Application form for Advisory Board Member

Advisory Board Member application

The Healthwatch Advisory Board (HAB) was created to give local people a stronger voice in ensuring the lived experiences of those using NHS and/or care services shapes the work of Healthwatch Halton. The HAB will work with staff to identify local priorities & concerns and suggest actions for emerging issues.

Healthwatch Halton is the independent health and social care champion for Halton and is part of a network of over 150 local Healthwatch across England. Healthwatch exists to listen to people’s experiences of health and social care services and use those experiences to help improve services locally and nationally.

If you are interested in applying to volunteer with us in this role then please complete the application form below.

Please read the recruitment pack prior to completion of the form.

Why would you like to join the advisory board?

What skills would you bring to this role?

What experience, either employed or voluntary, do you have of the local health and social care services within Halton?

If you have any experience of being in a group or Board, please let us know here:

About you

Please tell us which age category you fall into.

Please tell us your gender

Is you gender identity the same as your sex recorded at birth?

Please tell us which sexual orientation you identify with

Marital and civil partnership status

Please select your ethnicity

What is your religion or belief?

Do you have a disability?

Do you have a long term condition?

Are you a carer?

Consent