Register of intent form

Please use the boxes below to tell us about your organisation. If you have additional staff contact details or other relevant information please add this at the end of the form. Return this form (including Head of Service/Dept signature) by email bfi@unicef.org.uk or by fax/post using the details below

We would like to register the intention to implement the UNICEF UK Baby Friendly Initiative standards for:

Maternity servicesTrust name:      

Maternity unit name(s):      

Neonatal unitTrust name:      

Neonatal unit name(s):      

Health visiting/public health nursing service

Trust/service name:      

Children’s Centres(or equivalent early years settings in Wales, Scotland and Northern Ireland)

Trust/service name:      

Number of centres in cluster:

     

Higher education sectorUniversity name:      

Education programme:

MidwiferyHealth visiting/SCPHN

Full address:      

Number of births per year (if applicable):      

Infant feeding coordinator or other staff member with responsibility for BabyFriendly implementation

Name:       Job title:      

Phone:       Email:      

Head of Service/Department or lead manager

Name:       Job title:      

Phone:       Email:      

Date:       Signed:      

Please note: If no progress has been made towards Baby Friendly accreditation within two years, then registration will be removed. We care about keeping your data safe; for more information about Unicef UK’s privacy policy please visit unicef.org.uk/legal/cookies-and-privacy-policy/  

The Baby Friendly Initiative is a worldwide programme of the World Health Organization and UNICEF. We work with UK public services to protect, promote and support breastfeeding and to strengthen mother-baby and family relationships.

Registered Office: Unicef UK, 1 Westfield Avenue, Stratford, London E20 1HZRegistered Charity No: 1072612 (England and Wales), SC043677 (Scotland)

Telephone 020 7375 6144Email bfi@unicef.org.ukwww.babyfriendly.org.uk