2026: Join the Lancashire and South Cumbria Integrated Care Board Citizens Health Reference Group

Thank you for your interest in becoming part of the Lancashire and South Cumbria Integrated Care Board (ICB) Citizens Health Reference Group.

Please complete this questionnaire and tell us a little about yourself. Once this period of recruitment to the Group is concluded, we will be in touch to arrange to meet with you.

Please note the closing date for applications is 5pm on Tuesday 31 March 2026.

1. Personal information and contact details *

Name	*
Current role	*
Which city/town/village do you live in?	*
Email	*
Telephone	*

2. Please tell us a little about yourself, your background, and why you would like to join the Group (maximum of 500 words) *

3. Having expressed an interest, we will add your email address to our database for the Virtual Citizens Panel - a database of residents who live in Lancashire and South Cumbria, who have volunteered to take part in regular research, questionnaires and take part in opportunities to share their views and experiences. This comes in the form of emails from the ICB.

If you do not wish to be included in this, please tick the box below. If you are already signed up, you don't need to do anything.

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