Governor Guide to Membership Recruitment

April 2017

Contents

1. Introduction

2. About membership 2.1 A representative membership is key 2.2 Quantity versus quality

3. Membership data

4. Under-represented communities 4.1 Sensitive recruitment

5. Our resources 5.1 Membership forms 5.2 Promotional items 5.3 Working with other Trusts and Organisations

6. Recruitment mechanisms 6.1 Events and stands 6.2 Face to face

7. Staying in touch with your constituents

8. Evaluation and improvement 8.1 Feedback forms

Appendices Appendix A – Directory of Services Appendix B – Membership Leaflet and Form Appendix C – List of voluntary services Appendix D – 2017/18 Members Event Guide Appendix E – Governor Question Form Appendix F – Towns and Villages for each Geographic Constituency

1

1. Introduction This guide has been developed to assist our Governors in recruiting members of the public to become members of our Foundation Trust and to help improve engagement with existing members.

If you have any questions about this guide, please contact the Communication and Engagement Manager on 01372 216158 or email [email protected].

2. About membership Currently we have just over 6,500 public members of our Foundation Trust, with a goal to grow this to 7,000 members by April 2018. At present, we have no set upper limit to the number of public members we wish to recruit.

2.1 A representative membership is key As a Foundation Trust we are accountable to the population that we serve, which helps us focus on the specific needs of our communities. We value having a membership that is representative of the people we serve and strive to achieve this by linking with all of the different communities across and north east Hampshire to raise awareness of the services we provide and other support that is available to people.

Furthermore, a fair and diverse membership base is crucial. Being aware of this helps us to aim recruitment activities towards groups of people that are currently under-represented in our membership.

This also helps us to ensure that our elected Governors are representative of our communities.

2.2 Quantity versus quality As much as any Foundation Trust is interested in growing their membership numbers, we are aware of the cost of recruiting lots of members who may never want to actively engage with the Trust, compared to focusing on and recruiting fewer numbers of people who may suggest they are going to be active member.

In truth, it is difficult to predict how involved a person will be when they sign up as a new member; some may never engage in activities of the Trust, despite saying they will when they signed-up. Others may find themselves very interested and active in Trust events, despite never intending to be.

Overall, with any new member that is signed-up, it is important for them to realise they can be as involved as much or as little as they are able to be or wish to be.

2

3. Membership data We collect membership data via our membership form, which asks for basic contact details such as name, address, telephone and email.

The table below shows our total number of public and patient members per constituency up to the end of March 2017:

Table 1 Constituency Eligibility Number of Members Public Constituency – People who live in the communities we serve NW & SW Surrey Resident of NW or SW 2648 Surrey East & Mid Surrey Resident of East or Mid 1456 Surrey Hampshire & Rest of Resident of Hampshire or 1500 England residing in England Public Constituency – People who use services and carers Learning Disability Someone who uses 209 learning disability services Other Services Someone who uses other 285 Trust services Carers A carer or family member 439 of someone who uses services Total Membership = 6537

Our membership form also asks for further personal details such as age, ethic group and marital status in-line with protected characteristic information. We collect this data as we feel strongly about the importance of building a membership as diverse as the population we provide services to. Additionally, there are key characteristics that the Trust is expected to report to NHS Improvement, the regulator of Foundation Trusts.

The information we ask for from new members is entirely voluntary. No-one should feel compelled to provide this. It is also very important to assure our members that their information is kept completely confidential within the guidelines set out in the Data Protection Act 1998.

3

The Communication and Engagement team adds this information to our database and we are able to extract information which can be broken down in numerous ways. Governors are able to request information/reports if needed.

Table 2 below shows a breakdown of membership details up to the end of March 2017:

Table 2 Membership breakdown – March 2017 Age Band Public Patient Total 0-16 160 8 168 17-21 950 33 983 22-29 640 56 696 30-39 362 63 425 40-49 508 151 659 50-59 664 181 845 60-74 921 247 1168 75+ 563 70 633 Unspecified 836 124 960 Grand total 5604 933 6537 Gender Public Patient Total Male 1734 321 2055 Female 3759 604 4363 Transgender 0 0 0 Unspecified 111 8 119 Grand total 5604 933 6537 Ethnic Origin Public Patient Total White 4627 782 5409 Mixed 109 22 131 Asian or Asian 475 30 505 British Black or Black 120 25 145 British Other 60 14 74 Undisclosed 213 60 273 Grand total 5604 933 6537 Disability Public Patient Total A sensory disability 17 16 33 A physical disability 89 36 125 A learning disability 10 40 50 A mental health 31 38 69 problem

4

Any other special 13 13 26 need Grand Total 160 143 303 Sexual Orientation Public Patient Total Bisexual 41 8 49 Gay 27 7 34 Heterosexual 1147 279 1426 Not stated 4390 638 5028 Grand Total 5605 932 6537

Under-represented communities We produce reports about our membership and provide some information on our website, particularly within the Council of Governors papers and our Annual Report and Accounts.

Whilst there are geographical variations in our membership, there are some generalisations that can be made about the characteristics of members that are under-represented:

Men – we have 2055 male members compared to 4363 female members (119 members did not specify their age)

People with a disability – Only 303 members have registered as having a disability

Gay, lesbian, bisexual and transgendered people. 6454 members have either stated they are heterosexual or did not state their sexual orientation

For public geographic constituencies, East Surrey is under-represented, as shown in Table 1 on page 3.

4.1 Sensitive recruitment It is important to target specific groups sensitively and be clear about the reasons why they are being approached. It should be made clear that we feel strongly about the importance of building a diverse and representative membership; it is not just to fulfil any kind of reporting obligation.

Our resources This section outlines the resources we have in place to help recruit new members. If you require any resources, please contact the Communication and Engagement team on 01372 216158 or email [email protected]

5

5.1 Membership forms We collect membership via our membership forms. This is a leaflet with information about membership and a tear-off section that can be securely posted back free of charge.

These details are then entered onto our membership database. The Communication and Engagement team is responsible for entering the new members’ information onto our system and sending out the welcome letters.

People are also able to sign-up as a member online at www.sabp.nhs.uk/members. Alternatively, the Communication and Engagement team can be contacted at [email protected] where the team can advise on any aspect of membership. Please see Appendix B for a copy of the Membership Form.

We make sure that membership forms are distributed to all of the services within our Trust as well as local organisations such as council buildings, libraries and relevant voluntary sector organisations.

5.2 Promotional items We have a supply of giveaways such as pens and key-rings. These help attract people to you if you are at a stand or at a public event.

5.3 Working with other Trusts and organisations Where possible, we work in partnership with all relevant groups to help share resources, costs and potential members. Working alongside other Trusts and organisations helps build relationships and presents a good image of the NHS. For example, we attend South East Coast Ambulance Trust annual Members Day event, where we link with their employees and members of the public to promote our services and recruit new members.

Please see Appendix C for a list of voluntary services that you may wish to approach to talk to their members about our Foundation Trust membership.

If you receive an offer to attend an event, a meeting, or to work alongside other organisations please let us know. We can help support you or the event wherever possible. Furthermore, we may already have contacts within that organisation and we all need to be linked up to represent the Trust together.

Also attached as Appendix F is a list of towns and villages residing within each of our geographic constituencies to help you familiarise yourself with these areas.

6

Recruitment mechanisms There is no right or wrong way to recruit members and different Governors may feel more comfortable undertaking different types of recruitment activity than others.

Here are some of the methods we use….

6.1 Events and stands We use display boards, posters and pull-up banners at events to help create an interesting and informative backdrop and gather interest. We also use a table to display our leaflets and giveaways. Additionally, we have a pack of useful aids such as clip boards, blue-tac, sellotape etc, at the ready.

Generally we have two staff at each event as it can be difficult to talk to lots of people. If you are interested in attending an event to help us recruit members please contact the Communication and Engagement team to see if someone is available to attend with you or if another Governor is available.

6.2 Face to face Talking directly to people is probably the strongest tool we have. You have the time to explain the purpose of membership and they know that you have the knowledge about the Trust, therefore, they will be able to fully understand your interest in signing them up as members. Talking to people face to face is the way we currently recruit the vast majority of our members.

One simple way to recruit members is to sign up your family, friends and colleagues. If you are a member of a different organisation or group you could consider giving a talk to them. We can provide you with support materials for this.

These are just some of the methods we use, if you have any ideas please let us know.

Staying in touch with your constituents One of the main ways Governors can stay in touch with members and their constituents is to attend our Members’ Events and Annual Members’ Day. We run a programme of events across the year that covers a lot of different topics across a variety of locations within Surrey and NE Hampshire. Please see Appendix D for the 2017/18 Members’ Event Guide.

As a Governor you will not be contacted directly by any Trust member. Instead we have several ways for people to get in touch with you via our Governance Manager:

7

Email – [email protected] Telephone – 01372 216293

Our website has a biography for each Governor so people can learn more about you and your background. http://www.sabp.nhs.uk/members/yourgovernors

There is a Governor Question Form that is available for members to complete at our Members’ Events, please see Appendix E for a copy of the form. Completed forms are sent to our Governance Manager who will then get in touch with the relevant Governor(s) to arrange a response.

Evaluation and improvement If you wish to share your views about any aspect of Trust membership, please email us at [email protected] or call us on 01372 216158. The Membership Development Committee will review your feedback regularly. They meet every quarter and are a very useful forum to raise any questions or concerns you may have. The Committee provides regular reports on its work and the status of the membership to the Council of Governors.

We would also be keen to hear your suggestions for making improvements to this toolkit, please contact us at the email address or telephone number above with any comments you have. Please be assured that suggestions will be raised at the Membership Development Committee for discussion.

8 Appendix A

Service Directory

Mental Health Services: Children & Young People (0-18)

Mindsight Surrey CAMHS Ashford TW15 3AA West Surrey and NE Hants Tel: 01784 884359 The Base CAMHS One Stop St Peter’s Hospital 18 Mole Business Park Chertsey Guildford Road Leatherhead KT22 7AD The Base Chertsey KT196 0PZ Tel: 0300 222 5755 St Peter’s Hospital Tel: 01392 723343 Guildford Road Chertsey KT16 0PZ Child and Adolescent Tel: 01932 722561 Surrey Youth Support Mental Health Service Service (CAMHS) Community Frimley Teams Theta The Mansion Lyon Way Church Street East Sector Frimley GU16 7ER Leatherhead KT22 8DP Tel: 01276 454000 Tel: 01372 363655 Dorking 32 Dene Street Guildford Dorking RH4 2BL Azalea House CAMHS Targeted Tel: 01306 502708 Farnham Road Hospital Services Bray Road Epsom Guildford GU2 7LQ Primary Mental Health South Lodge Tel: 01483 443777 St Ebbas East Sector Hook Road CAMHS Weekend Service Epsom KT19 8QJ Ramsay House Epsom Tel: 01372 204120 Richmond Crescent South Lodge Epsom KT19 8PH St Ebbas Redhill and Tandridge Tel: 01483 517898 Hook Road Gatton Place Epsom KT19 8QJ St Matthews Road Tel: 01372 204120 Redhill RH1 1TA Early Intervention in Tel: 01737 288700 Psychosis (14-65) Redhill Gatton Place West Sector East Surrey St Matthews Road Farmside Redhill RH1 1TA Ashford West Park Road Tel: 01737 288700 Ashford Hospital Epsom KT19 8PB London Road Tel: 01372 206262 1

9

West Sector Post Order Support Service Community Learning Disabilities Service for Ashford Ramsay House Children and Young People Ashford Hospital Richmond Crescent London Road Epsom KT19 8PH West Ashford TW15 3AA Tel: 01372 203096 Tel: 01784 884359 Bourne House 3 Brookfield Close Frimley CAMHS Care Leavers Ottershaw KT16 0JL Theta Tel: 01932 876666 Lyon Way Ramsay House Frimley GU16 7ER Richmond Crescent Berkeley House Tel: 01276 605384 Epsom KT19 8PH 11-13 Ockford Road Tel: 01372 203096 Godalming GU7 1QU Guildford Tel: 01483 528100 Azalea House Farnham Road Hospital CAMHS STARS (Sexual East Bray Road Trauma and Recovery Guildford GU2 7LQ Support) Ramsay House Tel: 01483 443777 Richmond Crescent Ramsay House Epsom KT19 8PH Richmond Crescent Tel: 01372 202100 Hope and Extended Hope Epsom KT19 8PH Tel: 01372 203096 Gatton Place Epsom St Matthews Road Woodside Lodge Redhill RH1 1TA West Park Road Parent and Infant Mental Tel: 01737 288730 Epsom KT19 8PB Health (PIMHS) Tel: 01372 203404 Tel: 0300 222 5755 Short Breaks

Guildford Beeches 57-59 Worplesdon Road Behaviour and 3 Oak Road Guildford GU2 9RS Neurodevelopment (BEN) Reigate RH2 0BP Tel: 01483 517190 Tel: 0300 222 5755 Tel: 01737 275988

Eating Disorder Service Children in Care CAMHS Specialist Willow House Services Ramsay House St Ebbas

Richmond Crescent Hook Road Specialist CAMHS Epsom KT19 8PH Epsom KT19 8QJ Tel: 0300 222 5755 Tel: 01372 203096 Tel: 01372 206325

2

10

Mindful

The Base St Peter’s Hospital Guildford Road Chertsey KT16 0PZ Tel: 07771 976770

The Haven

The Discovery Centre 7 Ward Street Guildford GU1 4LH Tel: This is a drop-in service, no phone number is available

3

11

Mental Health Services: Adults (18-64)

Community Mental Health Runnymede Surrey Recovery Services Lake House Napier House St Peter’s Hospital 62-64 Bridge Street Elmbridge Guildford Road Walton on Thames Joseph Palmer Centre Chertsey KT16 0QA KT12 1AP 319a Walton Road Tel: 01932 723392 Tel: 0300 330 5450 West Molesey KT8 2QG Tel: 020 8783 3950 Spelthorne Barnet Portacabin Westgate House Epsom Buges Way Edgware Community Farmside Knowle Green Hospital West Park Road Staines TW18 1YA Burnt Oak Broadway Epsom KT19 8PB Tel: 01784 884788 Edgware HA8 0AD Tel: 01372 204000 Tel: 0300 222 5940 Guildford Theta Redwood centre Lyon Way Enabling Independence Farnham Road Hospital Frimley GU16 7ER Farnham Road Tel: 01276 454200 East Guildford GU2 7LX Brickfield Centre Tel: 01483 443551 Tandridge Portland Place 116-118 Station Road East Epsom KT17 1DL Oxted RH8 0QA Tel: 01372 832700 Clarendon House Tel: 01883 385481 28 West Street West Dorking RH4 1QJ Waverley Fern Lodge Tel: 01306 502400 Berkeley House Farnham Road Hospital 11-13 Ockford Road Farnham Road North East Hampshire Godalming GU7 1QU Guildford GU2 7LX Aldershot Centre for Health Tel: 01483 528100 Tel: 01483 443586 Hospital Hill Aldershot GU11 1AY Woking Tel: 01252 335566 Bridgewell House Home Treatment Teams 29 Claremont Avenue Reigate Woking GU22 7SF East Shaws Corner Tel: 01483 756318 Gatton Place Blackborough Road St Matthew’s Road Reigate RH2 7DG Redhill RH1 1TA Tel: 01737 272301 Mind Matters IAPT Tel: 01737 288910

4

12

Mid Epsom General Hospital Clare ward: 01932 722784 Ramsay House Dorking Road Farnham Road Hospital Richmond Crescent Epsom KT18 7EG Farnham Road Epsom KT19 8PH Tel: 01372 204200 Guildford GU2 7LX Tel: 01372 206300 Juniper ward: Frimley Park Hospital 01483 443643 North West Portsmouth Road Magnolia ward: Abraham Cowley Unit Frimley GU16 7UJ 01483 443798 St Peter’s Hospital Tel: 01276 604171 Mulberry ward: Guildford Road 01483 443792 Chertsey KT16 0QA Royal Surrey County Rowan ward: Tel: 01932 722458 Hospital 01483 443615 Egerton Road South West Guildford GU2 7XX Inpatient Therapies Farnham Road Hospital Tel: 01483 571122 x4847 Farnham Road (WAA) x4666 (OA) Acute Guildford GU2 7LX Abraham Cowley Unit Tel: 01483 443584 St Peter’s Hospital Holloway Hill Abraham Cowley Unit Chertsey KT16 0AE Theta Chertsey KT16 0QE Tel: 01932 723271 Lyon Way Tel: 01932 723276 Frimley GU16 7ER Therapies Suite, 4th Floor Tel: 01276 454050 Farnham Road Hospital Criminal Justice Liaison and Farnham Road Diversion Service Guildford GU2 7LX Community Forensic Tel: 01483 443701 Mental Health Education Centre Farnham Road Hospital Assessment Suites Lake House Farnham Road St Peter’s Hospital Guildford GU2 7LX Farnham Road Hospital Guildford Road Tel: 01483 443589 Farnham Road Chertsey KT16 0QA Guildford GU2 7LX Tel: 01932 723188 Tel: 01483 443531 Mental Health Hospital Services Abraham Cowley Unit General Hospital Mental St Peter’s Hospital Health Liaison Abraham Cowley Unit Holloway Hill St Peter’s Hospital Chertsey KT16 0AE East Surrey Hospital Holloway Hill Tel: 01932 722188 Canada Avenue Chertsey KT16 0AE Redhill RH1 5RH Anderson ward: 01932 Tel: 01737 768511 x2903 722473 Electro-Convulsive Therapy Blake ward: 01932 722188 Clinic (18+)

5 13

101 Walnut Tree Close Guildford GU2 7LX Farnham Road Hospital Guildford GU1 4UQ Tel: 01483 443704 Farnham Road Guildford GU2 7LX Redhill Tel: 01483 443558 Wingfield Resource Centre Family Therapy St Annes Drive Redhill RH1 1AY Mid and East Surrey Rehabilitation Ramsay House Woking Richmond Crescent Margaret Laurie House The PROP Epsom KT19 8PH 1 Church Road 30 Goldsworth Road Tel: 01483 443603 Reigate RH2 8HY Woking GU21 6JT Tel: 01737 277724 West Surrey and NE Hants Sandalwood House Eating Disorders Farnham Road Hospital Mental Health Crisis Farnham Road East Surrey Guildford GU2 7LX Crisis House Loughta House Tel: 01483 443603 Great Meadows West Park Road Redhill RH1 6JJ Epsom KT19 8NX Tel: 01737 826862 Tel: 01372 204001 Group Therapy for Personality Disorders Crisis Helpline: Evenings North West Surrey and Weekends Lake House Transitions Service Tel: 0300 456 8342 St Peter’s Hospital Abraham Cowley Unit SMS text: 07717 989024 Guildford Road St Peter’s Hospital Textphone: 18001 0300 456 Chertsey KT16 0QA Holloway Hill 8342 Tel: 01932 722681 Chertsey KT16 0AE Tel: 01932 722410 South West Surrey Safe Havens Farnham Hospital Landsdown Unit Neuropsychology Aldershot Hale Road Wellbeing Centre Farnham GU9 9QL North West 121-123 Victoria Road Tel: 01483 782021 Abraham Cowley Unit Aldershot GU11 1JN St Peter’s Hospital Holloway Hill Epsom Community Health Chertsey KT16 0AE The Larches Psychology Tel: 01932 722452 44 Waterloo Road Epsom KT19 8EX Sandalwood House South West Guildford Farnham Road Hospital Farnham Road Hospital Oakleaf Enterprise Farnham Road Farnham Road

6 14

Guildford GU2 7LX Abraham Cowley Unit Tel: 01483 443551 Holloway Hill Chertsey KT16 0AE East and Mid Tel: 01932 723273 Gatton Place St Matthew’s Road Mid Surrey Redhill RH1 1TA Loughta House Tel: 01737 288930 West Park Road Epsom KT19 8NX Tel: 01372 204113 Psychotherapy

North West Surrey Abraham Cowley Unit Recovery Colleges St Peter’s Hospital Guildford Road NE Hants and Farnham Holloway Hill Theta Chertsey KT16 0AE Lyon Way Tel: 01932 723787 Frimley GU16 7ER Tel: 07920 207046 Mid Surrey Ramsay House Surrey Richmond Crescent Theta Epsom KT19 8PH Lyon Way Tel: 01372 204195 Frimley GU16 7ER Tel: 07785 420047 East Surrey Shaws Corner Blackborough Road Reigate RH2 7DG Tel: 01737 277706

SW Surrey and NE Hants Sandalwood House Farnham Road Hospital Farnham Road Guildford GU2 7LX Tel: 01483 443683

Arts Therapies

North West Surrey

7 15

Mental Health Services: Older People (65+)

Community Mental Health 01372 203447 Teams Surrey Heath Bluebell ward 1: Theta 01372 203444 East Surrey Lyon Way Gatton Place Frimley GU16 7ER St Matthews Road Tel: 01276 454100 Mental Health Hospitals Redhill RH1 1TA (Dementia) Tel: 01737 288930 Waverley Berkeley House The Meadows Guildford 11-13 Ockford Road West Park Road The Larches Godalming GU7 1QU Epsom KT19 8GT Farnham Road Hospital Tel: 01483 528116 Bluebell ward 2: Farnham Road 01372 206363 Guildford GU2 7LX Woking Tel: 01483 443655 Hayworth House St Peter’s Hospital Intensive Support Team Mid Surrey Chertsey KT16 0QA The Meadows Tel: 01932 726550 Hayworth House West Park Road St Peter’s Hospital Epsom KT19 8GT Chertsey KT16 0QA Tel: 0300 222 5716 Mental Health Hospitals Tel: 01932 722276 (Functional Illness) North East Hampshire st 1 Floor, Aldershot Centre Abraham Cowley Unit for Health St Peter’s Hospital Hospital Hill Guildford Road Aldershot GU11 1AY Chertsey KT16 0QA Tel: 01252 335544 Spenser ward: 01932 722468 Runnymede and West Elmbridge Farnham Road Hospital Hayworth House Farnham Road St Peter’s Hospital Guildford GU2 7LX Chertsey KT16 0QA Victoria ward: Tel: 01932 723237 01483 443568

Spelthorne The Meadows Cedar Unit West Park Road Ashford Hospital Epsom KT19 8GT Ashford TW15 3AA Primrose ward: Tel: 01784 884409

8

16

Learning Disability Services: Adults (18+)

Community Teams for Tel: 01372 203220 Tel: 01372 203192 People with Learning Disabilities Intensive Support Service Supported Living St Ebbas East Surrey Hook Road Brook House Gatton Place Epsom KT19 8QJ 2 Brookfield Close St Matthews Road Tel: 01372 203220 Ottershaw Redhill RH1 1TA Chertsey KT16 0JL Tel: 01737 288800 Day Opportunities Tel: 01932 876635

Ramsay House MyTime Chertsey Residential Care Homes Richmond Crescent Guildford Road Epsom KT19 8PH Chertsey KT16 0PL Court Hill House Tel: 01372 202100 Tel: 01932 872954 Court Hill Coulsdon CR5 3NQ North West Surrey MyTime Croydon Tel: 01737 557442 Bourne House 17 Dunheved Road South 3 Brookfield Close Thornton Heath CR7 6AD Hillcroft Ottershaw KT16 0JL Tel: 020 8684 3047 St Ebbas Tel: 01932 876666 Hook Road MyTime Epsom Epsom KT19 8QJ South West Surrey St Ebbas Tel: 01372 203020 Cassia House Hook Road Farnham Road Hospital Epsom KT19 8QJ Redstone House Ludlow Road Tel: 01372 203164 Kings Cross Lane Guildford GU2 7NR South Nutfield Tel: 01483 443511 MyTime Reigate Redhill RH1 5NY 9 Oak Road Tel: 01737 823850 SW Surrey and NE Hants Reigate RH2 0BP Aldershot Centre for Health Tel: 01737 275979 The Shieling Hospital Hill St Ebbas Aldershot GU11 1AY Community Outreach Epsom KT19 8QJ Tel: 01252 335555 (MyTime Reigate) Tel: 01372 203014 9 Oak Road Mental Health Assessment Reigate RH2 0BP Care Homes with Nursing and Treatment Tel: 01737 275979 Ashmount Deacon Unit Oasis Therapy Suite St Ebbas St Ebbas St Ebbas Hook Road Hook Road Hook Road Epsom KT19 8QJ Epsom KT19 8QJ Epsom KT19 8QJ Tel: 01372 203063

9

17

Tel: 07920 561343 Diagnostic and Support Derby House Service St Ebbas East Surrey Hospital Hook Road Tel: 07717 850309 Surrey Epsom KT19 8QJ Ramsay House Tel: 01372 203027 Royal Surrey County West Park Road Hospital Epsom KT19 8PH Larkfield Tel: 07717 850308 Tel: 01372 205749 Farmfield Drive Charlwood RH6 0BN St Peter’s Hospital Hampshire Tel: 01293 774906 Tel: 07721 918708 Ramsay House West Park Road Oakwood Frimley Park Hospital Epsom KT19 8PH 13 Woodview Way Tel: 07717 850309 Tel: 01372 205749 Caterham CR3 5WP Tel: 01883 33750 Primary Care Liaison Surrey ADHD Services Ramsay House Rosewood Surrey Downs CCG Richmond Crescent Farmfield Drive Tel: 07799 581566 Epsom KT19 8PH Charlwood RH6 0BN Tel: 01372 205749 Tel: 01293 774907 East Surrey CCG Tel: 07799 478806 Short Breaks Guildford and Waverley Jasmine at Primrose CCG The Meadows Tel: 07557 204607 West Park Road Epsom KT19 8GT North West CCG Tel: 01372 203445 Tel: 07799 478806 / 07799 581566 Kingscroft Fairmead Surrey Heath CCG Worple Road Tel: 07717 541035 Staines TW18 1ED Tel: 01784 465134 NE Hants and Farnham CCG Tel: 07717 541035

Learning Disability Liaison Service Neurodevelopmental Services for Adults Acute Hospital Liaison Adult Autistic Spectrum Epsom General Hospital Disorder Assessment

10

18

Drug and Alcohol Services

Community Services Chertsey KT16 0QA Tel: 01932 722096 i-access Guildford (main office) Laurel House Criminal Justice Service Farnham Road Hospital Farnham Road Abraham Cowley Unit Guildford GU2 7LX St Peter’s Hospital Tel: 0300 222 5932 Guildford Road Chertsey KT16 0QA i-access Chertsey Tel: 01932 723309 Abraham Cowley Unit St Peter’s Hospital Guildford Road Chertsey KT16 0QA Tel: 01932 723309 i-access Reigate 14 West Road Reigate RH2 7JT Tel: 01737 230050 iHear Partnership Pharmacia House Prince Regent Road Hounslow TW3 1NE Tel: 020 8538 1150

Pavilions Richmond House Richmond Road Brighton BN2 3RL Tel: 01273 731900 24 hour helpline: 0800 0149819

Drug and Alcohol Inpatient Unit Windmill House St Peter’s Hospital Guildford Road

11

19 Appendix B Surrey and Borders Partnership NHS Foundation Trust

Members Make a Diffe rence

Help shape our services an d improve

people’s lives now

Influence the service s you may need

in the future

For a better life 20

About us

We are leading providers of mental health, drug and alcohol and learning disability services for people of all ages. We provide a broad range of community services, integrated health and social care, early intervention and detection programmes as well as highly specialised therapy and treatment.

As an NHS Foundation Trust, we believe in listening to our communities and involving you in shaping our services and the way they are provided.

Why become a member?

You don’t have to know about us or have used our services to be a member but becoming one is a great way to participate in our work, influence the way we do things and ensure we do what we say we will.

Perhaps you do use our services, care for someone who does or have a general interest in health care in your area and want to know more about the things we’re working on.

Either way, we count on people like you for local knowledge and feedback about what we do. You can get as involved as you like in helping us improve and your input helps shape how our services are run.

21

Member benefits

Surrey Receive our quarterly newsletter to find out about & Borders services, events and developments Member

Take opportunities to make a difference and influence the way we deliver services and learn about mental health, learning disabilities and drug and alcohol addiction

Help us understand the needs of people who use services and their families and how to engage with them better

Take part in events and debates to help put an end to discrimination

Stand for election as a Trust Governor and represent members on our Council of Governors

Get discounts and offers from high street retailers through Health Service Discounts

Membership is completely FREE and is open to anyone aged 14 or over living in England. You choose how much to get involved, a little or a lot!

Together, let’s get better.

22 Joining is easy

Just complete the attached membership application form and return it to the freepost address provided.

Alternatively you can complete our online application form at www.sabp.nhs.uk/members. Shortly afterwards you will receive your member’s welcome pack.

Please ask you friends and family to join too.

For more information

Please contact the Membership team: Tel: 01372 216158 Email: [email protected]

If you would like this information in another format such as large print, Braille, easy read or another language please contact us on:

Tel: 01372 216285 email: [email protected]

Surrey and Borders Partnership NHS Foundation Trust 18 Mole Business Park, Leatherhead, Surrey KT22 7AD

Tel: 0300 55 55 222 Textphone: 020 8964 6326 www.sabp.nhs.uk @sabpnhs www.facebook.com/sabpnhs

Publication ref: A68492/Membership/V5 Publication date: Aug 2016 23 Membership Registration Form

Title First Name

Surname

Address

Postcode Telephone

Email Address

Date of birth / /

Gender: Male Female

I want to join asa (tick one box only): Public meme bere Person who usu ese learning disability services* Person who usese other Trust sere viv ces*

Carer or family member*

*You or someone you carc e for must have used Trust services in the past 5 years.

Please can yo complete the requested information below to help us know more about your needs and preferences as a Trust Member: How should we c ntact you? Posts Email No preference

Special Reeqquirements Do you cconsn iiider yourself to have a disability? Yes No

Do you have a disability or any special requiremments you woulldld like to tell us about?

This information will be stored and u ede in accordance with the Data Protection Act 1998.8 The information provided will only be used by the Trust for membership purposes and will not be shared with any third parties. Please tick if you DO NOT wish your name and constituency to be viewed through the public register.

Membership/campaign code:

24 More about you As a public service we are required to collect demographic information to ensure our membership is representative of the population that we serve. Please help us by completing these details:

What is your ethnic group? White British Asian / Bangladeshi White Irish Asian / Other Asian White / Other White Black / Black Caribbean Mixed White / Black Caribbean Black / Black African Mixed White / Black African Black / Other Black Mixed White / Asian Chinese Other Mixed Other Ethnic Group Asian / Indian Gypsies & Travellers Asian / Pakistani I do not wish to answer

Marital Status Married Legally Separated Single Widowed Divorced Other Civil Partnership (same sex legal partnership) I do not wish to disclose

Faith/Beliefs Atheism Jainism Buddhism Judaism Christianity Sikhism Hinduism Other Islam I do not wish to disclose

Sexual Orientation Bisexual Lesbian Heterosexual I do not wish to disclose Gay

Is your gender identity consistent with (the same as) the sex you were assigned at birth? Yes No I do not wish to disclose

Signatur Date e

25 Moisten to seal

NO STAMP REQUIRED

FREEPOST RSKX-LCTY-GKRB Marketing and Communications Department Surrey and Borders Partnership NHS Foundation Trust 18 Mole Business Park Leatherhead KT22 7AD

26 Appendix C

Voluntary Sector Organisations East and Mid Surrey Organisation Phone number Web address Relevent to carers Action for Blind People 01372 720742 www.actionforblindpeople.org.uk Action for Carers Surrey 01483 302748 www.actionforcarers.org.uk Age UK Runnymede & Spelthorne 01784 444200 www.ageuk.org.uk/runnymedeandspelthorne Age UK Surrey 01483 503414 www.ageuksurrey.org.uk Alzheimer's Society 01428 642055 www.alzheimers.org.uk Anorexia & Bulimia Care 03000 111213 www.anorexiabulimiacare.org.uk Art Matters East Surrey 01737 766212 www.artmatters-richmondfellowship.org.uk The Sunnybank Trust Limited 01372 749871 www.sunnybanktrust.org Carer Support Spellthorne 08379 5777 Carer Support Elmbridge 020 3757 7232 www.carersupportelmbridge.org.uk Carers of Epsom 01372 722269 www.carersofepsom.co.uk Carers Support Mole Valley 01306 640212 www.mvcs.org.uk Time to Change 07919 606509 www.time-to-change.org.uk The Hub Redhill 01737 761614 www.thesurreyhubs.org.uk/redhill The Hub Dorking 01306 886280 www.thesurreyhubs.org.uk/dorking The Hub Epsom 01372 744479 www.thesurreyhubs.org.uk/epsom

Relevent to people who use services Central Surrey Council for Voluntary Service 01306 631143 Combat Stress 01372 587110 www.combatstress.org.uk Conquest Art 020 8397 6157 www.conquestart.org The Sunnybank Trust Limited 01372 749871 www.sunnybanktrust.org Time to Change 07919 606509 www.time-to-change.org.uk Voluntary Action Mid Surrey 01372 722911 www.vamidsurrey.org DisabledGo 01438 842710 www.disabledgo.com Dramatize 07912 183085 www.dramatize.co.uk WWAG 01932 231918 www.surreycommunity.info/wwag Elmbridge Rentstart (UK) Limited 01372 477167 www.elmbridgerentstart.org.uk Work Stress Solutions 020 8394 0782 www.workstresssolutions.co.uk The Sunnybank Trust Limited 01372 749871 www.sunnybanktrust.org Holistic Harmony Community Interest Company 07958 663041 www.holisticharmonycic.org.uk/ YMCA East Surrey 01737 779979 www.ymcaeastsurrey.org.uk KAG Advocacy CIO 020 8549 1028 www.kag.org.uk Le Personne Benevolent Trust = Older adults 01883 343685 www.lepersonne.co.uk LeatherHEAD START 01372 377790 www.leatherheadstart.org Love Me Love My Mind 01372 721518 www.lovemelovemymind.org.uk Mary Frances Trust 01372 375400 www.maryfrancestrust.org.uk National Centre for Eating Disorders 0845 8382040 www.eating-disorders.org.uk Reigate Stepping Stones 01293 525605 www.reigatesteppingstones.org.uk Richmond Fellowship 01372 363934 www.richmondfellowship.org.uk Samaritans 01372 375555 www.samaritans.org Sight for Surrey 01372 377701 www.sightforsurrey.org.uk The Hub Redhill 01737 761614 www.thesurreyhubs.org.uk/redhill The Hub Dorking 01306 886280 www.thesurreyhubs.org.uk/dorking The Hub Epsom 01372 744479 www.thesurreyhubs.org.uk/epsom The Pitstop Leatherhead 01372 363003 www.thepitstop.org.uk

Relevent for older adults Action for Blind People 01372 720742 www.actionforblindpeople.org.uk Action for Carers Surrey 01483 302748 www.actionforcarers.org.uk Age UK Surrey 01483 503414 www.ageuksurrey.org.uk Alzheimer's Society 01428 642055 www.alzheimers.org.uk The Grange Centre 01372 452608 www.grangecentre.org.uk The Hub Redhill 01737 761614 www.thesurreyhubs.org.uk/redhill The Hub Dorking 01306 886280 www.thesurreyhubs.org.uk/dorking The Hub Epsom 01372 744479 www.thesurreyhubs.org.uk/epsom

27

Relevent for children Surrey Young Carers 01483 568269 www.surrey-youngcarers.org.uk Anorexia & Bulimia Care 03000 111213 www.anorexiabulimiacare.org.uk DisabledGo 01438 842710 www.disabledgo.com Dramatize 07912 183085 www.dramatize.co.uk East to West 01784 438007 www.easttowest.org.uk

28 Voluntary Sector Organisations NW and SW Surrey Organisation Phone number Web address Relevent to carers Action for Blind People 01372 720742 www.actionforblindpeople.org.uk Action for Carers Surrey 01483 302748 www.actionforcarers.org.uk Alzheimer's Society 01428 642055 www.alzheimers.org.uk Anorexia & Bulimia Care 03000 111213 www.anorexiabulimiacare.org.uk Carers Support Guildford 01483 458123 www.carersguildford.co.uk/ Carers Support Woking 01483 757272 www.carerswoking.co.uk Catalyst Support 01483 590150 www.catalystsupport.org.uk CornerHouse Woking 01483 757461 www.cornerhousewoking.org.uk Disability Initiative 01276 676302 www.disabilityinitiative.org.uk DisabledGo 01438 842710 www.disabledgo.com Dramatize 07912 183085 www.dramatize.co.uk Guildford Action 01483 533943 www.surreycommunity.info/guildfordaction Richmond Fellowship 01372 363934 www.richmondfellowship.org.uk Surrey Coalition of Disabled People 01483 456558 www.surreycoalition.org.uk Surrey Disabled People's Partnership 01276 63155 www.thesurreyhubs.org.uk Surrey Disabled People's Partnership 01483 750973 www.sdpp.org.uk The Hub Godalming 01483 410390 www.thesurreyhubs.org.uk/godalming The Welcome Project Surrey Heath 01276 409415 www.welcomeprojectsurrey.co.uk The Welcome Project Waverley 01483 415950 www.welcomeprojectsurrey.co.uk Time to Change 07919 606509 www.time-to-change.org.uk Woking Mind 01483 766998 www.wokingmind.org.uk

Relevent to people who use services Action for Blind People 01372 720742 www.actionforblindpeople.org.uk Action for Carers Surrey 01483 302748 www.actionforcarers.org.uk Alzheimer's Society 01428 642055 www.alzheimers.org.uk Anorexia & Bulimia Care 03000 111213 www.anorexiabulimiacare.org.uk Catalyst Support 01483 590150 www.catalystsupport.org.uk Central Surrey Council for Voluntary Service 01306 631143 CornerHouse Woking 01483 757461 www.cornerhousewoking.org.uk Creative Response 01252 716876 www.creativeresponsearts.org Disability Initiative 01276 676302 www.disabilityinitiative.org.uk DisabledGo 01438 842710 www.disabledgo.com Dramatize 07912 183085 www.dramatize.co.uk Guildford Action 01483 533943 www.surreycommunity.info/guildfordaction Hopewell House 01483 303551 www.together-uk.org/projects/hopewell-house Richmond Fellowship 01372 363934 www.richmondfellowship.org.uk Surrey Coalition of Disabled People 01483 456558 www.surreycoalition.org.uk Surrey Disabled People's Partnership 01483 747400 www.sdpp.org.uk Surrey Disabled People's Partnership 01276 63155 www.thesurreyhubs.org.uk Surrey Disabled People's Partnership 01483 750973 www.sdpp.org.uk The Hub Camberley 01276 63155 www.thesurreyhubs.org.uk/camberley The Hub Godalming 01483 410390 www.thesurreyhubs.org.uk/godalming The Welcome Project Surrey Heath 01276 409415 www.welcomeprojectsurrey.co.uk The Welcome Project Waverley 01483 415950 www.welcomeprojectsurrey.co.uk Time to Change 07919 606509 www.time-to-change.org.uk Voluntary Action South West Surrey 01483 504626 www.voluntaryactionsws.org.uk Woking Association of Voluntary Service 01483 751456 www.wavsonline.co.uk Woking Mind 01483 766998 www.wokingmind.org.uk YMCA Guildford 01483 532555 www.guildfordymca.org.uk York Road Project 01483 728739 www.yorkroadproject.org.uk

Older adult Action for Blind People 01372 720742 www.actionforblindpeople.org.uk Action for Carers Surrey 01483 302748 www.actionforcarers.org.uk

29

Age UK Runnymede & Spelthorne 01784 444200 www.ageuk.org.uk/runnymedeandspelthorne Age UK Surrey 01483 503414 www.ageuksurrey.org.uk Alzheimer's Society 01428 642055 www.alzheimers.org.uk Central Surrey Council for Voluntary Service 01306 631143 Creative Response 01252 716876 www.creativeresponsearts.org DisabledGo 01438 842710 www.disabledgo.com Surrey Heath Veterans & Families - Listening Project 01276 27992 The Hub Camberley 01276 63155 www.thesurreyhubs.org.uk/camberley

Children Anorexia & Bulimia Care 03000 111213 www.anorexiabulimiacare.org.uk DisabledGo 01438 842710 www.disabledgo.com Dramatize 07912 183085 www.dramatize.co.uk East to West 01784 438007 www.easttowest.org.uk Surrey Young Carers 01483 568269 www.surrey-youngcarers.org.uk

30 Voluntary Sector Organisations for Hampshire and Rest of England Organisation Telephone number Web address Relevent to carer's Action for Blind People 01372 720742 www.actionforblindpeople.org.uk Action for Carers Surrey 01483 302748 www.actionforcarers.org.uk Alzheimer's Society 01428 642055 www.alzheimers.org.uk Anorexia & Bulimia Care 03000 111213 www.anorexiabulimiacare.org.uk ASCA - Addiction Support & Care Agency 020 8339 9899 www.addictionsupport.co.uk Beat 01603 753326 www.b-eat.co.uk BTCV 01403 730572 Central Surrey Council for Voluntary Service 01306 631143 Chapter 1 020 7593 0470 www.chapter1.org.uk Creative Response 01252 716876 www.creativeresponsearts.org DisabledGo 01438 842710 www.disabledgo.com Dramatize 07912 183085 www.dramatize.co.uk Driving Miss Daisy 0333 014 6215 www.drivingmissdaisyuk.co.uk Richmond Fellowship 01372 363934 www.richmondfellowship.org.uk The Vine Centre 01252 400196 www.thevinecentre.org.uk Time to Change 07919 606509 www.time-to-change.org.uk

Relevent to people who use our services Action for Blind People 01372 720742 www.actionforblindpeople.org.uk Action for Carers Surrey 01483 302748 www.actionforcarers.org.uk Alzheimer's Society 01428 642055 www.alzheimers.org.uk Anorexia & Bulimia Care 03000 111213 www.anorexiabulimiacare.org.uk ASCA - Addiction Support & Care Agency 020 8339 9899 www.addictionsupport.co.uk Beat 01603 753326 www.b-eat.co.uk BTCV 01403 730572 Central Surrey Council for Voluntary Service 01306 631143 Chapter 1 020 7593 0470 www.chapter1.org.uk Combat Stress 01372 587110 www.combatstress.org.uk Creative Response 01252 716876 www.creativeresponsearts.org DisabledGo 01438 842710 www.disabledgo.com Dramatize 07912 183085 www.dramatize.co.uk Driving Miss Daisy 0333 014 6215 www.drivingmissdaisyuk.co.uk Richmond Fellowship 01372 363934 www.richmondfellowship.org.uk The Vine Centre 01252 400196 www.thevinecentre.org.uk Time to Change 07919 606509 www.time-to-change.org.uk

Older Adult Age UK Surrey 01483 503414 www.ageuksurrey.org.uk Alzheimer's Society 01428 642055 www.alzheimers.org.uk ASCA - Addiction Support & Care Agency 020 8339 9899 www.addictionsupport.co.uk BTCV 01403 730572 Central Surrey Council for Voluntary Service 01306 631143 Combat Stress 01372 587110 www.combatstress.org.uk DisabledGo 01438 842710 www.disabledgo.com Dramatize 07912 183085 www.dramatize.co.uk Driving Miss Daisy 0333 014 6215 www.drivingmissdaisyuk.co.uk The Ripple Pond www.theripplepond.co.uk

Children Anorexia & Bulimia Care 03000 111213 www.anorexiabulimiacare.org.uk

31

Beat 01603 753326 www.b-eat.co.uk DisabledGo 01438 842710 www.disabledgo.com Dramatize 07912 183085 www.dramatize.co.uk Surrey Young Carers 01483 568269 www.surrey-youngcarers.org.uk The Therapy Garden 01483 813846 www.thetherapygarden.org

32 Appendix D Surrey and Borders Partnership NHS Foundation Trust

Members’ Events Guide 2017-18

Plan your year ahead, don’t miss out!

For a better life 33 34

Members’ Events Guide 2017-18

Get the best out of your Trust Membership by exploring this year’s events guide to find out what is happening in your area. Our calendar has something for everyone so take a look and see which events may be of interest to you.

All events are free to attend and are open to members, non-members and staff. Places are strictly limited so make sure you book your place in advance.

To register for these events or to find out more, contact us: Telephone: 01372 216158 Email: [email protected] SMS: 07786 202545

Please remember to tell us if you have any special requirements.

35

Dementia Care Innovations

Come along and listen to our experts explain how dementia is diagnosed and treated and learn about innovative approaches currently being developed to enhance future care planning.

We are leading a ground-breaking new dementia study, TIHM for Dementia, which aims to improve the lives of people living with dementia and their carers through the use of technology. Read more about this study on our website at www.sabp.nhs.uk/tihm.

To progress this study and these innovations, we need input from people who suffer from dementia and their carers. Please do come along and learn more.

Refreshments will be provided.

Date: Thursday 4 May 2017 Time: 11am – 2pm Venue: St Mary’s Hall, Stoke Road, Stoke D’Abernon, Surrey KT11 3PX

36

Get Moving! 5K Walk for Life

Take part in our eighth annual walking event and celebrate how physical activity can help boost mental health and wellbeing. Due to popular demand, we are again holding this walk in Painshill Park. Once you have completed the course, you will be able to stay in Painshill Park to explore the beautiful grounds.

The walk will be around an easy access route suitable for everyone, so come along for a fun day of fresh air and exercise in uplifting surroundings. You will also have the opportunity to raise sponsorship for sports equipment for people who use our services.

We provide bottles of water to keep you hydrated - everyone is welcome, including your families and dogs too!

Date: Saturday 20 May 2017 Time: 10am – 1pm Venue: Painshill Park, Portsmouth Road, Cobham, Surrey KT11 1JE

W alkers enjoying the beautiful grounds at Painshill Park, Get Moving 2016 37

Support for Carers

This event coincides with Carers Week, an annual campaign to draw attention to just how important caring is, highlighting the challenges carers face and recognising the contribution they make to families and communities throughout the UK.

This event will provide information about the support available to carers to help them in their vital role. It is important for us to build and improve communities which support carers to look after their loved ones well, whilst also recognising that they are individuals with needs of their own. Come along and hear how our professionals can provide advice and support.

Refreshments will be provided.

Date: Thursday 15 June 2017 Time: 10am – 1pm Venue: Broadwater Pavilion, Guildford Rugby Club, Guildford Rd, Godalming, Surrey GU7 3DH

38

Members’ Day

Our annual Members’ Day will bring you up to date with our developments over the past year and help you learn more about the Trust and the services we provide through a range of market place stalls and workshops. Come along to help celebrate how the Trust has developed over the past year and meet key staff members and Governors, who are all keen to share their knowledge with you.

Lunch and refreshments will be provided.

Date: Wednesday 13 September 2017 Time: 10am – 2pm Venue: Open Space, Trust Headquarters, 18 Mole Business Park, Leatherhead, Surrey KT22 7AD

Coming to Members’ Day gives you the chance to meet us and hear about our work. 39

Adult Mental Health Conditions and Services

To celebrate the 10th year of the highly successful Epsom Mental Health Week, this event will offer information about the various conditions which affect our adult population and explain how our services provide treatment and support. You will hear from our Mind Matters team and our local Community Mental Health Recovery Service and also learn about our Safe Havens.

Everyone is welcome to join us whether you live with or have experienced mental ill-health or if you care for someone or if you are simply interested in mental health. Come and talk to our professionals in a relaxed environment.

Refreshments will be provided.

Date: Wednesday 11 October 2017 Time: 10am – 1pm Venue: St. Barnabas Church, Temple Rd, Epsom, Surrey KT19 8HA

40

Health & Wellbeing

It is recognised that physical wellbeing supports mental wellbeing and this event explores the belief that a healthier body really can mean a healthier mind. Our expert advisers are aware that this can often be a challenge and are there to offer tips on motivation, healthy eating and exercise.

Come along and observe or take part in fun activities and listen to sensible achievable lifestyle advice. If you would like to bring a friend, please do – all are welcome!

Refreshments will be provided.

Date: Tuesday 5 December 2017 Time: 1pm – 4pm Venue: Chertsey Hall, Heriot Rd, Chertsey, Surrey KT16 9DR

41

Understanding Autism and ADHD (Attention Deficit Hyperactivity Disorder)

Join us for informative sessions and workshops designed to create awareness and understanding about these conditions. Our professionals will be on hand to explain how Autism and ADHD are diagnosed and to provide information about the treatment options available.

We invite you to come along and listen to our professionals share their knowledge and learn about our services in a relaxed friendly environment.

Refreshments will be provided.

Date: Tuesday 6 February 2018 Time: 10am – 1pm Venue: Princes Hall, Princes Way, Aldershot, Hampshire GU11 1NX

42

Contact us

Our events calendar is always busy! Remember to book your place to make sure you don’t miss out. We look forward to seeing you there!

If you have suggestions for future members’ events we would like to hear from you.

Please contact us on 01372 216158, SMS 07786 202545 or email [email protected]

43

Keep yourself in touch and up to date by visiting:

www.facebook.com/sabpnhs

Surrey and Borders @sabpNHS

www.sabp.nhs.uk

If you would like this information in another format or another language:

Call: 01372 216285 Email: [email protected]

Surrey and Borders Partnership NHS Foundation Trust 18 Mole Business Park, Leatherhead, Surrey KT22 7AD

Tel: 0300 55 55 222 Textphone: 020 8964 6326 www.sabp.nhs.uk @sabpnhs www.facebook.com/sabpnhs

Publication ref: A69976/Events 2017 Publication date: March 2017 44 Appendix E

Contact a Governor

If you have any questions or would like to leave a comment for a Trust Governor please complete this form.

Name of Governor (if known)

My details

Name: Address:

Postcode: Email: Telephone number: Preferred contact method:

Share your information

We need your permission to share information on this form with our Trust Governors. Please tick the box to tell us we have your consent Please note the information you provide may be shared with members of Surrey and Borders staff to help process your comment or question.

Your question or comments (continue overleaf)

45

Continue…

If you would like a Governor to contact you regarding your comment please tick this box

Please give your completed sheet to a member of staff or send this to:

Post: Marketing and Communications Department, Trust Headquarters, 18 Mole Business Park, Leatherhead KT22 7AD

Email: [email protected]

46

Appendix F

Towns and Villages List

Elmbridge, Epsom, Ewell and Guildford

Elmbridge Epsom & Ewell Guildford

Claygate Auriol Ash South and Tongham

Cobham and Downside College Ash Vale

Cobham Fairmile Court Ash Wharf

Esher Cuddington Burpham

Hersham North Ewell Christchurch

Hersham South Ewell Court Clandon and Horsley

Hinchley Wood Nonsuch Effingham

Long Ditton Ruxley Friary and St Nicolas

Molesey East Stamford Holy Trinity

Molesey North Stoneleigh Lovelace

Molesey South Town Merrow

Oatlands Park West Ewell Normandy

Oxshott and Stoke D`Abernon Woodcote Onslow

St George`s Hill Pilgrims

Thames Ditton Pirbright

Walton Ambleside Send

47

Elmbridge Epsom & Ewell Guildford

Walton Central Shalford

Walton North Stoke

Walton South Stoughton

Weston Green Tillingbourne

Weybridge North Westborough

Weybridge South Worplesdon

Mole Valley, Reigate, Banstead and Runnymede

Mole Valley Reigate & Banstead Runnymede

Ashtead Common Banstead Village Addlestone Bourneside

Ashtead Park Chipstead Hooley and Woodmansterne Addlestone North

Ashtead Village Earlswood and Whitebushes

Beare Green Horley Central Chertsey St Ann`s

Bookham North Horley East Chertsey South and Row Town

Bookham South Horley West Egham Hythe

Box Hill and Headley Kingswood with Burgh Heath Egham Town

Brockham Betchworth and Buckland Meadvale and St John`s Englefield Green East

Capel Leigh and Newdigate Merstham Englefield Green West

Charlwood Nork Foxhills

Dorking North Preston New Haw

48

Mole Valley Reigate & Banstead Runnymede

Dorking South Redhill East Thorpe

Fetcham East Redhill West Virginia Water

Fetcham West Reigate Central Woodham

Holmwoods Reigate Hill

Leatherhead North Salfords and Sidlow

Leatherhead South South Park and Woodhatch

Leith Hill Tadworth and Walton

Mickleham Westhumble and Pixham Tattenhams

Okewood

Westcott

Spelthorne, Surrey Heath and Tandridge

Spelthorne Surrey Heath Tandridge

Ashford Common Bagshot Bletchingley and Nutfield

Ashford East Bisley Burstow Horne and Outwood

Ashford North and Stanwell South Chobham Chaldon

Ashford Town Frimley Dormansland and Felcourt

Halliford and Sunbury West Frimley Green Felbridge

Laleham and Shepperton Green Heatherside Godstone

Riverside and Laleham Lightwater Harestone

49

Spelthorne Surrey Heath Tandridge

Shepperton Town Mytchett and Deepcut Limpsfield

Staines Old Dean Lingfield and Crowhurst

Staines South Parkside Oxted North and Tandridge

Stanwell North St Michaels Oxted South

Sunbury Common St Pauls Portley

Sunbury East Town Queens Park

Watchetts Tatsfield and Titsey

West End Valley

Windlesham Warlingham East and Chelsham and Farleigh

Warlingham West

Westway

Whyteleafe

Woldingham

Waverley and Woking

Waverley Woking

Alfold Cranleigh Rural and Ellens Green Brookwood

Blackheath and Wonersh Byfleet

Bramley Busbridge and Hascombe Goldsworth East

Chiddingfold and Dunsfold Goldsworth West

50

Waverley Woking

Cranleigh East Hermitage and Knaphill South

Cranleigh West Horsell East and Woodham

Elstead and Thursley Horsell West

Ewhurst Kingfield and Westfield

Farnham Bourne Knaphill

Farnham Castle Maybury and Sheerwater

Farnham Firgrove Mayford and Sutton Green

Farnham Hale and Heath End Mount Hermon East

Farnham Moor Park Mount Hermon West

Farnham Shortheath and Boundstone Old Woking

Farnham Upper Hale Pyrford

Farnham Weybourne and Badshot Lea St John`s and Hook Heath

Farnham Wrecclesham and Rowledge West Byfleet

Frensham Dockenfield and Tilford

Godalming Binscombe

Godalming Central and Ockford

Godalming Charterhouse

Godalming Farncombe and Catteshall

Godalming Holloway

Haslemere Critchmere and Shottermill

51

Waverley Woking

Haslemere East and Grayswood

Hindhead

Milford

Shamley Green and Cranleigh North

Witley and Hambledon

52