Kirsty Ellen Howard (20 September 1995 – 24 October 2015) was an English children's hospice advocate known for her fundraising efforts for Francis House Children's Hospice in Didsbury, Manchester. As a patient of the hospice, Howard was the figurehead of the Kirsty's Club (formerly known as the Kirsty's Appeal), a charity dedicated for fundraising for the facility, which was severely underfunded at the time. Her efforts gained national support and attention. At the time of her death, she had raised over £7.5 million for the hospice. Birth and illness Kirsty Howard was born on 20 September 1995 at the Wythenshawe Hospital, Manchester, to Lynn and Steve Howard of Northern Moor, the youngest of three sisters. Shortly after her birth, Howard was discovered to have a serious congenital heart defect: her heart was back to front, causing the misplacement of her internal organs. The condition, a form of situs ambiguus, is exceptionally rare and has an occurrence of one in 60 million; only one case was reported previously. After surviving 11 operations, including 9 heart surgeries, Howard was considered too fragile to receive anaesthesia and the only option was palliative care. She needed around-the-clock care, including continuous oxygen therapy through a nasal cannula connected to a cylinder. In February 1999, she was declared to have only six weeks to live and admitted to Francis House Children's Hospice. Children's hospice advocacy Opened in November 1991 by Diana, Princess of Wales, Francis House Children's Hospice is the fifth children's hospice in the UK and one of the oldest around the world. Like most children's hospices in the country, the charity receives little public funding and relies on donations extensively. By the time Howard was admitted in 1999, it was in severe financial difficulties and required at least £5 million (equivalent to £7.73 million in 2021) to continue its operation. Piccadilly Radio presenter Susie Mathis, who had been paying attention to the facility since its start, decided to take the challenge of designing a fundraising campaign with her team. Their first ad, which was designed by advertisement agencies, failed to receive attention despite appearing in several newspapers. Mathis realised that a real-life figure was needed to gain sympathy from the public and Howard became a perfect choice. On 6 October 2001, Howard was the mascot for the 2002 World Cup qualifying match between England and Greece. Commentator John Motson called her "the bravest person