JANUARY 8th 2018

I am writing to invite to join (rejoin) the Patients’ Forum for the LAS.

The Forum is an expert source of influence and information on London's ambulance services. We hold monthlyPublic Meetings at LAS HQ, to which senior staff from the LAS, the LAS Commissioners and many other organisationsmake presentations and answer questions from the public, patients and users.

We also arrange ride-outs to monitor LAS services and providesupport and advice to members wishing to raise issues, concerns, complaints and complements in relation to the quality of or access to ambulance services in London.

Ourprimary role is to represent patients and the public and to influence the LAS to improve services based on the needs of service users in London.Our latest annual report, describes the wide range of our activities You can see our last annual report on our website:

Would you be kind enough to let the Patients' Forum have your £10-00 membership fee (individual membership). You can post it with the form below to: John Larkin, 6 Garden Court, Holden Road, Woodside Park, London, N12 7DG or bring it the next Forum meeting.

We look forward to hearing from you and seeing you at the next Forum meeting on January 8th 2018

All the best

Malcolm Alexander,

Chair

Patients’ Forum Ambulance Services (London) Ltd

MEMBERSHIP ENROLMENT FORM - 2018

FOR USE BY INDIVIDUAL MEMBERS

Kindly complete and return as indicated below

1. Full Name: ______

2. Full Address: ______

3. Email/Telephone : ______

______

I, the above-named hereby apply for enrolment as a registered Member of

Patients’ Forum Ambulance Services (London) Ltd

4. Signature: ______

5. Date of Application: ______

Notes:

  • Members shall be entitled to attend meetings of the Patients’ Forum and vote thereat
  • Membership fee is: £10-00 per annum and cheques should be made payable to the Patients Forum Ambulance Services (London) Ltd.
  • The completed enrolment form must be lodged with the Registered office of the Patients’ Forum: John Larkin, Company Secretary, 6 Garden Court,

Holden Road, WoodsidePark, London, N12 7DG.

6. Please let the Forum know if you have skills and experience that could support the effectiveness of the Forum:

______

______

Affiliation form for HEALTHWATCH and voluntary sector bodies available on request.

1

Patients’ Forum Ambulance Services (London) Ltd. Registered in England.

Registered office: 6 Garden Court, Holden Road, Woodside Park, London, N12 7DG Company limited by guarantee. Company number: 6013086