Get Involved

Join West Cheshire Patients' Panel!

Do you live in western Cheshire? Would you like to have a greater say as to how health services are delivered in the area? If you are interested in becoming a member why not join our Patients' Panel?

We want the people who live in western Cheshire to play a more active role in helping us to shape our services. Membership schemes have been shown to be invaluable as they provide a way of including the opinions of local people in the development of services.

If you are interested in joining our patients panel why not give us some details using the form below:

Title:

First Name:

Last Name:

Email is the main means of contact, however, if you would prefer that we contact you by post, please  provide your postal address.

Email:

or Address:

Town/City:

Post Code:

Telephone:

Year of Birth:

Organisation you represent (if applicable):

Please tick any areas of particular interest you may have:









Please tick the option that best describes your ethnic group or background:

















Do you consider yourself disabled?  

Do you consider yourself a carer?