I accept this confidentiality agreement.
I declare that I have read and understood the HQIP ‘Process for declaring interests and dealing with conflicts of interest’ and that I wish the following interests to be recorded in accordance with the relevant provisions of the process document. I am aware that failure to declare relevant interests may result in being asked to step down from the role/activity being undertaken.
Full name (required)
Email (required)
Today's date (required)
My submission relates to (required)
Please select...1. National Clinical Audit and Patient Outcomes Programme (NCAPOP)2. Service User Network (SUN)3. Information Governance Advisory Group (IGAG)4. Procurement Evaluation Declaration
If the work relates to tender evaluation or moderation, please specify which topic:
Please select...Not Applicable - Core ContractBreast Cancer in older patients (NABCOP)Cancer Audit Collaborating Centre (NCACC)Cardiac Audit Programme (NCAP)Cardiovascular Disease Prevention (CVDPREVENT)Care at the End of Life (NACEL)Child Health Clinical Outcome Review ProgrammeChild Mortality Database (NCMD)Chronic Obstructive Pulmonary Disease & Asthma (NACAP)Dementia Audit (NAD)Diabetes Audit: Adult (NDA)Diabetes Paediatric Audit (NPDA)Early Inflammatory Arthritis Audit (NEIAA)Eating disordersEmergency Laparotomy (NELA)Epilepsy 12 and seizures in young peopleFalls and Fragility Fracture Audit (FFFFAP)GI Cancer Programme: Bowel (NBoCA) and OGC (NOGCA)Lung Cancer (NLCA)Maternal & Perinatal Audit (NMPA)Maternal and Newborn Infant (MNI) CORP (MBRRACE)Medical & Surgical Clinical Outcome Review ProgrammeMental Health Clinical Outcome Review ProgrammeNeonatal Audit Programme (NNAP)Paediatric Intensive Care Audit (PICANET)Perinatal Mortality Review Programme (Tool) (PMRT)Prostate Cancer (NPCA)Psychosis (NCAP)Sentinel Stroke (SSNAP)Vascular Registry (NVR)Other - please state below
If you chose other, please state:
If you selected 1. National Clinical Audit and Patient Outcomes Programme (NCAPOP), please specify (required)
Please select...Breast Cancer in older patients (NABCOP)Cancer Audit Collaborating Centre (NCACC)Cardiac Audit Programme (NCAP)Cardiovascular Disease Prevention (CVDPREVENT)Care at the End of Life (NACEL)Child Health Clinical Outcome Review ProgrammeChild Mortality Database (NCMD)Chronic Obstructive Pulmonary Disease & Asthma (NACAP)Dementia Audit (NAD)Diabetes Audit: Adult (NDA)Diabetes Paediatric Audit (NPDA)Early Inflammatory Arthritis Audit (NEIAA)Eating disordersEmergency Laparotomy (NELA)Epilepsy 12 and seizures in young peopleFalls and Fragility Fracture Audit (FFFFAP)GI Cancer Programme: Bowel (NBoCA) and OGC (NOGCA)Lung Cancer (NLCA)Maternal & Perinatal Audit (NMPA)Maternal and Newborn Infant (MNI) CORP (MBRRACE)Medical & Surgical Clinical Outcome Review ProgrammeMental Health Clinical Outcome Review ProgrammeNeonatal Audit Programme (NNAP)Paediatric Intensive Care Audit (PICANET)Perinatal Mortality Review Programme (Tool) (PMRT)Prostate Cancer (NPCA)Psychosis (NCAP)Sentinel Stroke (SSNAP)Vascular Registry (NVR)
Declarations (Please state 'None' if there is nothing to declare)
For the purposes of the Data Protection Act 2018 and GDPR, your personal data will be processed (including the collection, retention, use and disclosure) (both electronically and manually) by HQIP (or a third party appointed by the Company for such purposes) for purposes relating to your employment and the management, security and administration of the activities of the organisation. Our privacy notice is regularly updated on the HQIP website and provides further detail on the bases and purposes for processing your information. It also states how you can exercise your individual rights.
Don’t miss out. Sign up to be notified when this resource is updated and to receive updates about other related quality improvement resources, events and news from HQIP.
By continuing you agree to receive emails with updates and other information from HQIP and you are confirming you are over the age of 13. Please read our privacy policy to understand how HQIP uses the information you provide, your use of HQIP’s website and your interaction with the marketing emails to improve the relevance of the communications we send you. You can unsubscribe at any time.
Do you agree to the terms and conditions? I have read and agree with the contents of the privacy policy.