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weve got four speakers this afternoon and Im going to introduce them but before I introduce them I thought it might be helpful to introduce you as the audience to them today is about this afternoon is about design thinking and end-of-life care and I wondered if people would mind putting up your hand if you heard Charlie Leadbeater speak at the help the hospices conference in 2009 keep your hand up did you hear him in 2010 and have you read dying for change that was done by demos lovely lovely okay for me those two talks by Charlie and then the publication by demos called dying for change had to with the enormous ly challenging but some real opportunities in there as well but the two challenges that I have thought a lot about in my own practice and my leadership of st. Christophers is this one he talked about intimacy at scale and the book remarks on how well hospices do but how few people get access to the kind of services they need and I have been very challenged by that and you on