Social Enterprise Investment Fund
Workshop Booking Form

The Department of Health’s Social Enterprise Investment Fund (SEIF), which is managed on its behalf by The Social Investment Business (SIB) working with Local Partnerships, will re-open this year with a further £19 million to invest in health and social care social enterprises, which are delivering exceptional care and driving innovation through their services. 

Since the SEIF was launched in 2007 the Department of Health has invested over  £100m in more than 600 social enterprises like Jamie’s Farm, Norcare, Jets Foundation and HCT Group working across a wide range of health and social care areas including disability services, mental health, substance misuse, carers organisations and those supporting people with long-term conditions. SEIF investment packages, which include grants and loans, have supported organisations at different stages, helping them become investment ready and then to scale-up and grow. 

SEIF 2012/13
SEIF will open for applications from 2nd July 2012. To support prospective applicants, we will be running six workshops to help you understand:
•	The background of SEIF
•	The definitions and good examples of social impact
•	The application process

The six SEIF workshops will be run over three dates in three locations – Taunton, London and Leeds (with a morning and afternoon workshop at each). The workshops are free of charge but please note that if you are unable to attend, you must cancel your place 48 hours ahead of the workshop, otherwise you may incur a charge of £25. We will allocate places on a first come first serve basis and subject to eligibility. Delegates will receive confirmation of their place shortly after the closing date for applications.

Eligibility
All existing social enterprises working in health and social care including public health and children’s services are eligible to apply. Right to Requests and Right to Provides working in health and social care that are yet to spin out are also eligible. To find out more on eligibility for the Fund please either visit www.thesocialinvestmentbusiness.org/ or call 0191 261 5200. Details of priorities for the 2012/13 Fund will be available shortly.

Note: Individual applications or fund ideas will not be discussed at these workshops. If you have any queries about your application for SEIF funding you can call 0191 261 5200. Any queries with the booking form or about the workshops should be emailed to providerlandscape@dh.gsi.gov.uk .

Deadline for applications: 26 June 2012

To join the mailing list please return the completed form below to providerlandscape@dh.gsi.gov.uk

Social Enterprise Investment Fund
Workshop Booking Form

Please submit one copy of this form.
A maximum of two individuals may represent one organisation.

SUBMIT BY 26 June 2012

Contact details:

Name:  			
Job Description: 
Organisation: 
Phone/Text: 
Email:		 	
Address: 	     
     
     
     
     
     	

Please select your preferred location and session:

 AM Taunton
 PM Taunton	 AM Leeds
 PM Leeds	 AM London
 PM London	
Weds 11 July 2012
Taunton
AM session: 10-12noon
PM session: 1:30-3:30pm	Mon 16 July 2012
Leeds
AM session: 10-12noon
PM session: 1:30-3:30pm	Thu 19 July 2012
London
AM session: 10-12noon
PM session: 1:30-3:30pm	

Type of provider organisation:
(please tick all that apply)

	Social enterprise
	Please specify company structure (eg. CIC, CLG, CLS, IPS, charity):      
	Right to Provide
	Right to Request 
	Other spin-outs, please specify:      
	Other, please specify:      

Size of organisation: 

Please provide an indication of the size of your organisation by 
a) number of employees and/or volunteers:      
b) annual turnover:      

Form Continues on Page 2

Other requirements:

 Access  - Please provide details:      
 Dietary - Please provide details:      

Please indicate if you require the use of BSL interpreters, palentypists, hearing induction loops or any other access enhancement in the space above to ensure appropriate support can be provided for any workshops or face-to-face meetings. Further information regarding accessibility of the venue can be provided on request.

Data Protection Act 1998 and future communications:  
The information on this form will be stored within the NHS Policy and Outcomes Group at the Department of Health.  The names and addresses will form a mailing list, which is used only to further the aims & objectives of the Group. This information will only be shared within the Group. Tick the box if you do NOT want us to share your information in this way. 

We would also like to keep you informed of other initiatives and targeted communications relating to providers by the Department of Health, the NHS Commissioning Board, Monitor and/or the Care Quality Commission. Please indicate below whether you would like to be kept informed of future events and are happy for your contact and organisational details provided above to be shared accordingly:

Yes:  						No:

Please submit this booking form by 26 June 2012 by emailing it to providerlandscape@dh.gsi.gov.uk.