Get in touch about your innovation

Innovator engagement form

This form helps us understand your innovation and the progress you have made to date. Please complete the form as fully as possible to help us understand what support you may need.

(Please read before completing)

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, or send a copy to enterprise@uclpartners.com.

Mandatory questions are marked with an asterisk (*)

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.

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 of Health and Social Care (DHSC), NHS England (NHSE) and the Office for Life Sciences (OLS) to support innovation, research, and service improvement. For a full list of participating public sector organisations, please visit: https://thehealthinnovationnetwork.co.uk/about-us/(opens in new tab)

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. Please see the UCLPartners Privacy Policy for more information: https://uclpartners.com/privacy-policy/(opens in new tab).

 Relationship with Sanctioned States

If you are from a sanctioned state do not complete this form as we are unable to work with you (for more information on UK sanctioned states, please see: https://www.gov.uk/government/collections/uk-sanctions-regimes-under-the-sanctions-act(opens in new…https://www.gov.uk/government/collections/uk-sanctions-regimes-under-the-sanctions-act(opens).

If you have any queries please contact: enterprise@uclpartners.com