Inpatient Comments Card

For your comments, concerns, compliments and  suggestions.

We would like to know what you thought of the experience you had on the ward where you spent most of your time during this stay at the RJAH Orthopaedic Hospital NHS Foundation Trust. Any information you provide is treated as strictly confidential.

We are committed to listening to and acting on your comments to improve services at the RJAH Orthopaedic Hospital NHS Foundation Trust.

If you require this card in an alternative format or need help to complete it, please contact the PALS officer on 01691 404606 or email

Please complete the form below if you were an inpatient in the last two months, if not, please leave us your feedback on the Contact Us form.

Please enter the password issued during discharge. This is required in order to submit your comments:

How likely are you to recommend our ward to friends and family if they needed similar care or treatment?
Please feel free to comment on anything further or suggest any improvements on what we could do better. Especially if you would not recommend us to your friends or family:
If you would like the Trust to respond to your comments, please leave your contact details below and tick the relevant box.
I would like a response to my comment(s):
I would like information about becoming a member of the RJAH Orthopaedic Hospital NHS Foundation Trust:
Are you aware of the patient information leaflet “Information we hold about you and how we use it”?

To help the Trust deliver services that are fair to all, please provide the following information about yourself

(Please note that this section is optional)

Do you have a permanent disability?:

Thank you for​ completing the online comment card.

By completing this form you are giving consent to the processing of your information and understand that the data you supply will be used only to contact you about the Trust or other related issues. Your comments may be used anonymously in future reports and/or on the Trust website. This data will be stored in accordance with the Data Protection Act. Full details are available upon request from the PALS office.

I do not give consent to my comments being displayed anonymously in future reports or on the Trust website:
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The PALS Officer
Robert Jones & Agnes Hunt Orthopaedic Hospital NHS Foundation Trust,
SY10 7AG

Tel: 01691 404606