Submit an innovation

We want you to get the most from working with us. Before we meet, it helps if you give us some brief details about your business and the products or services that you want to discuss. That means we can get an idea for where we can add most value, and if we need to bring in any specialist expertise.

If you’ve previously completed the Health Innovation Network company engagement form, either here or for another health innovation network, there’s no need to do it again. Simply email us and we’ll get back to you.

About this form

  • Please use this form to help us to understand your innovation, and your progress to date.
  • Please do not disclose any unprotected intellectual property via this form.
  • Data from this form will be used to assess whether, and how, we are able to support you.
  • By completing this form, you are agreeing that your information may be shared across the Network.
  • We will not share your information with other innovators or companies.
  • You do not need to complete this form twice. If you’ve already completed it for any other health innovation network, please tell us which one.
  • By completing this form, you agree to completing the Network Economic Growth Annual survey.
  • Please complete this form in as much detail as possible as this will help us better understand what support may be required.

Health Innovation Network Innovator Engagement Form

Please use the form below to submit your innovation. We recommend downloading this draft form to plan your answers first before completing the online version.

    • 1

      Relationship with sanctioned states

    • 2

      Organisation Details

    • 3

      Summary of the innovation

    • 4

      Progress to date

    • 5

      Health innovation network engagement

    1/5

    Relationship with sanctioned states

    Relationship with sanctioned states

    As a publicly-funded NHS organisation we are required to comply with national policy on sanctioned states. Please respond to these questions:

    0%

    Organisation Details

    Applicant Details (please enter all those that apply)

    *Organisation size

    *Organisation type

    25%

    Summary of the innovation

    Describe any engagement you have had with key stakeholders (e.g. clinicians, patients, commissioners). Highlight existing, similar or equivalent technologies, products or services. Outline how your innovation is different to existing technologies, products or services.

    (It is important that innovations are acceptable (informed by what patients want) and accessible (usable) to the people who will use or be affected by them. Assurance that innovations are informed by patient views, improves safety, health outcome and saves money. In this section, briefly describe if and how patients, carers, and the public have been involved in your innovation, including any feedback patients have about your innovation).

    (Health inequalities happen when health innovations have a negative impact on some patients, which may result in them not being able to access or use an innovation.  We are keen to support innovations that are available and can be used by as many people as possible - particularly patients who face worse health outcomes. For example, certain groups may be at greater risk of health concerns such as diabetes, mental health conditions, neonatal maternity and cancer.  Where people live, economic status, age, ethnicity, literacy levels, access to data and technology all affect how people may access your innovation. Tell us for example, if your innovation addresses digital access, data poverty, barriers for people with physical, learning or sensory disabilities, or the needs of different ethnic minority communities. Read more about what Health Inequalities is here. Find the current NHS England priority areas to tackle health inequalities for adults and children here).

    Does your innovation have a direct or indirect impact on NHS Net Zero / environmental sustainability? (Direct refers to when an innovation is created solely to reduce carbon emissions / provide environmental benefits - e.g. reusable product / better use of materials and natural resources in creation of product / reduce fossil fuel usage. Indirect refers to when an innovation is created for healthcare use but net zero / environmental benefits are a secondary benefit – e.g. Digital platform to manage patient care - that can help reduce travel / make care more efficient and effective).

    50%

    Progress to date

    The current maturity of the innovation (please provide any relevant associated links or attachments)

    75%

    Health innovation network engagement

    100%