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About Us
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Contact Us
Tel: 0161 710 3250
Innovator Engagement Form
Enter your Innovation details below
NHS IS (INN-)
Salutation
--None--
Mr.
Ms.
Mrs.
Dr.
Prof.
Mx.
First name
Surname
Company
Company Reg. No.
Street address (all address lines preceding town/ city)
Town/ city
County
Postcode
Country
Phone number
Email address
Website
Parent company (if appropriate)
Organisation Size
--None--
Individual
Micro (2-9 Employees)
Small (10-49 Employees)
Medium (50-249 Employees)
Large (250+ Employees)
Organisation Type
--None--
Academia
Charitable incorporated organisation
Community benefit society
Community interest company
Co-operative society
Integrated Care Board
Limited liability partnership
Limited Partnership
Local Authority
Partnership
Primary Care Network
Private company limited by guarantee
Private company limited by shares
Private unlimited company
Public limited company
Sole Trader
Trust
Unincorporated Association
Unknown
Innovation Name
Innovation type
--None--
Medical device
In vitro diagnostic
Pharmaceutical
Digital (including apps, platforms, software)
Diagnostics
Artificial intelligence (AI)
Education or training of workforce
Personal protective equipment (PPE)
Models of care and clinical pathways
Estates and facilities
Travel and transport
Food and nutrition
Data and monitoring
Service
Therapeutics
Unknown
Other (please specify)
Innovation Type - Other
Innovation Description
Care Settings
Academia
Acute Trust - Inpatient
Acute Trust - Outpatient
Ambulance
Care Homes or Care setting
Community Service
Day Patient
Dentistry
End-of-life care (EOLC)
ICS
Industry
Local Authority - Education
Mental Health Trust
Mental Health Community Services
Optometry
Person's home
Pharmacies
GP Primary Care
Social Care
Third Sector Organisations
Urgent & Emergency
Unknown
Other (please specify)
Care Settings - Other
Clinical Areas
Non-clinical area
Ageing
Antimicrobial Stewardship
Blood and immune system conditions
Cancer
Cardiovascular conditions
Chronic and neuropathic pain
Chronic fatigue syndrome
CVD: AF/Stroke
CVD: CKD
CVD: Diabetes
CVD: Heart Failure
CVD: Lipids
CVD: Obesity
CVD: Hypertension
Cystic fibrosis
Diabetes and other endocrinal, nutritional and metabolic conditions
Digestive tract conditions
Disease Agnostic
Ear, nose and throat conditions
Eye conditions
Fertility, pregnancy and childbirth
Genomic Medicine
Gynaecological conditions
Immunology
Infections
Injuries, accidents and wounds
Kidney conditions
Liver conditions
Mental health and behavioural conditions
Mental Health: ADHD
Mental Health: Autism
Mental Health: Dementia
Multiple long-term conditions
Musculoskeletal conditions
Neurological conditions
Nutritional products
Oral and dental health
Pharmacy
Primary Care
Radiology or Imaging
Respiratory: Other conditions
Respiratory: Asthma
Respiratory: COPD
Respiratory: Infection
Respiratory: Sleep and sleep conditions
Sepsis
Skin conditions
Surgery
Urological conditions
Women’s Health
Wound Management
Unknown
Other (please specify)
Clinical Areas - Other
Readiness Level
1 Idea is formulated
2 Idea is explicitly described
3 Experimental proof of concept
4 Elements of innovation validated in controlled environment (prototype)
5 Whole innovation validated in controlled environment
6 Whole innovation validated in real world environment
7 Whole innovation evaluated in real world environment
8 Whole innovation demonstrated in real world environment
9 Whole innovation proven functional in multiple real world settings
User Design and Testing
Clinical or social care professionals working in the UK health and social care system
Clinical or social care professionals working outside the UK
Non-clinical healthcare staff
Patients
Service users
Carers
Other (please specify)
Readiness Level - Further Info
Standards & Certifications
UKCA/CE Class I medical device
UKCA/CE Class IIa medical device
UKCA/CE Class IIb medical device
UKCA/CE Class III medical device
In-vitro diagnostics (general)
In-vitro diagnostics (self-test)
In-vitro diagnostics (Annex II List B)
In-vitro diagnostics (Annex II List A)
Marketing authorisation
CQC registration
Digital Technology Assessment Criteria (DTAC)
Pending
Unknown
Other (please specify)
Standards & Certifications - Other
HIN Engagement - Region
Health Innovation North East and North Cumbria
Health Innovation Oxford and Thames Valley
Health Innovation East Midlands
Health Innovation South West
Health Innovation East
UCL Partners
Health Innovation Manchester
Health Innovation Wessex
Health Innovation Network South London
Health Innovation West Midlands
Imperial College Health Partners
Health Innovation West of England
Health Innovation North West Coast
Health Innovation Yorkshire and Humber
Health Innovation Kent Surrey Sussex
HIN Engagement - Support Received
HIN Engagement - Contacts
Support Seeking at Application
Additional Innovator Information
Consent
--None--
Yes
No
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