Submit a request – IT Department

What can we help you with today? Please select from below.

Your email address

Extension Number(optional)

Mobile Number(optional)

Please enter your mobile number in case we need to contact you directly.

Department Area(optional)

MEDICINE & URGENT CARE(optional)

Accident and Emergency(optional)

Cardiology (optional)

Care Of The Elderly (optional)

Discharge Planning & Day Hospitals(optional)

Elderly Wards(optional)

Endocrine/Diabetes/Renal(optional)

Gastro/Endoscopy (optional)

General Medicine(optional)

Haematology(optional)

Med & Urgent Care Manage / Admin(optional)

Medical Wards(optional)

Respiratory (optional)

Specialist Medicine (optional)

Therapies(optional)

Medicine & Urgent Care Nursing Matrons(optional)

Surgery, Anaesthetics, Critical Care and Associated Services

Anaesthetics (optional)

Critical Care (optional)

General Surgery(optional)

Ophthalmology (optional)

Orthopaedics (optional)

Outpatients(optional)

Pharmacy(optional)

Surge & Can Manage/ Admin(optional)

Surgical Wards(optional)

Theatres (optional)

Urology (optional)

Women, Children, Cancer and Diagnostics(optional)

Diagnostic Imaging (optional)

HIV & Sexual Health(optional)

Obs & Gynae (optional)

Oncology & Palliative Care(optional)

Paediatrics (optional)

Pathology (optional)

Radiotherapy (optional)

WC & CS Manage / Admin(optional)

Community Division

Community Services(optional)

Corporate Services

Finance & Procurement (optional)

HR & Staff Welfare(optional)

IM&T(optional)

Information, Data Quality & Coding (optional)

Nursing & Patient Services(optional)

Research & Development(optional)

Trust Board(optional)

Medical Director(optional)

Estates & Facilities

Estates & Facilities (optional)

Inhouse Services(optional)

Medical Equipment (optional)

What is your issue related to?

Hardware(optional)

Clinical/Non-Clinical

Which account do you need resetting?

Please select the account you are having difficulties with.

PC Username

e.g aHSTOME

NHSmail Address

Clinical App(optional)

Other Software(optional)

Subject (request in a few words)

e.g - Password Issue, Printer not working, etc

Description

Please input a brief description of your issue. You must also input your department, and extension number

Cyber

Alerts Type(optional)

Compromised Account(optional)

Information Governance (optional)

Preferred Contact Method(optional)

IT Number(optional)

You can find this on the device, or if it is a PC then it will be on the device's wallpaper.

What needs resetting?(optional)

Attachments(optional)

Add file or drop files here