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How will my information be used?
The information that you provide about you and your family will be used to [describe the purpose of collecting the information e.g. gain an insight into services and what is important to families]
The [name the area] partnership, which includes organisations like [insert area] Council, NHS [area], Police and Fire Services, is undertaking this [research / activity] together. This means that it will be necessary for the [area] Partnership to share information about you and your family for the [research / activity].
Information that you provide to us will be recorded and stored securely. We understand that some information may be sensitive and we will keep your information confidential and use it only for the [name project / activity]. The only exception to this is if you tell us anything indicating that someone might be in danger; then we have a responsibility to act on that information but we would not do this without telling you and including you in the process.
Consent
I have read the information above and have had an opportunity to ask questions about the [research / activity] and how my information will be used. I understand the purpose of the [research /activity] and what my participation involves.
I agree to take part in [describe what involvement the individual will have e.g. an interview] and for the information I provide to be shared with the [area] Partnership agencies and this in turn allows services that I use to share information about me and my family for the purpose of this [research / activity]. I understand that I need to inform the other members of my family that I have given consent which will allow them to opt out if they wish.
I understand that anonymised [information / research] about me and my family may be published within the [project report / relevant document], which may be published online and that published material from this [project / report] may be used and distributed for training and service design and development.
I know that my participation is voluntary and that I can choose to withdraw from the research at any point.
