NHS Innovations South West Innovator of the Quarter Entry Form

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Tel: 01722 326006
Email: info@nisw.co.uk

Innovator of the Quarter Entry Form

Enter NHS Innovations South West Innovator of the Quarter Competition and receive a prize for nominating the winner.

Do you know if one of your colleagues has come up with a solution to a problem that could benefit staff, patients or both? For example the solution might be a product, IT software or educational. We are interested in solutions at any stage of development no matter how big or small.

If you think you know of someone, and would like to nominate them then fill in the form below and submit the completed entry form, or click here and print the entry form.

Entry Form

Your Title:

Your first name:

Your last name:

Your occupation:

Your department:

Your email address:

The name of the Hospital/Trust that employs you:

Your work address:

Your work telephone:

Name of the person you are nominating:

Job title of the person you are nominating:

The name of the Hospital/Trust that employs them:

The address of the person you are nominating:

The telephone number of the person you are nominating:

The email address of the person you are nominating:

In no more than 250 words, give at least one example of your nominees’s innovations or inventions and say why you believe they should be the NHS Innovations South West ‘Innovator of the Quarter.’:

I have read and agree to the Rules for Entry

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NHS Innovations South West

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Innovator of the Quarter Entry Form

Entry Form

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