Nominate an employee for employee of the month

Would you like to thank a colleague for continually going above and beyond the call duty? Do they have a special rapport with fellow employees and/or patients? Have they developed initiatives to enhance hospital life for the benefits of patients or colleagues?

For patients this could be a member of staff who in your opinion, has gone the extra mile to support you and your family. Somebody who has provided extraordinary patient care and demonstrated a genuine interest in patients, their dignity and care. If you would like to nominate somebody please complete the details below.

We have introduced a new set of Values and Behaviours within the Trust and we are particularly keen to reward staff who demonstrate them. Please select the particular value and behaviour from the drop down box before providing you explanation for the nomination.

Which hospital do they work in? *

Aintree University Hospital
Broadgreen Hospital
Liverpool University Dental Hospital
Royal Liverpool University Hospital

What is their name? *

Which department do they work in? *

Do you know their email address or phone number? If so, please enter it here. *

Why are you nominating them for an award? *

About you

Are you a member of staff or a patient, family member or member of the public? *

Member of staff
Patient, family member or member of the public

What is your name? *

Your address *

Your telephone number *

Your email address *