Hillingdon FT Membership Leaflet

							T H E H I L L I N G D O N H O S P I TA L A N D
M O U N T V E R N O N H O S P I TA L



Become part of
your hospital
                  HELP SHAPE
                  OUR FUTURE




We want you to join us by becoming a Foundation
Trust Member. If you are interested in becoming a
Member please fill in your details overleaf or visit
www.thh.nhs.uk/foundation.
T
       he key to becoming a successful Foundation Trust
       is you. Membership is free and as a Member you
       can ensure our services are responsive to your
needs and those of your family and friends.

What is a Foundation Trust?
Many changes are being made in the National Health
Service. The single biggest change being made is in giving
local hospitals more freedom from central government
control, making them more accountable to the public and
patients they serve – that means you, your family and
your community.

By becoming a Foundation Trust the Hillingdon Hospital
NHS Trust will have more freedom to invest in services
more tailored to you, our patients.

To be a successful Foundation Trust, we need
you to get involved and become part of your hospital
– and that means becoming a Member of our Trust.

What’s in it for you?
Membership of the Trust means you are showing your
support for your local hospitals and you will be entitled to
the following:

•   Being eligible for the NHS discount scheme which
    saves you money through a range of retailers.
•   Receiving copies of our regular Foundation Talk newsletter
    keeping you up to date on all the latest developments.
    You can be sent these through the post or via email.
•   Voting in elections for the Council of Governors, or even
    stand for election yourself.

You are not required to attend meetings in person.
However, if you wish, you can choose to get more actively
involved through:

•   Advising us of the views of patients: for example have
    your opinion heard in relation to the design of hospital
    services, visiting hours and hospital cleanliness.
•   Attending meetings to discuss our future direction as
    a Foundation Trust.

What have our Members done so far?
You can be involved as little or as much as you choose.
Some of our Members have already:

•   Voiced opinions and suggestions for improvement and
    innovation at our hospitals.
•   Elected fellow Members to the Council of Governors
    who work with the Trust Board to influence the
    direction we take as a Foundation Trust.
•   Contributed to the design of the services and facilities
    at our new Mount Vernon Treatment Centre.

Right, how do I join?
To become a Member and support your local hospital
please complete and return the attached form.

Further details are also available on our website
at www.thh.nhs.uk/foundation.
Membership Application Form
Please complete the membership form, tear off,
moisten where shown and return to us.

Title                 First name

Surname

Address




Postcode

Tel


How would you like to be contacted?
      Post            Email


Email address:



Public register
Once we become a Foundation Trust, a register of our
members has to be made available to the public.
Please tick this box if you do not wish to appear on the
public register.

Your date of birth              d    d      m   m   y      y
Your gender
      Male                  Female

How did you hear about us?
      Hospital contacted me
      Picked up a leaflet in the community
      (i.e. library, supermarket)
      Picked up a leaflet in the hospital
      Recommended by a friend or relative
      Contacted by a Foundation Trust Governor
                                                                         moisten to seal
     Other, please specify




Would you be interested in standing for
election to become a Governor?
     Yes           No

Please state your ethnicity
     White British
     White Irish
     White – any other background
     White & Black Caribbean
     White & Black African
     White & Asian
     Mixed – any other
     Indian
     Pakistani
     Bangladeshi
     Other Asian
     Black Caribbean
     Black African
     Black – any other background
     Chinese
     Other ethnic group

Do you have a disability?
     Yes           No
The information you provide will be stored securely on an electronic
database and will be managed in accordance with the Data Protection
Act 1998. The Trust may pass this information to third parties who are
contracted to provide business support functions in relation to your
membership of the Foundation Trust. Personal information will be
passed to these third parties on a confidential basis and will only be
used for the purposes of carrying out tasks on behalf of the Trust.

Thank you for taking the time to provide
your details. We look forward to working
with you as a Member of the proposed
Hillingdon Hospitals NHS Foundation Trust.

moisten to seal
To contact us:

Call: 0800 8766 953


Email: foundation@thh.nhs.uk


Write to: Foundation Trust
           Communications Office
           The Hillingdon Hospital NHS Trust
           Pield Heath Road
           Uxbridge
           Middlesex
           UB8 3NN


If you know a community group which would like to
know more about the Hillingdon Hospital NHS Trust
becoming a Foundation Trust and would like someone
to visit one of its meetings, please let us know.
Freepost RRKJ-UUYZ-XTUC
Ms Neena Shah
The Hillingdon Hospital NHS Trust
Foundation Trust Communications Office
Pield Heath Road
Uxbridge
UB8 3NN