Breast Pump Loan Supply Form

You may have been sent this form by a healthcare professional, friend or relative if feeding your baby has been difficult.

If you are a health professional and require a breast pump loan for a parent in your care please contact NHFT Infant Feeding Team - details are below.

IMPORTANT INFORMATION

Milk&You are NOT providing Northamptonshire's Clinical Breast Pump Loan Service anymore. From the 1st August 2025, this service is being provided by

NHFT Infant Feeding Team - You can contact them by calling 07795 110109 between 9am and 3pm Monday to Friday. Please leave a voicemessage and a member of the infant feeding team will contact you to discuss your concerns.

or

Email - infantfeedingteam@nhft.nhs.uk and await a response.

Milk&You are still providing a donation bank breast pump loan service for families who may not be able to afford their own breast pump. We are also providing a return to work breast pump loan provision. If you require this service, please continue to complete this form and you will be redirected to the relevent form to complete.

Any quiries about the breast pump loan service provision across the county can be emailed to michelle@daventryvolunteers.org.uk

Are you a Parent or Professional?*

Professional (If you have checked this box, press SUBMIT now)Parent (Please provide basic details below before completing your request).

Parents Name

First NameLast Name

Postcode

PARENTS ONLY - Once you have completed this short form, you will be redirected to our main registration form. Please complete the next form and we will assess your need for a breast pump. Should there be a reason a clinical loan is required, signing this box enables us to share your personal information with NHFT Infant Feeding Team in order for them to support you. If you agree to us sharing your information please sign your name in the box below.

Privacy Notice: Any information you share with Milk&You (Daventry Volunteer Centre, charity number 802879) will be held securely and in accordance with GDPR rules. We will treat personal details as private and confidential and safeguard them. We will not disclose your information to anyone unconnected with the charity unless you have consented to that release by signing this form. You can withdraw consent at any time by emailing michelle@daventryvolunteers.org.uk. You can view our privacy policy here