To nominate, complete the nomination form below and submit.

You can submit multiple nominations using this online form. For further clarification on the entry process, please click here.

Please ensure you have read the Terms and Conditions below before submitting an entry. All entries must be received by 5pm on 16 November 2018.

For any queries please contact our team by email or call us on 0161 509 1255.

Entry 1

Your Details

Category: *

Select NHS Organisation: *

Your Name: *

Your Job Title: *

Your Email: *

Your Contact Number: *

How did you hear about us: *

Your Entry

Supporting Files

Nominee/Team Photograph - Optional (JPEG or PNG format)

Supporting Material:

Supporting Material:

Supporting Material:

 I have read the Terms and Conditions *
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