Register an interest

This form is to register your interest in taking part in the engagement events or conversations as part of the Lochaber Redesign and the projects that form part of this. By completing this form you are giving us permission to contact you to tell you about events and opportunities to participate in the areas that you have told us that you would like to take part in. You are also consenting for us to send you updates and information relating to, or following events, discussions and opportuntities that you have taken part in.

We will only use your contact details for the purposes stated and will not use them for any other. Some of the non identifiable information you provide will be used to inform some of our plans and reports, like the areas you are interested in and your experience of health services. This information will not be connected to you individually, but will be grouped together. It will be used to help us understand areas most of interest to people and will give us a sense of peoples overall experience of hospital and community health services.

Information collected from engagement opportuntities and events will be used to inform future plans for healthcare in Lochaber.

Name

* required

Maximum 255 characters

0/255

Email address

Phone number if preferred

Maximum 255 characters

0/255

Are you

* required

Representing yourself

Representing as part of an organisation

Representing a group of people

If you are representing an organisation, which one are you representing?

Maximum 255 characters

0/255

Which services would you like to take part in?

Plans for the New Hospital Building

Outpatients services

Inpatient services

Maternity

Mental Health

Care at home and social care

Community services

Other (please tell us about any other specific areas)

Please tell us your most recent experience of health services in the Belford Hospital

This could be as an inpatient or visiting a clinic as an outpatient.

Please tell us your most recent experience of community health services

This could be with homecare, district nursing, community mental health or another community health service. This would not include your experience of GP practices.