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For Guidelines writers and Taskforce Members

Thank you for being part of our BSH Guidelines.

听Each BSH听guideline follows a standard template which your writing group should听use.

BSH听Guideline Template听

BSH Good Practice Paper Template听

As a Guidelines Executive Committee (GEC), Task Force or Writing Group Member, you will need to complete the Declaration of Interest (DoI) Form, below.

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Declaration of Interest for Taskforce and Writing Group Members

If you are a听BSH Guidelines Executive Committee and/or a Task Force听Member, we must consider whether or not you have any interests that could conflict with your role. 听Conflicts of interest have to be declared when you are appointed; and on an annual basis thereafter.

All听Writing Group听Members have to declare conflicts of interest before starting work on a Guideline.听 This will be valid for 3 years.

The Data Protection Act 2018 鈥� The information submitted will be held by the BSH for personnel or other reasons specified on this form and to comply with the BSH policies. 听This information may be held in both manual and computer form in accordance with The Data Protection Act 2018. 听Information may be disclosed to third parties in accordance with the Freedom of Information Act 2000.听 For information on how your information is retained and processed, see our听Processing Notice.

NB: If you are a member of a BSH Task Force and one or more Writing Groups, you can use one Declaration of Interest (DoI) Form, to denote your Task Force and Writing Group representations.听 Similarly, if you a member of several Writing Groups, you can use one Declaration of Interest (DoI) Form submission, to denote all your Writing Group representations.听 You will only be sent a request for a new DoI Form, when you participate in a Writing Group, that was not denoted on a previous DoI Form.

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Personal Details
Guidelines
Are you a member of the following: Please tick the Committee and/or Task Force box(es) that apply.
Are you a member of a writing group? *
Which Task Force oversees the Writing Group(s) * Please tick the Task Force box that applies
Declaration of Interests
Have you personally received any financial reimbursement from any drug / technology companies? Personal specific interest if you have worked within the last two years on a project for the healthcare industry and have personally received payment for that work, in any form or any non-financial interest. If the interest is no longer current, you may declare it as a lapsed personal specific interest.
Personal non-specific interest if you have a current personal non- specific interest in the healthcare industry concern which does not relate specifically to the guideline area under consideration.
Non-personal specific interest if you are aware that the department for which you are responsible has in the last 5 years worked in the area of the guideline but you have not personally received payment in any form from the healthcare industry for the work done.
Non-personal, non-specific interest if you are aware that the department for which you are responsible is currently receiving payment from the healthcare industry concerned which does not relate specifically to the product under consideration.
Family interest. In the last 12 months has a member of your family had any financial involvement with the healthcare industry, or are they planning to have such financial involvement? This could include: holding a directorship, or other paid position, or carrying out consultancy, or fee paid work, or having shareholdings or other beneficial interests, or receiving expenses and hospitality over and above what would be reasonably expected to attend meetings and conferences.
Are the above interests specific to the product or services being evaluated for the named guideline topic? *
Confirmation
Expenses

If you incur expenses as part of the Guideline writing process, please read our expenses policy听(.doc) before completing the expenses claim form听(.doc).听听

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