Becoming a Member of Surrey & Sussex Healthcare NHS Trust What is a NHS foundation trust?
NHS foundation trusts remain firmly part of the NHS, but they have more freedom from government control, and instead become more accountable to local communities, patients and staff who are members. By involving the members and the Council of Governors in deciding how the services are delivered, NHS foundation trusts are able to deliver services in a way that better meet the user’s needs and preferences
Frequently Asked Questions About Us
Can I become a member? Why should I become a member? Surrey and Sussex Healthcare NHS Anyone can become a member, so long Membership provides the opportunity Trust was formed on 1st April 1998 as they are over 14, and is, or has been for you to have your say in how the following a merger between East a patient or carer in the past 5 years; or trust is run and have an active role in Surrey Healthcare NHS and Crawley lives in Mole Valley, Reigate & its future development. Horsham NHS Trusts. We provide a Banstead, Tandridge, Crawley, Mid range of health services at East Sussex, Horsham or Croydon; or is a Members benefits include: Surrey Hospital, in Redhill. In member of staff. • Regular newsletters keeping you up addition, we also provide a range of to date with what’s happening at East health services including outpatient GREATERGREATER Surrey Hospital, and in our other and diagnostic services at Dorking LONDONLONDON services, such as fundraising and Catherham Dene Hospitals, 7 events and medical developments. Oxted Health Centre, in Surrey, and at Crawley, Horsham and Queen SURREY 5 KENT 2 3 • Regular members’ health events Victoria Hospitals in West Sussex. with consultants and specialists on 1 topics, such as care for the elderly and The Trust is a major local employer WEST SUSSEX 6 EAST children’s health services. with a diverse workforce of 4 SUSSEX around 3,500 providing healthcare • An opportunity to play an active role services to a growing population in member consultations, focus of 535,000. groups, and involvement opportunities. 1 Crawley 5 Reigate & If you would like further information Banstead • Access to Health Service Discounts – or more membership forms, see: 2 Mole Valley saving money for you and your family. 6 Mid Sussex www.surreyandsussex.nhs.uk/ft 3 Tandridge • Receive a vote for electing your 7 Croydon representatives to serve on the Council Or contact the membership office: 4 Horsham of Governors, and if over 16, you can choose to stand for election to the Tel: 01737 768511 Ext 1864 Council of Governors. How much will I need to Email: get involved? [email protected] You make the decision about how much or little you want to be involved. Write: Freepost (RRGU-LBSY-HCSL) How much will it cost me? Foundation Trust Office - AD55 Nothing - membership is free East Surrey Hospital Redhill How long will I have to join for? How do I become a member? RH1 5RH You can stop your membership at any Please complete the form (opposite) or time by simply writing to us. apply on line at www.sash.nhs.uk/ft Membership Application Form
Members play a key role in our Trust and you will be able to get more involved Return completed form to: by becoming a member. Anyone aged 14 and over can join as long as they are, Freepost (RRGU-LBSY-HCSL) or have been a patient or carer in the past 5 years, or live in the Trust’s Foundation Trust Office - AD55 catchment area, which is made up of the following local council areas: Crawley, East Surrey Hospital Horsham, Mid Sussex, Mole Valley, Reigate & Banstead, Tandridge and Croydon. Redhill RH1 5RH
Name Title
Do you have any special information requirements?
Audio Large print
Braille Other Address Please state below:
Postcode
Telephone (land line or mobile) Would you like more How many? application forms so your family and friends can join?
Email Contacting members by email is the most cost-effective method of We will send you the forms along with communication. If you are willing to receive information by email please provide a freepost addressed envelope to post your email address below: the completed forms back to us.
Patients, carers and members of the public who live in our catchment What is your connection to the Trust? area are eligible to be public members, and will vote for the Are you a member of the public governors. Patients and public/patient or carer that lives A member of Trust staff carers that do not live in one of the inside our catchment area? seven areas we’ve identified as our catchment area, will be eligible to be Representing a group/organisation A patient or carer that lives patient members and will vote for outside our catchment area the patient governors.
I declare I am eligible and would like to become a member of the Trust Continued over page»
Signed
Date About You
We are committed to building a What geographical area do you Please tell us how you would like membership that reflects the diverse live in? to be involved, you can tick more communities we serve and we would than one box be grateful if you would complete the Crawley Horsham following section. Online surveys Mole Valley Reigate & Date of Birth: Banstead Take an interest in focus groups Tandridge D D M M Y Y Y Y Croydon Attend meetings or events Mid Sussex Find out more about becoming I am: Male Female a governor Do you have any special interests Transgender regarding care? Please tick all the following Medicine e.g Rehabilitation, which apply Do you consider yourself to have a disability? Accident & Emergency Live within our catchment area
Yes No Prefer not Women’s Health e.g. Maternity, Someone who uses our services to say Gynaecology A carer of someone who uses Ethnicity Children’s Services e.g. Paediatrics our services
White British Black Surgery e.g General Surgery, Volunteer Caribbean Orthopaedics White Irish Other Other Black Outpatients Please state below: Other White background Support services e.g. cleaning, White & Black Indian food, parking, volunteers Caribbean Pakistani White & Black How did you hear about African Bangladeshi our membership? This information will only be used by White & Asian Other Asian At a public Received Surrey and Sussex Healthcare NHS background meeting a leaflet Trust in conjunction with membership Other Mixed Chinese and public involvement, and in Background Face to face Via our accordance to the Data Protection Act Other ethnic recruitment services/ 1998. We are obliged to keep a public Black African group staff register of members, if you do not On our wish to be included on this register website Through the please tick this box Sexual Orientation local press/ Other media Thank you for taking your time to Heterosexual Gay Woman Please state fill in this form and for becoming (Straight) (Lesbian) below: a member.
Bisexual Prefer not Your support is appreciated. to say Gay Man