Healthy London Partnership

Apps and Digital Tools Initial Qualification Form

Our Mobile Health and London Healthy Partnership are working together to look at assessing a select number of apps and digital tools to help support those suffering with Mental Health issues. If you would like to register your interest for this project please complete the questions below and submit. If your app is accepted onto the programme you will be contacted again over the next few weeks.

About your app

* Indicates required field

App Name? *

Price of App? *

Link / URL to App? *

Target Audience of App? *

Please provide a brief description of the app *

How does the app helps users? *

Functionality? (list PHE functionality (list in check boxes) *

Assessment

Has the App previously been through the NHS Digital Assessment Process? *

YES NO

If YES, please complete questions 1 - 5 below and submit.

1. Who did you complete the process with? *

2. Can you provide a copy of the submission / report from assessor & signed licence agreement? *

3. Can you provide the evidence which you supplied for the assessment? This includes clinical safety case, hazard log, testing documents and completed checklist of data protection sections? *

4. Can you provide all of the good evidential support for all health-related effectiveness claims? *

5. Did you seek confirmation that the app is / is not a clinical device from the MHRA? *

Please click on 'SUBMIT' below and thank you for your interest.

If the App has not previously been through the NHS Digital Assessment Process please answer questions 6 - 12 onwards then submit.

6. If No, do you have the resources to complete the assessment within a 2-3 week time scale? *

7. If your app has a clinical element, do you comply to DCB0129? *

8. Can you provide a full Clinical safety case and hazard log to support this? *

9. Have the relevant documents been signed off by a Clinical Safety Officer? *

10. Can you provide testing documents for Functional, Non-functional, Malware, Regression testing and also for proof of rollback capability? *

11. Are you compliant with the most up to date data protection regulations? *

12. Do you have a clear privacy policy? *

Submit

Our Mobile Health and London Healthy Partnership Good Thinking

Apps and Digital Tools Initial Qualification Form

About your app

Assessment