Conference/speech details

NHS Improvement receives a large volume of speaker requests. If possible, please submit your request at least 6 weeks before your event.

Unfortunately, due to the large number received, we cannot meet every request. We will, however, respond to every request within 2 weeks of receipt.

If you would like to speak to anyone directly about your request or to follow up on a submitted request, please contact nhsi.stakeholderteam@nhs.net.

If a draft agenda is available please email it to nhsi.stakeholderteam@nhs.net, along with the name and date of your event, once you've submitted your form.

Title of your conference

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* 1. Title of your conference

Date of conference/speech

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* 2. Date of conference/speech

Enter a date
Time of conference/speech

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* 3. Time of conference/speech

Enter a time
Location (City, Country)

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* 4. Location (City, Country)

Name of requested speaker (if known)

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* 6. Name of requested speaker (if known)

Speech subject

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* 7. Speech subject

Speech title

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* 8. Speech title

Length of speech

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* 9. Length of speech

What would you like delegates to learn from the proposed session?

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* 10. What would you like delegates to learn from the proposed session?

Other speakers (confirmed)

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* 11. Other speakers (confirmed)

Other speakers (invited)

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* 12. Other speakers (invited)

Audience (sector/level)

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* 13. Audience (sector/level)

Expected numbers

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* 14. Expected numbers

Have you approached the speaker directly or contacted anyone else at NHS Improvement about the event? If so, who?

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* 15. Have you approached the speaker directly or contacted anyone else at NHS Improvement about the event? If so, who?

Will journalists be present at this event? If so, who?

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* 16. Will journalists be present at this event? If so, who?

Any additional details

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* 17. Any additional details

Do you have regular contact with anyone at NHS Improvement? If so, who?

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* 18. Do you have regular contact with anyone at NHS Improvement? If so, who?

Your name

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* 19. Your name

Your company or organisation

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* 20. Your company or organisation

Telephone number

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* 21. Telephone number

Email address

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* 22. Email address

If a draft agenda is available please email it to nhsi.stakeholderteam@nhs.net, along with the name and date of your event, once you've submitted your form.

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