Do you want to help the NHS get better?
Coventry & Rugby Health Champions are invited to participate in a variety of ways allowing you to play as big or small part as you wish. Health Champions:
Fill in the form below and help your NHS get better.
Your information will be held by NHS Arden Commissioning Support and you will receive regular updates and surveys from NHS Coventry & Rugby Clinical Commissioning Group. We will not share your data with anyone without your explicit consent. Your data will be kept in accordance with the NHS confidentiality code of practice.
Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.All Information submitted through secure forms is secured with a private key known only to the CCG and is accessed over a secure connection by nominated members. Our CCG has a strict confidentiality policy.This information is not shared with any third party organisations.On our website:
This information is retained for up to 28 days.
I consent to my information being used for the purposes described above and wish to submit this online form to
Coventry and Rugby Clinical Commissioning Group
Parkside House, Quinton Road, Coventry, CV1 2NJ.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.