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PRODID:-//Independent Neurorehabilitation Providers Alliance - ECPv6.15.20//NONSGML v1.0//EN
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X-ORIGINAL-URL:https://in-pa.org.uk
X-WR-CALDESC:Events for Independent Neurorehabilitation Providers Alliance
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X-Robots-Tag:noindex
X-PUBLISHED-TTL:PT1H
BEGIN:VTIMEZONE
TZID:UTC
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TZOFFSETFROM:+0000
TZOFFSETTO:+0000
TZNAME:UTC
DTSTART:20220101T000000
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BEGIN:VEVENT
DTSTART;VALUE=DATE:20240523
DTEND;VALUE=DATE:20240524
DTSTAMP:20260501T071807
CREATED:20240424T123614Z
LAST-MODIFIED:20240424T123640Z
UID:1534-1716422400-1716508799@in-pa.org.uk
SUMMARY:HealthTech Summit 2024
DESCRIPTION:Dive into the dynamic world of Healthcare IT\, where pioneers in the intersection of Information Technology and Healthcare will convene to address pressing challenges and propel the industry forward. Tackling challenges and driving innovation. From data integration to patient outcomes\, explore actionable solutions with industry leaders.
URL:https://in-pa.org.uk/events/healthtech-summit-2024/
LOCATION:Royal Hospital For Neuro-disability\, West Hill\, Putney\, SW15 3SW\, United Kingdom
CATEGORIES:Conference
ATTACH;FMTTYPE=image/jpeg:https://in-pa.org.uk/wp-content/uploads/2023/01/Royal-Hospital-for-Neuro-disability.jpg
ORGANIZER;CN="Royal Hospital For Neuro-disability":MAILTO:info@rhn.org.uk
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=UTC:20240430T090000
DTEND;TZID=UTC:20240430T163000
DTSTAMP:20260501T071807
CREATED:20240319T085508Z
LAST-MODIFIED:20240319T085756Z
UID:1519-1714467600-1714494600@in-pa.org.uk
SUMMARY:Managing Behaviours that Challenge in Individuals with a Brain Injury: The Positive Behaviour Support Approach
DESCRIPTION:This one-day course will be held in person at the RHN and is open to anyone working with individuals with a brain injury who want to increase their skills and knowledge of managing behaviours that challenge. \nIt offers a theoretical and practical introduction to the Positive Behaviour Support (PBS) approach. The use of PBS in managing challenging behaviour is a highly effective\, cost-effective method which is generalisable to a variety of behaviours and settings. \nBy the end of the course\, attendees will\n\nHave an understanding of the possible contributors to challenging behaviour following brain injury.\nBe able to describe the possible functions of challenging behaviour – why is it happening and what does it tell us?\nHave an understanding of the development of both pro-active (preventative) and reactive strategies.\nUnderstand the role of communication impairment in challenging behaviour\nBe able to identify methods that can be incorporated into the clients’ environment and lead to the reduction in incidences of challenging behaviour.\nUnderstand the purpose of completing and collecting data around the incidence of challenging behaviour.\nHave an understanding of how debriefing and regular staff support mechanisms may help teams working with people with behaviours that challenge.
URL:https://in-pa.org.uk/events/managing-behaviours-that-challenge-in-individuals-with-a-brain-injury-the-positive-behaviour-support-approach/
LOCATION:Royal Hospital For Neuro-disability\, West Hill\, Putney\, SW15 3SW\, United Kingdom
CATEGORIES:Brain injury
ATTACH;FMTTYPE=image/jpeg:https://in-pa.org.uk/wp-content/uploads/2024/03/rhn.jpg
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=UTC:20230628T090000
DTEND;TZID=UTC:20230628T170000
DTSTAMP:20260501T071807
CREATED:20230501T123710Z
LAST-MODIFIED:20230807T212726Z
UID:1187-1687942800-1687971600@in-pa.org.uk
SUMMARY:Interdisciplinary Team Approach to the Management of Patients in Persistent Disorders of Consciousness (PDOC)
DESCRIPTION:This one-day in-person course enables clinicians to develop an understanding of the interdisciplinary management for patients with Prolonged Disorders of Consciousness (PDOC) and the challenges commonly faced. We will be referring to RCP PDOC guidelines (2020) with case studies and videos to support this online study day. \nThe day will include\n\nInterdisciplinary and specialist assessment\nCommon complications for patients in PDOC\nBest interests decision making\nInteracting with patients in PDOC\nPostural management in this population\nSupporting families\n\nWe welcome all clinicians involved in the care of this specialist population especially those in acute hospitals or specialist nursing homes wanting to improve their knowledge and management of these patients and their families. \nPresenters will include\n\nRehabilitation Medicine Consultant\nClinical Specialist Nursing\nClinical Specialist Allied Health Professionals\n\nThere will be an opportunity to understand more about the referral process and pathway here at the RHN. \nCost: £180 including lunch and resources\nRegister Here \nFor more information please call 020 8780 4500 ext 5141 or email institute@rhn.org.uk
URL:https://in-pa.org.uk/events/interdisciplinary-team-approach-to-the-management-of-patients-in-persistent-disorders-of-consciousness-pdoc/
LOCATION:Royal Hospital For Neuro-disability\, West Hill\, Putney\, SW15 3SW\, United Kingdom
CATEGORIES:Prolonged Disorders of Consciousness
ATTACH;FMTTYPE=image/jpeg:https://in-pa.org.uk/wp-content/uploads/2023/01/Royal-Hospital-for-Neuro-disability.jpg
ORGANIZER;CN="Royal Hospital For Neuro-disability":MAILTO:info@rhn.org.uk
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=UTC:20230621T080000
DTEND;TZID=UTC:20230621T170000
DTSTAMP:20260501T071807
CREATED:20230519T102538Z
LAST-MODIFIED:20230524T073209Z
UID:1274-1687334400-1687366800@in-pa.org.uk
SUMMARY:Brain Injury Services Assemble!
DESCRIPTION:Northamptonshire Acquired Brain Injury Forum Conference \nBrain Injury Services Assemble!\nServices for people living with brain injury in Northamptonshire \n????️ 21st June 2023 \n???? Northampton Saints Rugby Club \n  \nConference Programme\nThe Northamptonshire Acquired Brain Injury Forum are pleased be holding this conference entitled\, “Brain Injury Services Assemble! –Services for people living with brain injury in Northamptonshire” \n9.15 Arrival\, Registration and Coffee \n9.45 Introduction to the day – Dr Keith Jenkins\, Chair of Northamptonshire Acquired Brain Injury Forum \n9.50 Services in Northamptonshire – The Good\, the Bad and the …. not so good!   Lived experience speaker(s) \n10.20 Integrated Care in Northamptonshire  – Giles West\, Deputy Director Operational Transformation NHFT\, Transformation Lead for Integrated Care Across Northamptonshire \n10.55 The Renewed Service Directory for Acquired Brain Injury Services in Northamptonshire – Roger Reed\, ABIF Northants  \n11.15Coffee/Tea and meeting the services/networking \n11.55 The national picture for acquired brain injury services\, the work of Headway UK – Sarah Russell\, Head of Public Affairs & Colin Morris\, Head of Communications\, Headway UK \n12.30 Northamptonshire Headway Services – Jonny Tudor and Rebecca Lake\, Headway East Northants \n1.00 LUNCH and meeting the services \n1.50 The work of the United Kingdom Acquired Brain injury Forum (UKABIF) – Amanda J Swain Penman\, UKABIF Vice Chairperson \n2.25 A Relative Perspective – Relatives of people living with ABI\, their experience of services \n3.00 The need for increased mental health services after ABI – Jenny Clarke\, SameYou (Brain Injury Charity founded by Emilia Clarke\, ‘Game of Thrones’) \n3.40 Closing Remarks and Questions (There will then be ongoing opportunity for networking until 4.45pm) \n  \nTo attend this one day conference and/or to book a stand for your service\, please contact Julie Mallard\, at julie.mallard@oakleafcare.com \n 
URL:https://in-pa.org.uk/events/brain-injury-services-assemble/
LOCATION:Northampton Saints Rugby Club
CATEGORIES:Brain injury
ATTACH;FMTTYPE=image/webp:https://in-pa.org.uk/wp-content/uploads/2023/05/a4b72406f56090d5b0badda8da2b3d79f4854bf767ed5b0f41bb80c57a674cc8-rimg-w960-h368-gmir.webp
END:VEVENT
BEGIN:VEVENT
DTSTART;VALUE=DATE:20230613
DTEND;VALUE=DATE:20230614
DTSTAMP:20260501T071807
CREATED:20230411T115833Z
LAST-MODIFIED:20230419T094208Z
UID:1148-1686614400-1686700799@in-pa.org.uk
SUMMARY:Brain Injury Rehabilitation – Unlocking potential through rehabilitation
DESCRIPTION:Our 2023 rehabilitation event for catastrophic injury lawyers (claimant and defendant)\, case managers and therapists will be held in Central London on 13 June 2023\, in collaboration with Bush & Co. \n\nBrain Injury Group webinar events\n \n2023 Webinars\nThe list of our popular webinar events on a wide range of topics. \nView webinars \n\n  \nBrain Injury Rehabilitation – Unlocking potential through rehabilitation\nA diverse range of topics\, accredited by APIL Training\, will be included. Members receive free or discounted places at this event (subject to membership level). A fee applies to non-members. Book before 28 April 2023 to take advantage of our 20% early booking discount rate. \nThere will be opportunities throughout the day to ask questions and chat with all our speakers. \nDelegates at our brain injury training events have commented: \n\nExcellent training on a very specific and relevant issue to our work\nVery interesting with excellent\, knowledgeable speakers\nInformative\, interesting – very well run course. Experts were specialists in their field and made the seminar very interesting.\n\nWho is the Brain Injury Rehabilitation training event for?\nDesigned for lawyers\, this day will also be of interest to case managers and other professionals who support those affected by brain injury. \nAccredited by APIL Training (All levels 5 CPD Hours). \nAgenda for this Brain Injury Rehabilitation training event\n– Measuring outcomes and goal setting\nDr Penny Trayner\, Clinical Neuropsychology Services Ltd \n– How to encourage engagement\nBev Palmer\, Bush & Co \n– Overcoming the challenges of looking after brain injured clients in\ntheir own homes\nJo Wilkins\, Bush & Co \n– Unpicking holistic neuropsychological rehabilitation\nAndrew Bateman\, University of Essex \n– Transdisciplinary working in neurobehavioural rehabilitation\nJenny Brooks and Martine Stoffels \n– Independent living trials\nKelly Lingard\, Irwin Mitchell and TBC\, Bush & Co \nBrain Injury Rehabilitation training event pricing\n\nMember law firms/Associate members: first place = free\nMember case managers/therapists may be entitled to a free place subject to individual membership terms\nMember additional places = £105 + VAT\nAll other delegates £210 + VAT\n20% early booking discount applies until 28 April 2023\n\nAccredited by APIL Training (All levels 5 CPD Hours) \nFor more information on Brain Injury Rehabilitation training event\n\nemail enquiries@braininjurygroup.co.uk\nCall us on 0800 612 9660; or\nfor a closer look at the agenda view our Brain Injury Group – Brain Injury Rehabilitation training event flyer
URL:https://in-pa.org.uk/events/brain-injury-rehabilitation-unlocking-potential-through-rehabilitation/
LOCATION:London
CATEGORIES:Rehabilitation
ATTACH;FMTTYPE=image/png:https://in-pa.org.uk/wp-content/uploads/2023/04/Screenshot-2023-04-11-at-12.31.40.png
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=UTC:20230518T093000
DTEND;TZID=UTC:20230518T163000
DTSTAMP:20260501T071807
CREATED:20230419T094146Z
LAST-MODIFIED:20230419T094146Z
UID:1154-1684402200-1684427400@in-pa.org.uk
SUMMARY:Neuropalliation and the End of Life: The Clinical\, Ethical\, Legal and Pastoral issues relevant to excellent care
DESCRIPTION:Neuropalliative Care seeks to embrace all the principles and practices of primary and specialty palliative care\, applying them to the specific needs of patients with neurologic illness and their families. Neuropalliative care thus represents both an emerging subspecialty within neurology and palliative care\, as well as a holistic approach to people suffering from neurologic illnesses (Creutzfeldt 2018). \nThis Conference seeks to emphasise the essential elements of developing good communication skills and styles\, accurate but compassionate prognostication\, as well as awareness of the legal and ethical considerations. This extends to the neuropalliative care in prolonged disorders of consciousness. Primary palliative care is provided by all clinicians who care for patients with serious illness\, regardless of speciality or subspecialty. \nGiven the nature of some neurological diseases\, this focuses on improving their quality of life through symptom control\, both physical and psychological\, rather than just on the diagnosis and treatment of their underlying disease. It will\, at some stage evolve into the supportive care needed at the very end of life\, a founding principle of the Hospice movement. Palliative care is not synonymous with hospice care\, a common myth in the minds of the lay public and many healthcare professionals. Palliative care could therefore start before birth\, be associated with a normal life expectancy\, and only end beyond the death of that person. \nThe Royal Hospital for Neuro-disability hopes to provide a focus on this rapidly expanding field as well as serve as a national leader and resource for professionals\, commissioners and families. This conference will bring together national leaders and recognised experts in this field: \n\nDr Idris Baker\, Consultant in Palliative Medicine\, Swansea. National Clinical Lead for Palliative and End of Life Care\, Wales\nDr Andrew Hanrahan\, Consultant Physician in Neuro-rehabilitation and Clinical Lead in Neuropalliation\, Royal Hospital for Neuro-disability\nDr Amy Kingston\, Consultant in Palliative Medicine\, Royal Trinity Hospice\, London and Royal Hospital for Neuro-disability\nRachael Marsden\, MND Nurse Consultant and Care Co-Ordinator\, Oxford MND Centre\nDr Trevor Stammers\, Associate Professor of Bioethics and Medical Law and Director of the Centre for Bioethics and Emerging Technologies (CBET)\n\nCost: £200 (£180 Early Bird until 30 March 2023)\nRegister here \nProgramme \nFor more information\, please call 020 8780 4500 ext 5141 or email institute@rhn.org.uk
URL:https://in-pa.org.uk/events/neuropalliation-and-the-end-of-life-the-clinical-ethical-legal-and-pastoral-issues-relevant-to-excellent-care/
LOCATION:Royal Hospital For Neuro-disability\, West Hill\, Putney\, SW15 3SW\, United Kingdom
CATEGORIES:Neuropalliation
ATTACH;FMTTYPE=image/jpeg:https://in-pa.org.uk/wp-content/uploads/2023/01/Royal-Hospital-for-Neuro-disability.jpg
ORGANIZER;CN="Royal Hospital For Neuro-disability":MAILTO:info@rhn.org.uk
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=UTC:20230518T093000
DTEND;TZID=UTC:20230518T163000
DTSTAMP:20260501T071807
CREATED:20230329T211216Z
LAST-MODIFIED:20230329T211216Z
UID:1134-1684402200-1684427400@in-pa.org.uk
SUMMARY:Neuropalliation & the End of Life
DESCRIPTION:The Clinical\, Ethical\, Legal and Pastoral issues relevant to excellent care\nNeuropalliative Care seeks to embrace all the principles and practices of primary and specialty palliative care\, applying them to the specific needs of patients with neurologic illness and their families. Neuropalliative care thus represents both an emerging subspecialty within neurology and palliative care\, as well as a holistic approach to people suffering from neurologic illnesses (Creutzfeldt 2018). \nThis Conference seeks to emphasise the essential elements of developing good communication skills and styles\, accurate but compassionate prognostication\, as well as awareness of the legal and ethical considerations. This extends to the neuropalliative care in prolonged disorders of consciousness. Primary palliative care is provided by all clinicians who care for patients with serious illness\, regardless of speciality or subspecialty. \nGiven the nature of some neurological diseases\, this focuses on improving their quality of life through symptom control\, both physical and psychological\, rather than just on the diagnosis and treatment of their underlying disease. It will\, at some stage evolve into the supportive care needed at the very end of life\, a founding principle of the Hospice movement. Palliative care is not synonymous with hospice care\, a common myth in the minds of the lay public and many healthcare professionals. Palliative care could therefore start before birth\, be associated with a normal life expectancy\, and only end beyond the death of that person. \nWith a range of eminent Speakers\, the Royal Hospital for Neuro-disability hopes to provide a focus on this rapidly expanding field as well as serve as a national leader and resource for professionals\, commissioners and families. \nCost: £200 (£180 Early Bird until 30 March 2023)\nRegister here \nProgramme \nFor more information\, please call 020 8780 4500 ext 5141 or email institute@rhn.org.uk
URL:https://in-pa.org.uk/events/neuropalliation-the-end-of-life/
LOCATION:Royal Hospital For Neuro-disability\, West Hill\, Putney\, SW15 3SW\, United Kingdom
CATEGORIES:Neuropalliation
ATTACH;FMTTYPE=image/jpeg:https://in-pa.org.uk/wp-content/uploads/2023/03/Fr0tgQPXoAAxbbL-scaled.jpg
ORGANIZER;CN="Royal Hospital For Neuro-disability":MAILTO:info@rhn.org.uk
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=UTC:20230516T093000
DTEND;TZID=UTC:20230516T130000
DTSTAMP:20260501T071807
CREATED:20230329T100519Z
LAST-MODIFIED:20230329T100519Z
UID:1114-1684229400-1684242000@in-pa.org.uk
SUMMARY:Running Speech & Language Therapy Groups in Complex Neuro-disability
DESCRIPTION:Online via Zoom\nThis one day online course will provide an overview of the efficacy and benefits of using groups in the management of people with a neurodisability. It is aimed at speech and language therapists who are wanting to set groups up within a service or who are already running them and would like to develop and share their ideas. \nSpecialist team members from the RHN will present on a range of topics and the day will include: \n\nOverview of current evidence and guidance\nExamples of groups run at the RHN\nIncorporating goals and outcomes\nCase studies and practical workshops\nPatient experiences\nMDT and family involvement\n\nLearning objectives\n\nIdentify current evidence and guidance around running groups for patients with neuro-disability.\nIdentify different formats for groups for people with complex neuro-disability.\nUnderstand MDT working within the context of running groups.\nIdentify appropriate outcome measures for groups.\n\nLead facilitator\nSophie Lindsen\nSpecialist Speech & Language Therapist\nRoyal Hospital for Neuro-disability \nCost: £50\nRegister Here \nFor more information\, please call 020 8780 4500 ext 5141 or email institute@rhn.org.uk
URL:https://in-pa.org.uk/events/running-speech-language-therapy-groups-in-complex-neuro-disability/
CATEGORIES:Neuro-disability,Speech & Language Therapy
ATTACH;FMTTYPE=image/jpeg:https://in-pa.org.uk/wp-content/uploads/2023/03/FsTHJfYWIAAIO17-scaled.jpg
ORGANIZER;CN="Sophie Lindsen Specialist Speech & Language Therapist Royal Hospital for Neuro-disability":MAILTO:institute@rhn.org.uk
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=UTC:20230426T120000
DTEND;TZID=UTC:20230426T130000
DTSTAMP:20260501T071807
CREATED:20230411T113220Z
LAST-MODIFIED:20230419T094828Z
UID:1144-1682510400-1682514000@in-pa.org.uk
SUMMARY:Brain injury and FND implications
DESCRIPTION:This webinar will feature Heather Batey from Reach Personal Injury who will provide a research based\, outcome focussed presentation on FND. The presentation will cover: \n\nWhat is FND?\nWho gets FND?\nKey treatment principals\nTake home messages for clinicians\n\nAccredited APIL Training (1 hour all levels) \nOur 2023 webinar programme is sponsored by Premex Plus. \nMembers\, the NHS and registered charities receive unlimited free access to our webinars\, non-members may attend for a fee of £29 + VAT per person per webinar. All webinars are recorded and available\, on demand via our website. \nTo find out more about membership\, email julie.mccarthy@braininjurygroup.co.uk \nBook now!
URL:https://in-pa.org.uk/events/brain-injury-and-fnd-implications/
CATEGORIES:Brain injury,FND implications
ATTACH;FMTTYPE=image/png:https://in-pa.org.uk/wp-content/uploads/2023/04/Screenshot-2023-04-11-at-12.31.40.png
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=UTC:20230420T090000
DTEND;TZID=UTC:20230420T163000
DTSTAMP:20260501T071807
CREATED:20230323T131952Z
LAST-MODIFIED:20230323T131952Z
UID:1100-1681981200-1682008200@in-pa.org.uk
SUMMARY:Spinal Injuries Conference
DESCRIPTION:Join us\, Stewarts Law and Outer Temple\nSave the date!\nJoin specialists from a range of disciplines as they explore the very latest practises\, techniques and current thinking for those supporting individuals affected by spinal injury. \nThis informative and compelling industry conference will use case studies\, robotic technology demonstrations and inspiring stories to chart a client journey from injury\, through acute hospital treatment and rehabilitation\, to living with a spinal injury. This will be of interest to clinicians\, commissioners and case managers working with individuals with spinal injuries. \nIn addition the conference includes demonstrations of ground-breaking rehabilitation robotic technology\, medical\, legal and sporting speakers. \nView the Agenda here. \nTo reserve your space\, please email: hello@stepsrehabilitation.co.uk.\n 
URL:https://in-pa.org.uk/events/spinal-injuries-conference/
LOCATION:OEC Sheffield\, Penistone Rd\, Sheffield\, S6 2DE\, United Kingdom
CATEGORIES:Conference,Rehabilitation,Spinal injuries
ATTACH;FMTTYPE=image/jpeg:https://in-pa.org.uk/wp-content/uploads/2023/03/1678723226864.jpeg
ORGANIZER;CN="Steps rehabilitation":MAILTO:hello@stepsrehabilitation.co.uk
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=UTC:20230413T180000
DTEND;TZID=UTC:20230413T180000
DTSTAMP:20260501T071807
CREATED:20230329T103447Z
LAST-MODIFIED:20230331T073737Z
UID:1124-1681408800-1681408800@in-pa.org.uk
SUMMARY:Sheffield Curry Night 2023
DESCRIPTION:STEPS Rehabilitation invite you to a Sheffield Curry Night in support of AvMA\, the charity for patient safety and justice. \nDate: Thursday 13th April 2023 \nTime: 6pm – 11pm \nVenue: Akbar’s Sheffield\, 10 Fitzwilliam St\, Broomhall\, Sheffield S1 4JB \nTickets: £40 includes a two course meal and sundries \nBook now \nKindly sponsored by France & Associates\, Ashtons Legal and Richard Baker KC (7BR).
URL:https://in-pa.org.uk/events/sheffield-curry-night-2023/
LOCATION:Akbars\, Sheffield\, 10 Fitzwilliam St\, Sheffield\, S1 4JB
CATEGORIES:Charity night
ATTACH;FMTTYPE=image/png:https://in-pa.org.uk/wp-content/uploads/2023/03/Screenshot-2023-03-29-at-11.29.56.png
ORGANIZER;CN="STEPS Rehabilitation":MAILTO:hello@stepsrehabilitation.co.uk
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=UTC:20230211T080000
DTEND;TZID=UTC:20230211T170000
DTSTAMP:20260501T071807
CREATED:20230121T125344Z
LAST-MODIFIED:20230121T142659Z
UID:981-1676102400-1676134800@in-pa.org.uk
SUMMARY:A career in care
DESCRIPTION:Join us at Cygnet\n\n\n\n\n\n\n\n\n\n\nLife changing careers.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nWe are recruiting Care Support Workers in Sheffield. You’ll become part of our inspiring team that helps to support individuals with learning disabilities and mental health needs. \nWe’re looking for caring\, compassionate people and previous experience isn’t essential\, as full training is provided. What’s important is a desire to help others and make a difference. At Cygnet\, you will receive continuous professional development\, competitive rates and flexible working hours. \nTo register for this event\, click here.
URL:https://in-pa.org.uk/events/a-career-in-care/
LOCATION:Crowne Plaza Royal Victoria Hotel\, Victoria Station Road\, Sheffield\, S4 7YE\, United Kingdom
ATTACH;FMTTYPE=image/webp:https://in-pa.org.uk/wp-content/uploads/2023/01/071_maidstone.webp
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END:VCALENDAR