Health Innovation South West – HIN Engagement Form

Please read before completing this form:  

• This form helps us understand your innovation and the progress you have made to date.  

• Please do not disclose any unprotected intellectual property in your responses.  

• The information you provide will be used to assess whether and how we can support you.  

• We will not share your information with other innovators or commercial companies unless you agree that we can do so. 

• You do not need to complete this form more than once. If you have already submitted it as part of a NHS Innovation Service or another Health Innovation Network, please let us know which one.  

• All data collected is subject to data protection and Information Governance regulations. 

Please note

By completing this form, you agree that your information will be shared with the 15 Health Innovation Networks and public sector partners, such as Department for Health and Social Care (DHSC), NHS England (NHSE) and the Office for Life Sciences (OLS). DHSC) to support innovation, research, and service improvement. For a full list of participating public sector organisations, please visit: https://thehealthinnovationnetwork.co.uk/about-us/ 

The reasons for data sharing include:  

• Supporting the adoption and evaluation of health innovations  

• Improving population health outcomes  

• Facilitating knowledge exchange  

• Enabling early uptake of new technologies  

• Advancing research and service improvement where a legitimate or public interest applies  

Any personal data shared by you is processed in line with UK GDPR. Identifiable data will only be used for marketing purposes if you have provided explicit consent.

Relationship with sanctioned states 

If you are a sanctioned state (click here for more info) do not complete this form as we are unable to work with you.  

Please complete the form as fully as possible to help us understand what support you may need.  

Mandatory questions are marked with an asterisk (*).