ANNUAL CONFERENCE 2026

Title*

First Name*

Last Name*

Email*

Hospital*
—Please choose an option—Alder Hey Children’s NHS Foundation TrustBeacon HospitalBlackrock Health – Galway ClinicBlackrock Health – Blackrock ClinicBlackrock Health – Hermitage ClinicBon Secours Health SystemEast Cheshire NHS TrustGateshead Health NHS Foundation TrustHCA LondonLiverpool Women’s NHS Foundation TrustMater PrivateMEDITECH StaffMid Cheshire Hospital NHS Foundation TrustMoorfields Eye HospitalNew Victoria HospitalNorfolk and Waveney ICSSouth Tyneside and Sunderland NHS Foundation TrustThe Clatterbridge Cancer Centre NHS Foundation TrustThe London ClinicThe Rotherham NHS Foundation TrustUniversity Hospitals of Derby and Burton NHS Foundation TrustUPMC

Attending Evening Reception at the Titanic Hotel (6pm)*
YesNo

Dietary requirements*

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