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* 1. What services currently delivered in a hospital setting could (and should) be moved out of hospital, closer to patients’ homes?

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* 2. What measure/changes do you think should be taken that would best help tackle the backlog?

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* 3. What role could technology (e.g. wearable monitoring devices, virtual consultations, etc) play in supporting the service changes and improving patient care / self-care?

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* 4. Please tick the box to say if you would / would not like to stay involved in our work on this area.

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* 5. Name

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* 6. Job Title

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* 7. Email address - If you have ticked yes to question 4 above.

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* 8. Organisation / Health Board

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