Practice of the Year 2018

Nomination form
Practice details
Reason for Nomination

What qualities do you feel make your Practice? Please highlight any outstanding contributions or commitment the Practice had made to your care.

How have they made a difference to your life? Please give examples of how they have impacted on your quality of life and action(s) taken that you feel are above and beyond the call of duty.

Please consider the following qualities when you are completing this section of the form:

Caring, compassionate, supportive, friendliness, empathy, understanding, reliable, trustworthy, listening, making time, patient individuality, joint decision making and patient centre care.

Please tell us why, in no more than 500 words, why you have nominated your Practice for the Practice of the Year Award 2018.

IMPORTANT - Please complete the following section
Practices who are nominated may wish to see their nomination. Are you happy for your Practice to see your nomination?

RCGPNI may wish to reproduce an anonymous version of your nomination in print for promotion and learning purposes. Patients will not be identified in the text used. Are you happy to agree to this?

Please complete the consent and declaration

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