Awards Nomination Form

Awards Nomination Form

The Tasmanian Palliative Care Awards celebrate the people, teams and organisations who make a meaningful difference to end-of-life care across our state. These awards recognise compassion, innovation and dedication in supporting Tasmanians and their families during some of life’s most important moments. By sharing these stories, we aim to shine a light on the impact of palliative care and inspire a stronger, more connected community.
- Choose the Award
- Nominee's Name
  
  First NameLast Name
- Nominee's phone number
  Please enter a valid phone number.Format: (000) 000-0000.
- Nominee's E-mail Address
- Nominee's Role
  What is your role?
- Nominee's Organisation
- Nominee's Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Please list a contact person ideally from the nominee's organisation, who can verify this nomination. Palliative Care Tasmania may contact this person to verify the details of the nomination.
- Referee's Name
  
  First NameLast Name
- Referee's E-mail Address
  example@example.com
- Referee's Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Nominator's Name
  
  First NameLast Name
- Nominator's email
  example@example.com
- Nominator's phone number
  Please enter a valid phone number.Format: (000) 000-0000.
- Nominator's Organisation

Provide a brief overview of the individual/organisation you are nominating. What do they do? (Please answer in 100–200 words)
How has the individual / organisation made a positive contribution to the Palliative Care sector in the past 12 months? (Please answer in 100–200 words)
Please describe how the nominee delivers exceptional palliative care in a residential aged care or home care setting. Consider how they support improved quality of life, enhance patient outcomes, and provide compassionate, person-centred end-of-life care. (100–200 words)
Please share how the nominee shows leadership or innovation in responding to challenges in palliative care within aged care settings, including how they improve care, support others, and make a meaningful difference. (100–200 words)
Please share how the nominee builds meaningful relationships with residents, families and staff to create a compassionate and supportive care environment. We’re interested in how they foster trust, communicate with empathy, and contribute to a sense of comfort and dignity in care. (100–200 words)
Please share how the nominee delivers high-quality palliative care in a community setting, and how they adapt their care to support the diverse needs of individuals and families. (100–200 words)
Please describe how the nominee collaborates effectively with community organisations to enhance the accessibility and quality of palliative care. We’re interested in how they build partnerships, strengthen referral pathways, and work with others to ensure people can access the care and support they need.(100-200 words)
Please share how the nominee supports awareness and education about palliative care in the community, including how they engage others and help build understanding. (100–200 words)
Please share how the nominee has created a meaningful impact on the palliative care sector through innovation in projects, policies or practices. (100–200 words)
Please share how the nominee leads initiatives that improve inclusivity, accessibility or education for people living with life-limiting conditions, and how this has made a meaningful difference. (100–200 words)
Please share how the nominee drives change or leads initiatives that respond to unmet needs in the palliative care community, and the difference this has made. (100–200 words)
Please share how the nominee delivers compassionate, person-centred care that makes a meaningful difference to individuals with life-limiting illness. (100–200 words)
Please share how the nominee demonstrates leadership or innovation in palliative care through their work in practice, education or advocacy, and the difference this has made. (100–200 words)
Please share how the nominee helps raise awareness or improve processes across the palliative care community, and the impact this has had. (100–200 words)
Please share how the nominee supports individuals with life-limiting illness and their families through emotional, physical or social care, and the difference this has made. (100–200 words)
Please share how the nominee exceeds expectations in their role as a volunteer or carer, and how their compassion and dedication have made a positive impact. (100–200 words)
Please share how the nominee helps create a supportive and inclusive environment for patients and their loved ones, and the difference this has made. (100–200 words)
Please share how the team or organisation delivers coordinated, high-quality palliative care, and how their innovative approach has improved care and support for individuals and families. (100–200 words)
Please share how the team or organisation works collaboratively to improve patient outcomes, satisfaction or quality of life, and how this impact is demonstrated. (100–200 words)
Please describe how the nominee acts as a role model or leader in palliative care, fostering collaboration and knowledge-sharing within the sector. We’re interested in how they support others, share expertise, and contribute to a more connected and informed community. (100–200 words)
Please describe how the nominee exemplifies kindness, compassion and dedication in providing palliative care, and how this has improved the wellbeing of patients and their families. (100–200 words)
Please share how the nominee helps build a culture of kindness and empathy in their workplace or community, and the difference this has made. (100–200 words)
Please share how the nominee honours the legacy of Ruth Andrews through education, advocacy or acts of kindness in palliative care, and the impact this has had. (100–200 words)
Please share how the nominee has made a significant and lasting contribution to palliative care in Tasmania, and the difference this has made. (100–200 words)
Please share how the nominee’s leadership, innovation or advocacy has created a lasting legacy that continues to inspire others in the sector. (100–200 words)
Please share how the nominee has shown a lifelong commitment to improving the lives of people with life-limiting conditions and strengthening palliative care, and the difference this has made. (100–200 words)
Should be Empty: