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First name
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Last name
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Phone:
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Email:
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Organisation:
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Job Title
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Type
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Healthcare innovation
Non-healthcare innovation
Target Audience the Innovation is aimed at:
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Overview of Innovation/ Idea
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Anticipated Benefits of Innovation
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Does this align to any NHS and/or Government initiative and/or legislation? If so, please detail these here:
What stage of development is the idea/innovation at?
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Tell us why we should explore this idea further with you.
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