The Tracy Hill Patient Champion Carers Award

Nomination form

Award criteria:

'An individual/caregiver (e.g. partner, parent, sibling, child, friend, unpaid carer, etc) who demonstrates support, understanding and dependability to someone living with or adjusting to HAN.'

Nomination criteria
:

You must clearly explain how the individual demonstrates their support, understanding and dependability towards someone living with or adjusting to HAN.

'Certificates of Recognition' may be awarded based on the recommendations of the judging panel.

Who can submit a nomination for this award?

· Anyone who believes they have a suitable candidate.
· You can self-nominate.
· PINNT members and non-members.

Who can be nominated?

Those who meet the criteria. A family member(s), a friend(s), an unpaid carer, anyone who is part of your support network who consistently makes a difference.

Terms and conditions

- You can submit more than one nomination for different candidates.
- All nominations will be viewed equally.
- Submissions close on Friday 31st July 2026.
- An independent panel will review the nominations.
- The winners will be announced on Monday 14th September 2026.
- There is no cash alternative.
- The panel’s decision will be final.

Submissions close on Friday 31st July 2026.

The winners will be announced on Monday 14th September 2026.

1.Your personal contact details:(Required.)
2.Are you a PINNT member?(Required.)
3.Name of the individual(s) you are nominating:(Required.)
4.Contact email address for the individual you are nominating:(Required.)
5.Phone number for the individual you are nominating if known:
6.Please outline why you are nominating them based on the criteria above.

Tell us as much as you can to support your nomination, the more you share the better. Include any specific examples that demonstrate why you feel they are a patient champion.

(Required.)
7.Have you informed the nominee that you have nominated them for the award?(Required.)
8.If your candidate is successful are you happy for PINNT to inform them who nominated them?(Required.)