NHS Innovations South West Innovator of the Quarter Entry Form

Innovators

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

Innovator of the Quarter Entry Form

WIN A PRIZE WORTH UP TO £500
If one of your colleagues has come up with a solution to a problem you face each day in your work within the NHS they could win a prize worth up to £500 as the NHS Innovations South West ‘Innovator of the Quarter’ – and you could win a reward for nominating them.

Please read the Rules for Entry before completing the Entry Form.

An Entry Form can also be downloaded.

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

Submit Entry

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NHS Innovations South West

Contact Us Now on:

Innovator of the Quarter Entry Form

Entry Form

Previous Winners