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This crossword is very difficult for me, therefore I have to ask for help, I hope that you will bear with me as I do not think this will be the last approach I will make.
1D Stand with one outside hospital to make complaint. (11)
s???a???c??
34A Books and a sticker collected by mostly hard-up party organisers.(9)
34D Quietly topping others, manned satellite, if you ask me, is most speedy. (11)
40A Fiction by people put out for religious festival. (9,2,3,5)
30D Where estate maybe would show evidence of early settlement.
(3-3-7) Is this pay-and-display?

1 D Stomachache, complaint. Stomach, stand + Ace, one, with H for hospital inside the latter.

40 Invention Of The Cross

30 Yes, Pay And Display

34 D. Prestissimo, most speedy (in musical terms). P, quietly, Rest,others, ISS, international space station + IMO, in my opinion. Phew!

34 Politburo, party organisers (political party). Lit = books + bur, sticker (burr is more common, but Chambers gives both) inside Poo(r), mostly hard-up. Po lit bur o.

Thank you Malone, and if you are going "phew" you can well imagine what I'm saying, I've never heard of "stomachache". Well you learn something everyday!