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Patient Advice and Liaison Service (PALS)

The Patient Advice and Liaison Service (PALS) will provide you with confidential advice and support if you have any concerns or queries about any aspect of your care.

The service aims to:

  • Listen to and advise and support patients, their families, carers and staff
  • Act independently to help resolve issues
  • Provide information on services
  • Sign-post you to appropriate organisations to help you

Fields marked with a "*" are mandatory.

Your details

Name*

Address*

Contact Telephone Number*

Email Address*

Date of Birth

How would you like PALS to contact you?*

TelephoneSMSEmailPost

Do you have any specific communication requirements?

Patient NHS number (if known)

Patient Hospital number (if known)


Patient details (if you are not the patient)

Name

Address

Contact Telephone Number

Email Address

Date of Birth

NHS Number (if known)

Hospital Number (if known)


Organisation or service this enquiry is about

Details of Issue

Please provide details of the issue you wish to raise below. Please include details such as the organisation, department or service, member(s) of staff, date of incident/issue if known.


PALS asks for additional information for monitoring purposes but you do not have to provide this.

Gender

Other, please state

Ethnicity

Are you a carer?

How did you find out about PALS?


I give my consent to North of Tyne PALS, and staff who are involved with or responsible for my care and treatment, to access and share any information which is relevant to the issues which PALS is pursuing on my behalf.

Please note if the issue is about someone else PALS may need to contact them to gain their consent.

If you choose to be contacted by email please find below some guidance about using email and the security risks involved when providing personal and/or confidential information.
Email contact Disclaimer

We recognise that email is a convenient and preferred method of communication for many people however prior to responding to your queries via email we would be grateful if you could read the information below and confirm by replying to this email that you are happy to communicate in this way.

You should be aware that not all email services are encrypted and as such are not secure when they travel along the internet; they can be intercepted, read or amended without the knowledge of the sender or intended recipient. This may lead to a breach of your confidentiality. Also, we cannot ensure that the intended recipient is the only reader of any emails in circumstances where households share email addresses and therefore unintentional access to private information could take place.

I would therefore be grateful if you could please confirm you fully understand the risks involved with email communications from North of Tyne PALS via email to enable us to continue communicating with you via this method.

I would like to communicate with North of Tyne PALS by email. I confirm that I understand that email services are not a secure medium. I also understand that there is a possibility that my emails and the responses could be intercepted and read by someone else. I will bear this in mind in deciding how much information to seek and how much information to disclose by email.

If, at any time you no longer wish to be contacted via email, please contact North of Tyne PALS at northoftynepals@nhct.nhs.uk or telephone Freephone 0800 0320202

For further details on how we use your information or if you have any issues or any questions please access the following link.

When filling in a form or survey on the site you may be asked to fill in information about yourself. This is a secure site and this information will only be used for the purpose stated in each case. We will not distribute personal information collected in this way to any 3rd party (unless this has been communicated to you).

Any comments you submit to the Trust will be treated as confidential and will be safeguarded and processed in accordance with the requirements of the Data Protection Act 2018 (GDPR).

 

 

 

They will help sort out any problems very quickly on your behalf and can be contacted via:


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