Making Memories
Friends of ANCHOR Making Memories funding supports cancer and haematology patients living in the north of Scotland, including Orkney and Shetland to create special moments with their loved ones when time is especially precious. The fund is available for patients who are receiving end-of-life care or who have a life-limiting prognosis of less than a year. Applications are open to patients aged 16 years and over, in line with the governance arrangements for those treated within adult oncology and haematology services. Each patient may receive support for one Making Memories experience, and all applications must be supported and approved by a member of the patient’s NHS clinical team. Please note applications cannot be submitted solely for fingerprint jewellery. All patients receiving end of life care are entitled to one complimentary piece of jewellery, regardless of Making Memories funding. Where funding remains after a Making Memories experience has taken place, or if a memory has not been able to be fulfilled, the remaining funding may be used toward additional jewellery pieces.
Who will be the point of contact for Friends of ANCHOR for organising this memory?
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The patient
Someone else
Referrer Details
Referrer Name
*
Referrer First Name
Referrer Last Name
Referrer Department/Role
*
Referrer Phone
*
Referrer Email
*
example@example.com
Patient Details
Patient Name
*
Patient First Name
Patient Last Name
CHI Number
*
Patient Phone
*
Patient Email
example@example.com
Patient Address
Street
Street Address Line 2
Town / City
County
Postcode
Ward details if currently an inpatient
Point of Contact Details
Contact Name
*
Contact First Name
Contact Last Name
Contact Email
example@example.com
Contact Phone
Relationship to Patient
Friend
Family
Other
Memory Details
What memory would you like to create?
*
Why would you like this memory to happen?
*
Do you have a specific date you'd like to plan the memory for?
Yes
No
Is there a preferred date? (Leave blank if no specific date)
-
Day
-
Month
Year
Date
Information around Memory Date/Timing
Expected Total Cost
*
Supporting Statement
*
Confirm Patient Meets Criteria.
*
I confirm patient meets criteria
Submit
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