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If you can't remember your PIL Code, please check the back of your leaflet or go to Firstport/Resources/Patient Information Leaflets and search for it there
You can find this on the back of the leaflet
You can get the leaflet from Firsport/Resources/Patient Information Leaflets
You can attach any new images to be added to your leaflet, a word document with the changes or the PDF file with the changes as comments or any other relevant files related to the change requested
Please select all that apply
focus groups, team meetings, etc.
clip art, pictures, photos or reproduced text or images from publications or the internet
Have you obtained permission to reproduce this text or image in this particular publication or have you attributed it appropriately according to the website or owner’s guidance? Note – clip art is not necessarily free to use.
Allowed file types: pdf, txt, jpg, jpeg, png, doc, docx, xls, xlsx, odt
Pixabay, Creative Commons, NHS Scotland photo library, https://phil.cdc.gov/default.aspx, www.istockphoto.com (payment required), www.freeimages.com, www.shutterstock.com (payment required), or www.depositphotos.com (payment required or search under ‘free’) or by using the advanced search on Google images (under ‘rights’ select Creative Commons licenses).
Alternatively, contact the Knowledge Services team via Firstport/eHelp/Knowledge Services/Copyright permissions checking service.
Please note that the production of your leaflet will not proceed until evidence of the copyright permission is sent to us.
Please do NOT click Submit. This form is not active. If you need assistance leaflet, email Patientinformation@lanarkshire.scot.nhs.uk instead.
Please do NOT click Submit. This form is not active. If you need assistance or wish to send your leaflet, email Patientinformation@lanarkshire.scot.nhs.uk instead.
(Please detail amount)
You have reviewed your patient information leaflet according to the Readability Checklist and rewritten as necessary before submitting for a readability check
To generate a QR code please follow these steps:
1. Open Edge as your browser
2. Go to the website that you want to generate a QR code for
3. Right click and select ‘Create a QR code for this page’
4. Select ‘Copy’
5. Paste it into your document and resize the code as needed.
We will carry out a readability check on your leaflet or website once we’ve received your completed patient information proposal form. Patient information should be written in plain language and with an appropriate layout that the reader will find easy to navigate. The average reading age in the UK is between 9-11 years of age – so think about whether someone with that level of literacy will understand and retain what you’ve written. Click here to see a helpful example showing how to simplify information and make it suitable for this literacy level. Please amend any patient information you’ve written to take account of the following before you submit your information for a readability check. Information not written in this way will be returned for you to review.
(see the CDC’s Plain Language Thesaurus as alternatives to medical terms, phrases, and references)
e.g. ‘change the dressing every day’ NOT ‘the dressing should be changed every day’
e.g. I/we/you
(approx. 6 max.)
More information on copyright available on Firstport
e.g. food labels. NHSL cannot be seen to endorse a product.
(or the sections/pages where the changes are)
Guides to producing patient information: Written Information Leaflets Policy – NHS Lanarkshire Guide to Producing Health Information for Children and Young People by the Patient Information Forum The Perfect Patient Information Journey by the Patient Information Forum What Does Good Health Information Look Like? by the Patient Information Forum Health Literacy Universal Precautions Toolkit, Tool 11: Design Easy-To-Read Material by the Agency for Healthcare Research and Quality Plain English Campaign tips for writing medical information in plain English Plain English Campaign A–Z of alternative words Simply Put; A guide for creating easy-to-understand materials by the Centers for Disease Control and Prevention Readability Guidelines by Content Design London
Readability scores – to help you determine the reading age level of your written information
Preferred tool – NHS Document Readability Tool Flesch Reading Ease and Flesch-Kincaid Grade Level scores Simple Measure of Gobbledygook (SMOG) scale FORCAST The Gunning’s Fog Index Readability Formula Hemmingway Editor Readable (subscription may be required)
Please attach draft patient leaflet and any supporting documents / images or website that has been written to conform to the Readability Checklist requirements
Once your leaflet has been submitted successfully, you will receive a confirmation email. Please check your inbox and your spam/junk folder.
If you do not receive a confirmation email and it is not in your spam folder, please contact Patientinformation@lanarkshire.scot.nhs.uk for assistance.
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