Skip to content
Skip to footer
Sign In
MENU
Sign In
Home
Search
Outcomes
About
Home
Search
Outcomes
About
Main Content
Patient and Public Representative Expression of Interest
Page 1 of 2
Survey Closes 31 Dec 2024
1. Which of the following applies to you?
Please select one
*
Mandatory
I have been diagnosed with, or received treatment for, cancer in Hull, York, North Yorkshire, East Riding of Yorkshire, North or North East Lincolnshire
I care for, or have cared for someone who has been diagnosed with, or who received treatment for, cancer in Hull, York, North Yorkshire, East Riding of Yorkshire, North or North East Lincolnshire
2. Where did you, or the person you care/ cared for, receive their diagnosis or treatment?
Please select one
*
Mandatory
Hull University Teaching Hospitals NHS Foundation Trust
Northern Lincolnshire and Goole NHS Foundation Trust
York and Scarborough Teaching Hospitals
3. Which area of Humber and North Yorkshire are you currently living in?
Please select one
*
Mandatory
Hull
York
North Yorkshire
East Riding of Yorkshire
North Lincolnshire
North East Lincolnshire
4. What type of cancer have you or the person you care/cared for been diagnosed with?
*
Mandatory
What type of cancer have you or the person you care/cared for been diagnosed with?
5. When were you or the person you care/cared for diagnosed with cancer?
Please specify the year.
*
Mandatory
When were you or the person you care/cared for diagnosed with cancer?
6. Please summarise why you would like to join Humber and North Yorkshire Cancer Alliance's Patient and Public Representative Group
*
Mandatory
Please summarise why you would like to join Humber and North Yorkshire Cancer Alliance's Patient and Public Representative Group
7. Our Patient and Public Representative Group Meeting currently takes place every other month, often in an afternoon for 2 hours. The meeting is hybrid, with the option of joining in person in our offices in Willerby outside of Hull, or via Teams. Please tick which of the following applies to you:
*
Mandatory
I would prefer to join meetings in person - I drive and have access to a car
I would prefer to join meetings in person - I normally use public transport
I would prefer to join meetings online - I have access to a digital device to join online
I do not have access to a digital device
I would be unable to attend meetings at this time
8. Please state the ways you would like to be involved with Humber and North Yorkshire Cancer Alliance
Please tick all that apply to you
*
Mandatory
Attending the Patient and Public Representative Group Meeting every other month
Joining Humber and North Yorkshire Cancer Alliance Programme Boards or Steering Groups
Joining project teams to co-develop patient engagement work
Completing surveys to feedback on certain elements of the cancer pathway
Volunteering at community engagement events on behalf of Humber and North Yorkshire Cancer Alliance to speak with the public about cancer
Advising Cancer Alliance colleagues on materials or messaging being produced for patients and their loved ones
Produce a case study outlining your experience of cancer to be shared through the Cancer Alliance's online channels
9. How did you hear about this opportunity?
*
Mandatory
Via a support group I attend
Via a member of staff treating me or the person I care for
Through social media
At an event
Other
If you selected 'Other', please state how you heard about this opportunity
How did you hear about this opportunity?; Other
Continue
;