Southern Derbyshire Clinical Commissioning Group recognises and actively promotes the benefits of diversity and is committed to treating everyone with dignity and respect regardless of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex (gender) or sexual orientation. To ensure that our services are designed for the population we serve, we would like you to complete the short monitoring section below. The information provided will only be used for the purpose it has been collected for and will not be passed on to any third parties.
All information will be kept strictly confidential and in accordance with the Data Protection Act 1998 and associated protocols.
All Southern Derbyshire Clinical Commissioning Group Policies can be provided in large print or Braille formats, if requested, and an interpreting service is available to individuals who require them.
For any questions or feedback regarding this form please contact Claire Haynes, Engagement Manager either by Phone: 01332 868677or Email: email@example.com
NHS Southern Derbyshire CCG
10 Nottingham Road
Derby DE1 3QT
Tel: 01332 888 080