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* 1. Contact Details

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* 2. Employer:



Before you submit your membership form, please make sure you have read the Privacy Notice and Membership Declaration and signed (below the section on KnowledgeShare).

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Would you like targeted updates on your professional interests?

  • You will automatically be joined to KnowledgeShare when you join the library.
  • Let us know your interests below to receive evidence updates straight to your inbox.
  • Help inform patient care, service improvement, research activity and clinical teaching.
  • Evidence updates are personalised and targeted according to the profile you create below.
  • Request evidence searches via the library website: www.surreyandsussexlibraryservices.nhs.uk
List your interests below to sign up to receive KnowledgeShare evidence updates by email:

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* 3. Condition / Risk Factors
e.g. diabetes, Gestational ....

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* 4. Professional Interests
e.g. patient safety, service design.....

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* 5. Age Groups
(please tick)

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* 6. Settings:
e.g. GP Surgery, Hospital Ward, Population Health.....

We will contact you occasionally by email to:
·         Send you information about the LKS and new publications in health and social care
·         Notify you if you are invited to join a community of practice
·         Recommend colleagues to you who share your professional interests

You may change your settings at any time at www.knowledgeshare.nhs.uk (using your NHS OpenAthens account).
*Membership to KnowledgeShare is restricted to staff and students eligible for an NHS OpenAthens account.We will contact you occasionally by email to:
By submitting personal data to us, you agree that we, your NHS Knowledge and Library Service, may collect, use and store any such personal information data in accordance with relevant data protection legislation and regulations, as described in this Privacy Notice. Further details on relevant data protection legislation and regulations can be found on the website of the Information Commissioner’s Office.  If you have any concerns related to this Privacy Notice or have any queries about the use of your personal data, please contact us - your library service.

Why we hold your personal data
·         We store your personal data so that we can track your use of knowledge and library services and contact you if we need to about the services that we provide for you.

How you can find out what data we have, and have that data updated
·         For more information please contact us - your library service.

Who may have access to your data
·         Your data is accessible to knowledge and library service staff who use systems to deliver knowledge and library services to the NHS in England
·         In addition, your data is accessible to the system suppliers and system managers who provide and manage these systems. You may view the privacy policies of individual systems in the appendix.
·         Staff at all organisations work in compliance with this Privacy Notice and any other appropriate confidentiality and security measures.
·         We will share your data with others only if required to do so by law. We will never sell your data to anyone or share it in a way not described in this notice without your permission.

How your data is processed and stored
·         When you register to use an NHS Knowledge and Library Service, we input the data into our systems.
·         If you notify us of a change to your data, we update the systems accordingly.
·         Technical safeguards are in place to help ensure that your data is kept safe and only disclosed to people who are authorised to view it.

How long your data is retained
·         Your data is kept for as long as you wish to receive knowledge and library services. If you cease to require the use of these services, we will delete your data when you tell us to delete it, or if you don’t tell us, after a period has elapsed.
·         We securely destroy any personal data about you when it is no longer of use.

How you can request that we stop contacting you
·         If you wish to stop receiving communications about knowledge and library services, please contact us - your library service.

Appendix

Systems used by all NHS Knowledge and Library Services in the region:
·         The Koha Library Management System, supplied by PTFS Europe

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* 7. I apply for membership of the Library and Knowledge Service and agree to abide by the LKS terms and conditions. I agree to my data being held as described above.https://www.surreyandsussexlibraryservices.nhs.uk/about/joining-the-library/

FOR LIBRARY STAFF USE ONLY

Membership No:                                                   Pin:                                                                                                                                    
Base Library:        ES   /   ESC                                                                                                                       
Out of Hours Requested: Y / N    
Date given:                                                            Fob Number:
Membership Type Private Individual – Private corporate - Permanent -Temporary                            
Library Membership Expiry Date:                                                 
Input onto Library System Date:   
Welcome Email Sent?   Y / N

KnowledgeShare:                                                User Information                                 Professional Interests

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