Contact Us

Without hearing your experience Healthwatch will not be able to understand what works well and what could be improved within our local health and social care services.

Please take a moment to share your experience with us. Any information you provide to us is confidential and will not affect your care.

Share your experience

Please note: If you are looking to make a complaint, Healthwatch cannot investigate individual complaints about services. However, we can advise on how to go about making a complaint.

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Date of Initial Contact(Required)

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Method of Contact(Required)

Please tell us why you want to contact Healthwatch(Required)

I want to share an experience

I want to request information / advice

I want to enquire about volunteering

My query is none of the above

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Information Questions

Healthwatch has a dedicated volunteering section on our website. If you have not yet viewed this, you can find out more by clicking here.

If you still have any further questions, please let us know below.

Please can you provide more information so we can respond to your query(Required)

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I want to share an experience

Please tell us which service this experience is regarding(Required)

When did your experience occur? (If known)

Who does this experience belong to?(Required)

Self

Someone else

What is your relationship to this person?(Required)

Client relative, Friend or Carer

Health or Social Care Professional

Other third party

Please can you tell us about the experience?(Required)

What is the nature of your experience?(Required)

Concern

Complaint

Compliment

Whistleblowing

Do you consider the experience to be a safeguarding issue?(Required)

Yes

Basic Demographics

Healthwatch collects demographic data which is used to generate insights and understand health inequalities, including challenges some groups face in accessing health and social care services.

As part of your experience, we would like you to provide some basic demographic data below to help us in our mission to improve local services.

What is your age range?(Required)

What is your ethnicity?(Required)

Are you or do you consider yourself to be disabled?(Required)

Yes

Do you or do you consider yourself to have a long-term condition?(Required)

Yes

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Thank you for completing the above demographic questions.

We do also record more detailed demographic information which will help us further, however this is completely optional.

Would you like to provide any further demographic information?(Required)

Yes

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Please can you tell us your nationality?

Is your gender identity the same as recorded at birth?

What is your sexual orientation?

What is your religion or belief?

What is your marital and civil partnership status?

If you are currently pregnant or have recently given birth, please select if any of the following apply:

Currently pregnant

Currently breastfeeding

Given birth in the last 26 weeks

Would you consider yourself to be from a seldom-heard group or community?

The term ‘seldom-heard groups’ refers to under-represented people who use or might potentially use health or social services and who are less likely to be heard by these service professionals and decision-makers.

Yes

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If they select that they have a disability

You told us previously that you are or consider yourself to be disabled.

Please could you be able to tell us what type of disability you have?

You can select more than one

Physical or mobility impairment

Sensory impairment

Learning disability or difficulties

Mental health condition

Long term condition

Other

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If they select that they have a long-term condition

You told us previously that you are or consider yourself to be disabled.

Please could you be able to tell us what type of long-term condition you have?

You can select more than one

Contacting You

Do you want to be contacted by Healthwatch about your experience?(Required)

Yes

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Contact Details

Please tell us your name(Required)

Telephone Number

Email Address

If you want to be contacted by letter, please provide your address below

Other ways to contact us

If you would like to contact Healthwatch without completing the contact form above, please find our details below.

Healthwatch North East Lincolnshire
Alexandra Dock Business Centre,
Office Suite 4,
Fishermans Wharf,
DN31 1UL

Telephone: 01472 361459

Email: enquiries@healthwatchnortheastlincolnshire.co.uk

Please note: Our standard office hours are Monday to Friday, 9 AM to 4 PM. Should you contact us outside of these times we will respond to you at the earliest possibility.