Affiliate your group to Keep Our NHS Public

Please fill out this form to set up a new Keep Our NHS Public branch, or to affiliate an existing organisation to Keep Our NHS Public.

Note: This form is for full affiliates: groups of health campaigners that wish to have full voting rights within Keep Our NHS Public. If your organisation is a trade union group (either health or non-health related), a local branch of a political party, or a campaign organisation that does not focus solely on health, please contact us for details about how to affiliate as a Health Campaigns Together (HCT) affiliate (previously 'Supporting Affiliate') instead.

Group affiliation
Membership *
 Please renew my membership automatically.
Total Amount
New Organisation
Please enter here the primary email address we should use to correspond with your group. (This can be the same as the one entered above.)
Please give us the name of a person who can be a point of contact between your group and Keep Our NHS Public. If your organisation does not have a group email address, we may also list the contact person's email address publicly on our website for the benefit of those wishing to contact your group.
Select the region or devolved nation within the UK that your organisation is based in. Leave blank if your organisation is a UK-wide organisation.
Affiliate groups are entitled to have two delegates on Keep Our NHS Public's Steering Group (SG). If you would like to be represented, please give the name(s) and email address(es) of one or two delegates who can represent your group on the SG. An SG delegate may be the same person as the contact person mentioned previously. All SG members must be subscribed individual members of Keep Our NHS Public.