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* 1. What is the fundamental health, research or societal issue that needs to be addressed? Please outline the issue in less than 20 words.

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* 2. What are the bottlenecks that are hindering advances in this area? Please describe in less than 200 words.

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* 3. Why is a multidisciplinary debate needed to brainstorm new ways of working? Please indicate the different disciplines and sectors that would need to participate in a meeting. Please describe in less than 100 words.

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* 4. Why is the Wellcome Trust well placed to address this issue and what added value do you think we bring? Please describe in less than 200 words.

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* 5. Name:

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* 6. Email:

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* 7. Job title and organisation:

Thank you for submitting your idea. We will be in touch if we like your idea, and will give you the opportunity to see it evolve.

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