Notice:

This service is in a testing phase. By completing the form you will be taking part in the test, and you may be asked to provide feedback on your experience.

About you

If you are filling out the form on behalf of an organisation, you should be:
  • employed by the organisation directly, OR
  • contracted by the organisation to carry out administrative tasks on their behalf, AND
  • empowered to make declarations on behalf of the organisation
The email address you use while working at the organisation you are representing.
The phone number you use while working at the organisation you are representing.

About the organisation

If this is different from the name you have already supplied
What is an SME?

What is an SME? (opens in new tab).

What activities do the section codes cover?

What activities do the section codes cover? (opens in new tab).

For organisations with locations in multiple areas, this would be your registered trading address or head office address.
The main website used for the organisation's professional business.

Organisation governance

For example, 15 3 2030
What is the DSPT Toolkit?

The Data Security and Protection Toolkit is an online self-assessment tool that allows organisations to measure their performance against the UK National Data Guardian's 10 data security standards. https://www.dsptoolkit.nhs.uk (opens in new tab)

Find my ODS code

Find my ODS code? (opens in new tab).

What type of document can I upload?

The selected file must be in the following format:

  • PDF
  • PNG
  • JPG
  • JPEG

Organisation alignment with NHS Values

What are the principles and values of the NHS?

The NHS is founded on a common set of principles and values that bind together the communities and people it serves – patients and public – and the staff who work for it.

https://www.gov.uk/government/publications/the-nhs-constitution-for-england/the-nhs-constitution-for-england (opens in new tab).


Organisation contacts

A key contact must be someone of the appropriate level of authority to sign contracts and accept responsibility/liability for the actions of the organisation and its staff/affiliates.
A vouch contact must be someone of the appropriate level of authority to review and complete vouching requests for individuals associated with the organisation, and accept responsibility/liability on behalf of their organisation for the actions of the individuals they endorse.
You can add up to three additional vouch contacts.

1. Secondary vouch contact

2. Secondary vouch contact

3. Secondary vouch contact

Declaration