About this form

  • Help us 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.
  • Your information may be shared across the Health Innovation Network.
  • We will not share your information with other innovators or companies.
  • Tell us if you have completed an application to another Health Innovation Network partner or the NHS Innovation Service.
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NHS Innovation Service

If you feel you would value support from a broader range of NHS and related organisations, you may benefit from the NHS Innovation Service. A submission to this service will still be open for Health Innovation Network support but will also be made available to a wider group of supporting organisations with expertise in health and care innovation. 

Find out more >

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