Apply online to join the Heart of Derbyshire

If you're a Derbyshire restaurant, takeaway, coffee shop, cafe or other caterer (excluding businesses in Derby city) why not join the Heart of Derbyshire?


You'll need to have a food hygiene rating of three or higher. Membership is absolutely free.

Before completing this form you should read the Heart of Derbyshire Code of Practice and the definitions and guidance. The Code of Practice explains how Derbyshire County Council will use the information that you supply.

Note: Asterisks (*) indicate required information.

errorPlease correct the information in the fields highlighted below.
Information about the business wishing to join Heart of Derbyshire

Please provide details of the business applying to join and contact details for any correspondence in association with this application and subsequent membership


















If known please provide details of the individual registered with your local environmental health service







Please complete one application for each branch of your businesses that you would like to join this scheme.

To help develop the scheme and measure its impact it would be useful if you could answer the following questions









All information in this section will be included on the Heart of Derbyshire Website

Search Function - customers will be able to find members using the following questions. Please indicate the options your business offers, there is no limit to how many you may enter.



Membership List - The search will produce a list ordered by proximity to the customer. This will contain the following information to help customers decide which member’s page to open.





(NB only businesses with a rating of 3 or higher can join the scheme)


Members Page - Relevant information to inform customers about your business



























Please provide the opening times for your business


Please include any conditions on distance or charges. If not applicable leave blank and this section will not be included on the website


Please provide details of how customers should make a booking. If not applicable leave blank and this section will not be included on the website


Please provide any information that would encourage a customer to choose your business


If available and appropriate the following websites will be hyperlinked to your member’s page to enable customers to find out more about your business.







If you would like your logo or a photograph displaying on your page on the Heart of Derbyshire website please email it to trading.standards@derbyshire.gov.uk and include “HoD logo” in the detail line.

Healthy eating pledges

There are 3 levels of membership determined by the food hygiene rating plus the number of pledges that you make (e.g. FSA Food Hygiene rating of 4 plus 10 pledges = 14

Gold Membership = 19 points

Silver Membership = 15 points

Bronze Membership = 12 points (minimum required to be a member of the scheme)

Indicate below the pledges your business is committing to. You should only select pledges that are relevant to your business and this will be assessed as part of the application process. Your continued adherence to the pledges you make may be subject to confirmation by either your Environmental Health Service or officers from the Trading Standards Service.

The Pledges

Before making pledges you should refer to the Heart of Derbyshire definitions and guidance document.

When completing this section of the form check the Implement this pledge option for all the options you are making as a member of Heart of Derbyshire. If any of the pledges are being introduced because of your application please also check the Change to existing practice option.

Fat
Eating less fat can lower cholesterol and reduce the risk of developing heart disease

FA1
Use an oil for frying with less than 15g saturated fat per 100g such as rapeseed or sunflower oil.




FA2
Use lean minced meat or drain off the fat. Trim excess fat from meat and remove skin from chicken.




FA3
Use cooked meats with all visible fat trimmed off.




FA4
Offer to grill, bake, poach or steam food instead of frying




FA5
Use or offer less cheese in fillings and toppings




FA6
Use or offer low fat cheese




FA7
Use or offer single cream, low fat creme fraiche or natural yogurt instead of double cream.




FA8
Use or offer skimmed, 1% or semi-skimmed milk instead of full fat milk.




FA9
Use or offer no spread/butter, low fat spread or less butter.




FAA
Offer low fat or fat free natural yogurts as a dessert.




FAB
Use or offer low fat dressings




FAC
Use or offer food without mayonnaise or dressings




FAD
Use or offer other low fat products - if so, please specify in the box below:






FAE
When deep frying, ensure the oil is heated to a temperature which reduces the take up of fat (175C for chips).




FAF
Shake the basket of the deep fat fryer to remove excess fat.




Salt
Eating less salt can lower blood pressure and reduce the risk of a stroke

FB1
Remove salt from tables and counters so customers don’t just add it automatically.




FB2
Add less salt when cooking food or use alternatives such as a low salt/sodium product.




FB3
Don’t add salt when boiling food such as rice, pasta, potatoes or vegetables.




FB4
Use herbs or spices to improve the flavour of food rather than salt.




FB5
Use low salt/sodium ingredients in the preparation of food.




FB6
Offer low salt/sodium menu items as alternatives.




Fruit, Vegetables and Wholegrain
Eating more can reduce the risk of heart disease, some cancers and improve bowel health

FC1
Use or offer non processed vegetables or salad




FC2
Offer fresh fruit or fruit salad alternatives




FC3
Incorporate, where appropriate for the dish, pulses, including lentils or beans in dishes like soups, stews, curries, stir fries and rice.




FC4
Offer wholemeal or wheat germ bread, pitta bread, flatbreads, naan, chappatis, pizza base etc.




FC5
Use or offer wholegrain pasta




FC6
Use or offer brown rice




Sugar
Eating too much sugar can increase the risk of heart disease, type 2 diabetes or a stroke

FD1
Offer water, sugar free drinks or fruit juice




FD2
Use or offer fruit in fruit juice rather than syrup.




FD3
Offer low sugar cereals or desserts




FD4
Offer sugar free cereals or desserts




Allergens
People with allergies can have severe reactions to the food that triggers their allergy. This can result in death

FE1
Offer dishes which are guaranteed to be free from specified allergens.




The following do not constitute individual pledges but please indicate any that are applicable. These will be searchable on the Heart of Derbyshire website to help customers searching for specific requirements.





























Alcoholic Drinks
Drinking less alcohol may reduce the risk of cirrhosis, cancer and a stroke. These pledges only apply to licensed premises.

FF1
Operate the Challenge 25 scheme, including displaying appropriate signage.




FF2
Offer low alcohol, dealcoholised or alcohol free beverages.




FF3
Offer smaller measures.




Portions
Eating less will reduce the intake of fat, salt and sugar , reduce obesity and the likelihood of developing diabetes

FG1
Offer small portions or servings.




Breast Feeding
Breast fed babies have a reduced likelihood of diarrhoea, vomiting, chest/ear infections, diabetes and eczema

FH1
Achieve the Derbyshire “breast feeding welcome here” award.




Your membership score is worked out by adding your Food Hygiene rating score to the total number of pledges you have signed up for.

Your total membership score is shown below:



Declaration

(to be completed by owner, director or senior manager authorised to do so and who has the authority to commit the business to the Code of Practice)

As stated in the Code of Practice, please provide details of any:

a) Convictions against the business relating to matters covered by the Code of Practice; or
b) Convictions involving fraud or dishonesty against a ‘controlling mind’ of a business,

or indicate none


I have read the Heart of Derbyshire Code of Practice and I agree to abide by it on behalf of the named business.

Data Protection Act 1998 – I agree that, in assessing membership, Derbyshire County Council’s trading standards service may request information about my business from other organisations. I authorise those organisations to release such information. I also agree that Derbyshire County Council may disclose details, on enquiry about the status of my membership. I also agree to the details of my application and membership being held on Derbyshire County Council databases, published on the website and used in the promotion of the Heart of Derbyshire scheme.







If you experience any problems with this form please contact contact.centre@derbyshire.gov.uk and quote form ID: ILF/475/09