NHS rainbow badges pledge form

By choosing to wear this badge, you are sending a message that “you can talk to me” about issues of gender and sexuality. You aren’t expected to solve all issues and concerns but you are a friendly ear and will know how to direct those you speak with to support available. 

By completing this form I confirm that:

  • wearing a badge gives a positive message of inclusion and means I have a responsibility to be someone who is a friendly ear for LGBT+ young people and families 
  • I have read the information on the NHS rainbow badges page and explored the support materials for young people 
  • I understand what to do if I think a situation requires escalation
  • I am a staff member, contractor, volunteer or governor at Chelsea and Westminster Hospital NHS Foundation Trust
This should be your nhs.net email address if you have one—volunteers, governors etc please use a suitable email address
Where you normally work the majority of the time
Where you work at the site above—so we can get a badge to you
We’d like to know more about what motivates people to wear a rainbow badge—we may use your quote anonymously to promote the badges to others
Contributors
George Vasilopoulos