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

Your first name

Your last name

Your primary (work) email address

This is the email address you would use with your main employer. It can be the email address of your own business if you are self-employed, but it must be a email you use for work.

Confirm primary (work) email address

Please enter the email address again to confirm

Secondary (non-work) email address

If you have an alternative email address that you want us to use to contact you

Confirm secondary (non-work) email address

Please enter the email address again to confirm

Professional registrations

Please tell us if you hold any professional registrations relevant to your need to access NHS data.

Select all that apply

Open Researcher and Contributor ID (ORCID)

General Medical Council (GMC)

Nursing and Midwifery Council (NMC)

Health and Care Professions Council (HCPC)

Office for National Statistics Secure Research Service (ONS SRS)

I am registered with a different body

I do not have any professional registrations

Open Researcher and Contributor ID (ORCID)

General Medical Council (GMC) number

Nursing and Midwifery Council (NMC) number

Health and Care Professions Council (HCPC) number

Your profession as listed on HCPC

Office for National Statistics Secure Research Service (ONS SRS) Accredited Researcher number

Please tell us which other registrations you have

About your organisation(s)

We will contact all organisations you name and ask that they vouch for you based on the information you give in this form.

You need to have a professional association with at least one organisation in order to apply for SDE Network Registration using this form. This can be your own business. If you aren't associated with any organisations and want to access NHS data on your own behalf, there are other options. Please contact the Registration Team direct for advice.

Primary organisation

Name of your primary organisation

Please tell us the name of your organisation

If your organisation is not in this list, that means they have not been registered yet and your request for registration with them will be put on hold until they are registered.

We will contact the organisation you name and encourage them to register for registration. You may wish to do the same.

You can still submit your request for registration now.

The primary relationship of this organisation to you

Other relationship

Please specify the relationship of this organisation to you

Department you belong to within this organisation

Organisation Data Service (ODS) code you work under

An ODS code is a unique code used to identify organisations across health and social care. Many organisations have one ODS code which covers their whole organisation. Some organisations, particularly academic organisations, may have different ODS codes for their individual departments or units.

You can search for your code from the link below or ask your organisation if you are unsure. If you don't think your organisation has an ODS code, please leave this field blank.

Find an ODS code (opens in new tab)

Your position/role within this organisation

Email address you use with this organisation (if different)

If this is different from the email address you have already provided

Other organisations(s)

Declaration

I am the person named and all the information I have given is accurate to the best of my knowledge

I agree

I agree that information I submit through this form can be shared with the organisations I have named and the SDE Network for the purposes of registration and verification

I agree

I have read the SDE Registration Agreement and I agree to the user terms and conditions of use as defined in Annex 1
Read the SDE Registration Agreement

I agree

Within the past 12 months, I have completed information governance/data protection training as defined in Annex 2 of the SDE Registration Agreement

If you are not sure if you have completed the appropriate training or when you last completed it, please check this with your organisation before submitting the form.

I agree