If any part of the grant intended to pay a third-party, please provide details. Please note this refers to a third-party delivering a service or supplies that requires a specific contract between RFL or UCL and the third-party for this project. We are not referring to a third-party supplier of general consumables or general supplies.
If anyone named on this application is conflicted with the third-party, please provide details. Please also provide details of any potential conflict of interest (CoI) with any RFL/UCL member of staff connected with the third-party. Conflicts include outside employment contracts (including pharmaceutical companies), shareholdings, directorships, advisory roles, gifts and hospitality. The list is indicative and you should refer to the relevant trust or UCL CoI webpage for further details.
If any patient identifiable data being used in any part of this project or moved to any third-party, anonymised or otherwise, please provide details. You should explain what assurances are in place in relation to the retention of the data.
If you have answered ‘yes’ to any of the above questions, please confirm you have read the relevant conflicts of interest policy. For RFL applications: Trust’s conflict of interest policy and for UCL applications: UCL’s conflicts of interest policy.
If you answered yes to any question in this section, please confirm that the conflict of interest relevant to the application has been registered on the trust or UCL platform. For RFL applications you must attach the trust Declaration of Interest Notice approval e‑mail when submitting your application. For UCL applications, you must attach UCL’s e‑mail confirming that the conflict has been approved or it has been determined there is no conflict.
Please also confirm that a contract exists between any third-party supplier and either the trust or UCL, and has been approved by the relevant contracts department and signed by an authorised signatory. If this can only be progressed after the grant is awarded, confirmation will be required at a later date. RFC will not make payments to a third-party without confirmation that the contract has been approved.
The trust/UCL is ultimately responsible for fulfilment of the contractual agreement. If needed, please insert clause below into any contract:
“The Royal Free Charity is acting as the recipient of these funds. The Royal Free Charity holds no liability, and it is the RFL/UCL (delete as appropriate) that is ultimately responsible for the fulfilment of the contract and holds all liability. This includes delivery and financial contractual obligations.”