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Wednesday 22 November 2017
Derbyshire Healthcare NHS Foundation Trust
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DEED scheme – nomination form

DEED scheme logo

Our staff recognition scheme, Delivering Excellence Every Day (DEED), recognises and celebrates Derbyshire Healthcare staff who have gone ‘above and beyond’ in their work, and thereby demonstrated one or more of our values. If you have witnessed or experienced a member of staff giving this kind of exceptional service, please nominate them below.

All the information you provide will be treated in confidence and in accordance with the Data Protection Act 1998. It will be used for the purpose of administering your nomination and contacting you to keep you informed of the nomination outcomes. It may also be used to promote the recognition scheme in the future, including on our website or at our annual Delivering Excellence Awards ceremony – but please tell us if you do not want us to use the information in this way.

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Delivering Excellence Every Day (DEED) scheme – nomination form
SECTION 1: About you
Are you happy for us to use your name when publicising this nomination? »
SECTION 2: Who are you nominating?
SECTION 3: The Trust has four values which underpin everything we do, from how we recruit staff to how we make decisions.
Which value or values did this individual/team demonstrate?
Please select the relevant value(s): »
SECTION 4: Why do they deserve to be recognised?