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First Name Last Name Email address Telephone number (day) Mobile Organisation Details What is your role? - Select -AcademicAllied Health ProfessionalBusiness / Income GenerationCare Liaison / Care CoordinatorChief ExecutiveCommissionerCommunity EngagementCounsellorData teamDoctor - GPDoctor - OtherDoctor - PaediatricDoctor - Palliative CareEducator / TrainerFaith LeaderFinance teamFundraiserHealth Care AssistantHuman Resources / Workforce support teamIT / Technology teamMarketing / Communications teamNurse - AdmiralNurse - District NurseNurse - OtherNurse - PaediatricNurse - Palliative CareNursing AssociateOperations / Management teamParamedicPharmacistPolicy / Public Affairs teamProjects teamQuality / Governance teamRetail teamSocial WorkerTherapistTrustee - Board memberTrustee - ChairVolunteerOther What seniority do you work at? - None -Advanced Practitioner (clinical / care roles only)Board member (trustees only)Chief ExecutiveConsultant / GPwER / GP (doctors only)DirectorExperienced / Specialist (clinical / care roles only)Head of DepartmentLecturerManagerNewly QualifiedOfficer / ExecutiveProfessorResearcherSenior ManagerTeam LeaderTrainee / StudentOther Name of hospice / organisation Name of hospice / organisation - Select -ACCORD HospiceAcorns Children's Hospice TrustAlexander Devine Children's Hospice ServiceAlice House HospiceArdgowan HospiceArthur Rank Hospice CharityAshgate HospicecareBarnsley HospiceBassetlaw Hospice of the Good ShepherdBeaumond House Hospice CareBethesda HospiceBirmingham HospiceBluebell Wood Children's HospiceBlythe House HospiceBolton HospiceBracken TrustBury HospiceButterfly HospiceButterwick Hospice CareCampden Home Nursing CIOChildren's Hospice South WestChildren's Hospices Across Scotland (CHAS)City HospiceClaire House Children's HospiceCompton CareCornwall Hospice CareCountess of Brecknock Hospice TrustCransley HospiceCynthia Spencer HospiceDemelza Hospice Care for ChildrenDerian House Children's HospiceDerwentside Hospice Care Foundation - Willow Burn HospiceDorothy House Hospice CareDouglas Macmillan HospiceDove Cottage Day HospiceDove House HospiceDr Kershaw's HospiceEast Anglia's Children's HospicesEast Cheshire HospiceEast Lancashire HospiceEden Valley HospiceEllenorFarleigh HospiceFlorence Nightingale Hospice CharityForest Holme Hospice CharityForget Me Not Children's HospiceFoyle HospiceFrancis House Children's HospiceFriends of Roxburghe HouseGarden House HospiceGreat Oaks HospiceGreenwich and Bexley Community HospiceHalton Haven HospiceHarlington Hospice AssociationHaven House Children's HospiceHavens HospicesHeart of Kent HospiceHelen and Douglas House Hospice Care for Children and Young AdultsHighland HospiceHope House Children's HospiceHospice at Home West CumbriaHospice at Home, Carlisle and North LakelandHospice in the WealdHospice Isle of ManHospice of St FrancisHospice of the Good ShepherdHospice of the Valleys/Hosbis y CymoeddHospiceCare North NorthumberlandHospiscareIsabel HospiceJersey Hospice CareJessie MayJohn Eastwood Hospices TrustJulia's HouseKate's Home NursingKatharine House Hospice (Banbury)Katharine House Hospice (Stafford)Keech Hospice CareKemp HospiceKilbryde HospiceKirkwood HospiceLakelands HospiceLawrence Home NursingLes Bourgs HospiceLewis-Manning Hospice CareLindsey Lodge HospiceLongfieldLOROS Leicestershire and Rutland HospiceMacmillan Caring LocallyMarie CurieMartin HouseMary Ann Evans HospiceMary Stevens HospiceMidhurst Palliative Care CIOMountbatten Hospice GroupNaomi House and Jacksplace Children's HospiceNightingale House HospiceNoah's Ark Children's HospiceNorth Devon HospiceNorth London HospiceNorth Yorkshire Hospice CareNorthern Ireland HospiceNottinghamshire HospiceOakhaven HospiceOvergate HospicePaul Sartori FoundationPendleside HospicePhyllis Tuckwell HospicePilgrims Hospices in East KentPrimrose HospicePrince and Princess of Wales HospicePrincess Alice HospicePriscilla Bacon Hospice Care LtdProspect HospiceQueenscourt HospiceRainbows Hospice for Children and Young PeopleRennie Grove Peace Hospice CareRichard House Children's HospiceRosemary Foundation - Hospice at HomeRossendale HospiceRotherham Doncaster and South Humber NHS Foundation Trust Charitable FundRotherham HospiceRowcroft - The Torbay and South Devon HospiceRoyal Trinity HospiceSaint Catherine's HospiceSaint Francis HospiceSalisbury Hospice CharitySevern HospiceSeaton & District Hospital League of FriendsShalom HouseShipston Home NursingShooting Star Children's HospicesSkanda Vale HospiceSobell House Hospice Charity LtdSidmouth Hospice at HomeSouth Bucks HospiceSouthern Area Hospice ServicesSpringhill HospiceSt Andrew's Hospice (Grimsby)St Andrew's Hospice (Lanarkshire)St Ann's HospiceSt Barnabas HospicesSt Barnabas Lincolnshire HospiceSt Benedict's Hospice CharitySt Catherine's Hospice (Crawley)St Catherine's Hospice, LancashireSt Christopher's HospiceSt Clare West Essex Hospice Care TrustSt Columba's HospiceSt Cuthbert's HospiceSt David's Foundation Hospice CareSt David's HospiceSt Elizabeth HospiceSt Gemma's HospiceSt Giles HospiceSt John's Hospice (London)St Helena HospiceSt John's Hospice, LancasterSt Joseph's Hospice (London)St Joseph's Hospice AssociationSt Kentigern HospiceSt Leonard's HospiceSt Luke's Cheshire HospiceSt Luke's Hospice (Basildon)St Luke's Hospice (Harrow And Brent)St Luke's Hospice (Plymouth)St Luke's Hospice (Sheffield)St Margaret of Scotland HospiceSt Margaret's Hospice (Somerset)St Mary's HospiceSt Michael’s Hospice (Hastings and Rother)St Michael's Hospice (Hereford)St Michael's Hospice (North Hampshire)St Nicholas Hospice CareSt Oswald's HospiceSt Peter & St James HospiceSt Peter's HospiceSt Raphael's HospiceSt Richard's HospiceSt Rocco's HospiceSt Vincent's HospiceSt Wilfrid's Hospice (Chichester)St Wilfrid's Hospice (Eastbourne)Strathcarron HospiceSue RyderTeesside Hospice Care FoundationThames HospiceThe Ayrshire HospiceThe Darlington & District Hospice Movement (St Teresa's Hospice)The Myton HospicesThe Norfolk Hospice, Tapping HouseThe Prince of Wales HospiceThe Rowans HospiceThe Shakespeare HospiceTreetops Hospice CareTrinity Hospice and Palliative Care ServicesTy HafanTy Olwen Trust FundTynedale Hospice at HomeWakefield HospiceWeldmar HospicecareWeston HospicecareWigan and Leigh HospiceWillen HospiceWillow Wood HospiceWillowbrook HospiceWinchester Hospice CharityWirral Hospice St John'sWisdom Hospice CharityWoking & Sam Beare HospiceWoodlands HospiceZoe's Place - 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