CONFLICTSOFINTERESTDECLARATION
NAMEDPERSONSUNDERASPA1986
Itisimportantthatanynamedperson[1]responsible for animal welfare under theAnimals (Scientific Procedures) Act 1986 (ASPA) mustnotbeina positionwhereheorshedoesnotputhis/herover-ridingwelfare obligations totheanimalsfirst. Apersonwitha controllingfinancial interestora substantialinterest inthescientificoutcome ofa project might bepresumed nottobesuitable as such a namedpersonintheabsenceof compellingcircumstancestothecontrary.InorderfortheSecretaryof Statetodetermine whetheranindividualnominatedtobe such a namedperson issuitable, itisimportanttobefullyawareofanyrealorperceived conflicts ofinterest whichexist.
Aseparatedeclarationshould becompletedbyeachperson nominatedby an establishment licenceholdertobe such a namedpersonandshould accompanythe ApplicationforDesignationofanEstablishment,ortheApplicationfor Change(s),asappropriate.
Full Name:Position/
Establishment:
(Pleasetickthestatement whichapplies.) Either:
I declarethattothebestofmyknowledge andbeliefneitherI normy spouse,partner, immediate familyorclosefriends haveanyinterests whichmightconflict,orbeperceived toconflict, withmydutiesasa namedperson responsible for animal welfare. Furthermore,ifmysituationshould change,I will notify theestablishment licenceholderwithoutdelay.
Ideclareinterestsbelowforconsiderationandhavealsosetoutthe actionI amtakingtominimisetheriskoftheseinterestscoming into conflict,orperceived conflict,withmydutiesasa namedperson responsible for animal welfare. I certify thattheinformationincludedis,tothebestofmyknowledge andbelief,accurateandcomplete. Furthermore,ifmysituationshould change,Iwillnotify theestablishmentlicenceholderwithoutdelay.
Signed
Print NameDate
DirectorshipsandShareholdings
Pleaselistandbrieflydescribethefollowing:
- Anydirectorshipsandpartnershipsyouholdincompanieswhichmayhaveadirector indirectrelationshipwiththeestablishment;
- Anysignificantshareholdingsincompanieswhichmayhaveadirectorindirect relationshipwiththeestablishment;
- Anyothersignificantshareholdingsincompanieswhichmaybeengaginginlarge businesstransactionswiththeestablishment.
Asaguide,“significant”wouldbeanyshareholdinginaprivatecompanyor,inapublic company,ashareholdingamountingtomorethan1%.
Researchinterests
Of thefivekeyroles[2]underASPA,pleaselistallthosewhichyouwillbefulfillingatthe establishment.It isnormallyexpectedthatthesefiveroleswillbeallocatedtonotless thanthreeindividuals,thatthekeyrolesofestablishment licence holder,NVSandNACWOwillnotbe combinedinoneindividualandthat,whereanamedpersonhasasubstantialinterestin thescientificoutcomeofaproject,alternativeprovisionwillbemadeforthecareand welfareoftheanimals.
Closerelationsandfriends
Pleaselistanypossibleconflictsofinterestscreatedbyvirtueoftheemployment, directorships,partnershipsorsignificantshareholdingsofcloserelationsorclosefriends.
Anyothermatters
Pleaselistanyothermatterwhichmaygiverisetoapotentialconflictofintereste.g. membershipofcommittees/organisingbodieswithdecision-makingorpurchasing powers,beneficialownershipofproperty,etc.
[1]NamedPersonsresponsible for animal welfare undertheAnimals(ScientificProcedures)Act1986(ASPA)arethoseappointedasaNamedVeterinarySurgeon(NVS)ora NamedAnimal Care and Welfare Officer(NACWO).
[2]Establishment licence holder;Projectlicenceholder,Personallicenceholder;NamedVeterinarySurgeon(NVS); NamedAnimal Care and Welfare Officer (NACWO).