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Patient Nominated: Living The Values Award 2026
This award is for patients, carers, and visitors to be able to nominate a UCLH staff member, or team or volunteer for our annual celebrating excellence awards.
Please fill in all of the boxes below and please make sure the information is correct; if any are left blank, we may not be able to process your nomination. If you are unsure of any of this information, please speak with your line manager or a colleague.
Please note: nominee can be individual or team
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1.
Your details
(Required.)
Your name:
Your contact number:
Your email address:
Full name of the staff member / team you are nominating
Which ward or clinic do they work on?
What is their job title or what job do they do?
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2.
Which of our sites do they work on?
(Required.)
University College Hospital
University College Hospital Macmillan Cancer Centre
Royal London Hospital for Integrated Medicine
National Hospital for Neurology and Neurosurgery
Hospital for Tropical Diseases
UCH at Westmoreland Street
Elizabeth Garratt Anderson Wing
Royal National Ear, Nose & Throat and Eastman Dental Hospital
Grafton Way Building
250 Euston Road
Maple House
Chalfont
Cleveland Street
Other / Unsure
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3.
Which of our UCLH values are you nominating this person / team for?
(Required.)
"We put your safety and wellbeing above everything"
"We offer you the kindness we would want for a loved one"
"We achieve through teamwork"
"We strive to keep improving"
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4.
Why do you think they should receive this award? Please provide examples of how they have gone above and beyond in living the values.
(please provide us with as much information as you can as we can only judge nominees on what you tell us) (300 words max)
(Required.)
*
5.
Thank you for taking the time to nominate our staff. We would like to let them know how valued they are - would you be happy for us to share your nomination with them?
(Required.)
Yes, I am happy for the member off staff to know that I nominated them and to see the details of my nomination
Yes, I am happy for the member off staff to know the details of my nomination but please keep it anonymous
No, I am not happy for my nomination to be shared
