1. Instruction to your Bank or Building Society to pay by Direct Debit
Our vision is that no person is
harmed by a preventable infection
Join one of the UK and Ireland’s most
influential charitable organisations,
the Infection Prevention Society
The Infection Prevention Society is an independent charity with
a 2,000 strong member network across the UK and Ireland
working together for a common cause to help save lives and stop
infection developing in people receiving health and social care.
We promote the science of infection prevention through
educational events, research and collaboration with other
specialists, patient groups, governments and industry.
All of this means we can support and empower our network with
information and tools for action to drive success. We are in the
business of stopping avoidable harm and making patients and
the public feel safer so that they have greater confidence in their
care and treatment.
Healthcare associated infection affects over 6% of all patients
and remains a risk which can harm and in some cases kill as
well as having a large financial cost to people and organisations.
Our wide ranging and informed networks both nationally and
around the world along with our communication with clinical
professionals and the public mean that we play a central role in
making treatment and care safer for patients and their relatives.
Infection Prevention Society
Blackburn House, Redhouse Road
Seafield, West Lothian
EH47 7AQ
Please fill in the whole form using a ball point pen and send
Name(s) of Account Holder(s)
Bank/Building Society account number
Branch Sort Code
Signature(s)
Date
DDI7
To: The Manager Bank/Building Society
Address
Postcode
Name and full postal address of your Bank or Building Society
• This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits
• If there are any changes to the amount, date or frequency of your Direct Debit the Infection Prevention Society will notify you 10 working days in advance of your account
being debited or as otherwise agreed. If you request the Infection Prevention Society to collect a payment, confirmation of the amount and date will be given to you at
the time of the request
• If an error is made in the payment of your Direct Debit, by the Infection Prevention Society or your bank or building society, you are entitled to a full and immediate refund
of the amount paid from your bank or building society – If you receive a refund you are not entitled to, you must pay it back when the Infection Prevention Society asks
you to
• You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.
Banks and Building Societies may not accept Direct Debit Instructions for some types of account
This Guarantee should be detached and retained by the payer.
The Direct Debit Guarantee
Instruction to your Bank or Building Society
Please pay Infection Prevention Society Direct Debits from the
account detailed in this Instruction subject to the safeguards assured
by the Direct Debit Guarantee. I understand that this Instruction may
remain with Infection Prevention Society and, if so, details will be
passed electronically to my bank/building society.
FOR INFECTION PREVENTION SOCIETY OFFICIAL USE ONLY
This is not part of the instruction to your bank or building society.
The Direct Debit Instruction will be collected from your nominated
account within 21 days
Originator’s Identification Number
Reference
8 0 7 1 0 7
@IPS_Infection
Join IPS by Direct Debit in 2014 and receive
12 months membership for the price of 8*

2. What do you get for Membership?
IPS Membership
Application Details
Title: First Name:
Last Name:
Membership Category:
Full Member: Registered Practitioners working in the
field of infection prevention and control. £70.00 pa
Associate Member: Any health care worker who is
not eligible for full membership. £70.00 pa
Pre-registration Student: Students training to
become Registered Practitioners. £20.00 pa
Retired Member: Those who are not eligible for full or
associate membership as they have retired from
employment. £20.00 pa
Institutional Member: Accredited academic
institutions, registered societies/charities, state
healthcare provider or independent commercial
organisation. £500.00 pa
For those paying by Direct Debit only please select how you
would like to pay by ticking the appropriate box:
Annual Debit Quarterly Debit
And complete the overleaf Direct Debit Mandate
Work address details:
Job Title:
Department:
Organisation:
Work address:
Post Code: County:
Tel: Ext/Bleep:
e-mail:
(must be provided for IPS website access)
Twitter Handle:
(if active on Twitter)
Mailing address (if different from work):
I am interested in the following :
Research:
We fund and support research and development to determine what
works best, how it should be applied, the impact on patients’ lives and the
cost of healthcare.
Development:
We search for the best evidence and practice from around the world
to develop ourselves and ensure that our members can easily access this
information through our website, regular publications, conferences and
meetings. Members receive updates and informative comments on topical
matters in infection prevention and control through the use of social media.
Support:
We provide support to the Government in developing policy and assist
with advice on technical aspects for new and existing standards.
Network:
Our membership provides a perfect conduit through which to
communicate best practice. We have over 50 corporate members and we
also routinely work on projects and publications with the Healthcare Infection
Society, Royal College of Nursing and the Association for Perioperative
Practice. Furthermore we regularly run articles and educational materials in
the Nursing Times and have extensive links to all of the major infection related
organisations around the world including the World Health Organisation.
Resource:
Members receive our weekly eDigest and bimonthly Journal of
Infection Prevention. We provide a framework for our members to work across
wider horizons especially with opportunities to collaborate through inter/intra
relations in our 14 branches. In addition, we undertake and share benchmark
activity so others may measure their outputs and performance against the
best both locally and across the UK and Ireland.
Conferences and Events:
We have the largest infection prevention annual conference in the UK
and Ireland and host over 14 branch study days each year.
The Infection Prevention Society is a charity which devotes
all its income to achieve its mission of combating infection in
healthcare. Our members have access to:
Branch:
(please
select a
branch)
Scotland Ireland
Northern Ireland Wales
London North London South
East of England North East
North West South West
Trent Wessex
West Midlands Yorkshire
Ambulance Forum
Audit & Surveillance Forum
Commissioning SIG
IV Forum
Mental Health & Learning
Difficulties Forum
You will receive an initial 4 months free membership, following which
payment for 8 months membership will be taken (£46.67pa or 3 payments of
£15.56 for full and associate members).
Please return this completed form with a completed Direct Debit Mandate
(UK Only): Infection Prevention Society, Blackburn House, Redhouse Road,
Seafield, West Lothian, EH47 7AQ.
Alternatively cheques should be made payable to “IPS”.
Membership applications can also be made online: www.ips.uk.net
If you have any questions contact Katie Martin at Fitwise:
Phone: +44 (0) 1506 811077, Email: ips@fitwise.co.uk
Please note that as a charitable company limited by guarantee the legal liability of all
subscribers is £1.00 GBP Sterling
*this offer applies to full and associate membership categories. To take advantage of the
offer applications must be made in 2014, a direct debit mandate must be completed
and as a result applicants must live in the UK.
Join IPS by Direct Debit in 2014 and receive
12 months membership for the price of 8*