Alternatively:

Download our Registration
Form

Apply for Registration

Guidance Notes:

This form should take about 10 minutes to complete. Completing this form is the first step in the process for registering with the Scheme, but does not at this stage commit you to proceeding.

Upon completion, this form will pass to our registration panel. We may contact you for clarification if the information provided is incomplete. Once your application has been processed we will send you a Registration Acceptance form, which will confirm the cost of registration. To proceed with registration, you will be required to sign the form and return it with the correct payment. An invoice will be issued to your organisation.

You may choose to download a PDF version of the application form and post it to: CECOPS Support Team, DNV Healthcare, Highbank House, Exchange Street, Stockport, SK3 0ET

If you require any assistance completing this form, please contact the Support Team: (T) 0161 4756691, (E) cecops@dnv.com

Multiple Sites:

Please note, if your business covers multiple sites or several geographical boundaries (e.g. you have contracts with a number of Local Authorities), then you will need separate registrations for each site or area. It is acceptable to register some of your sites or areas, and not others.

For your convenience you may complete a single application form for all registered sites of the same organisation. You will need to give details in Section 3 for all sites or areas requiring registration. If you prefer, it is acceptable to submit separate application forms.

1. Details of Applying Organisation





(e.g. Local Authority, private company, third sector)


2. Contact information

3. Public Profile

Your Public Profile forms part of the User Register, and is publicly viewable. Please give below your organisation's details as you would like them to appear. There is space below the main box to give details of additional sites which you are applying to register (please also read the guidance notes at the start of this form).

Please note that the address given here should be the location of the main site of relevant activities (e.g. a community equipment loan store), which may not be the same as the business address of the organisation given in Section 1.

Trading Name: Organisation Type: Address/Location/Postcode: Add More Delete
1

4. Registration Category

Note: this information will appear on your public profile

Please select which registration category you require:

(i.e. you are commissioning or providing organisation)

(i.e. commissioning or provision is not your core function e.g. care home)

5. Registration Level

Note: this information will appear on your public profile

There are 4 section to the Code of Practice:

  • Commissioning & governance
  • Service provision
  • Clinical & professional responsibilities
  • Peripheral issues & specialist areas

There are 2 levels of registration, Entry and Enhanced, depending on how many sections of the Code of Practice apply to your organisation. Please note that the 4th section, Peripheral Issues and Specialist Areas, automatically has application to all commissioning and providing organisations.

Please select which level of registration you require:

(entitles you to use two sections of the Code of Practice)

(entitles you to use all four sections of the Code of Practice)

* If you have selected Entry Level please indicate below which two sections you will be working to (Note, section 4 applies automatically):

6. About your Organisation

Please tell us a little about your organisation

ii) Please select from the options listed below which best describes your organisation:

iii) Which areas of equipment provision do you normally deal with? (Select all that apply)

iv) In/for which settings do you normally commission or provide equipment? (Select all that apply)


7. Declaration

I am authorised to Register with CECOPS on behalf of the above named organisation




8. Privacy policy and data protection

We require this information to understand your needs, to provide you with a better service, and in particular for the following reasons:

Public profile
The information you have provided in Sections 3,4 and 5 above will appear in the online register on your Public Profile page, which will be publicly viewable information.

Internal record keeping
We may use the information you provide to improve our services.

We may periodically send promotional emails about new services, special offers or other information which we think you may find interesting using the email address which you have provided. From time to time, we may also use your information to contact you for market research purposes. We may contact you by email or phone.If you do not wish us to contact you in this way, please indicate this in the section below "Controlling your personal information".

We will not sell, distribute or lease your personal information to third parties unless we have your permission or are required by law to do so. We may use your personal information to send you promotional information about third parties which we think you may find interesting if you tell us that you wish this to happen.

Controlling your personal information
You may choose to restrict the collection or use of your personal information in the following ways:

Click the following box to indicate that you do not want the information to be used for direct marketing purposes

You may change your mind at any time by writing to or emailing us at info@cecops.org.uk

You may request details of personal information which we hold about you under the Data Protection Act 1998. A small fee may be payable. If you would like a copy of the information held on you please write to CECOPS, The Dene Centre, Castle Farm Road, Gosforth, Newcastle Upon Tyne, NE3 1PH.

If you believe that any information we are holding about you is incorrect or incomplete, please write to or email us as soon as possible, at the above address. We will promptly correct any information found to be incorrect. Thank you.
CECOPS CIC.

Full Registration

Any organisation commissioning or providing a community equipment service must apply for Full Registration. The provider could be part of a public sector body, or from the independent, private or third sector.

Examples of Full members include:

  • commissioning bodies e.g. Local Authorities, NHS trusts, and clinical commissioning groups
  • service providers e.g. private sector companies, Local Authority or NHS equipment services; some care homes and special schools.

Exceptions: organisations with very limited provider activities, such as retailers, may only need Associate Registration.

Associate Registration

This applies to any organisation or individual which does not have core commissioning or providing responsibilities, but which wishes to use the Code, for example to shape policy or design services. This may include, but is not limited to, government departments, health & wellbeing boards, third sector advisory organisations, professional membership bodies, and organisations with a very limited provider role e.g. a retailer.

If you provide an equipment service on behalf of another organisation (e.g. for a Local Authority), please state the trading name of this service, or if none, please state the name of the commissioning organisation (e.g. which Local Authority).