards

Please help us to celebrate those members of staff who demonstrate our Values in an exemplary way by making a nomination.

For those who wish to know more about our values, please read through the below or click here to skip straight to the form. 


  • Look after our patients as we would like to be looked after ourselves
  • Set ourselves high standards and be open to new ideas
  • Be professional in our approach and in our appearance
  • Promote and share best practice


  • Anticipate and respond to patients’ and carers’ concerns and worries
  • Support each other under pressure and consider the impact of our actions on others
  • Help people find their way if they look unsure or lost
  • Smile, listen and be friendly


  • Have patient safety as our prime consideration
  • Be responsible for ensuring good patient experience
  • Use resources wisely
  • Challenge poor behavior in others
  • Learn from experience including our mistakes 
  • Say sorry when things go wrong


  • Keep patients, families and carers involved and informed
  • Protect patients’ dignity and confidentiality
  • Wear our name badges, introduce ourselves and address people in a professional manner
  • Respect colleagues’ roles in patient care and experience
  • Value and understand the diversity of those around us


* Questions with an asterisk are mandatory - you will not be able to submit your nomination without completing these fields.
  • Nominated individual or team

  • Nominator details

  • Details of nomination:

  • Please be really specific about why you think your nominee deserves this award. Give at least one example where this individual or team has demonstrated one or more of the trust’s values, where they have gone above and beyond the call of duty, for example.