New Web Form Request

This form is to gather information for the Digital Communications team before the development of any proposed new web form, survey or questionnaire. Please complete this form to the best of your knowledge and ability; this is just to help us understand your request. We will be in touch with you when we receive this form to discuss your plans further, and we will adapt and make tweaks to the development as we go along.

We take your privacy, and the security and confidentiality of healthcare data, extremely seriously. This website has been built with security and confidentiality in mind.

  • Your IP address is never logged in our database.
  • Any person identifiable data you submit via this form is stored on a secure database server in England, which only the relevant authorised healthcare professionals can access.
  • All email notifications containing person identifiable data are sent securely through NHSmail.
  • Our processes for collecting data via this website have been approved by the Hull University Teaching Hospitals NHS Trust Information Governance Committee.
  • We are fully compliant with GDPR and the Data Protection Act 2018.
  • If you have any questions or concerns about this form, please contact the Digital Communications Team.