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Survey to join the network

 

Please complete this survey to be added to the private collaborative space, where network members can contribute and you can find updates, meeting links and further information regarding the network's progress. You will need an account on Lets Talk SNEE (https://www.letstalksnee.co.uk/) - make sure you use the same email address within this survey. Please answer as fully as you can. 


After you submit this form, your data will be processed on the Lets Talk SNEE (LTS) platform by Healthwatch Suffolk CIC (HWS). Your consent for this is required below. 


The LTS platform is made available by the NHS Suffolk and North East Essex Integrated Care Board (SNEE ICB) to be a collaborative space for co-production and engagement projects. The ICB has commissioned HWS to facilitate and coordinate this network on the LTS platform.


Many thanks for your time and interest in the network!

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6.  

Do you agree to the network's agreement for safety and confidentiality, stated below? 


1) I agree to treat all network members with respect of their experiences, identity and background, without assumption.

2) I will not share the names or identity, without explicit consent, of any network members, individual's contributions to the private collaborative space or any meetings.


3) I will not name individuals in network spaces or meetings without their explicit consent and permission.

4) I will use language and terminology that feels right for me and respect others' choices of theirs.

5) I will work as an equal member of the network to achieve more inclusive and accessible health and care.


6) I understand that if this agreement has been broken, the facilitators will communicate with me and have the right to revoke my membership if appropriate.


7) I am over the age of 18.


A note about safeguarding within our network

When completing this survey or engaging with our network, it is important to know that if you tell us anything that gives us cause to be concerned for your safety, or the safety of someone else, we have a duty to share this information with relevant authorities according to our safeguarding practice and policies.

* required
7.  

Healthwatch Suffolk CIC (HWS) and the NHS Suffolk and North East Essex Integrated Care Board have an Information Sharing Agreement in place to support this network. It means that HWS staff can access and process information about you shared in this survey or on the Lets Talk SNEE platform. This may include your name and contact information. HWS will use your information to contact you, and to facilitate your involvement in the network.

Do you consent to share your information with Healthwatch Suffolk CIC?

* required