Advancing Healthcare Small Grant 

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This form has either already been submitted OR is currently unavailable for submission. For assistance, please contact funding@bartscharity.org.uk


Following review of your preliminary application for an Advancing Healthcare Small Grant, you are invited to submit a full application for this scheme.


If you would like to change the title of your application, you can do so on page 3 of this form.

Before starting this application form, please familiarise yourself with:

You must complete this online form, as well as the detailed cost breakdown template. This must be downloaded, completed and attached to the form.


If you have any questions, please contact funding@bartscharity.org.uk.


Do get in touch if we can support you in the application process by applying reasonable adjustments.


You can download a sample version of the form here. You may use this Word version of the form to help prepare your application, but you must complete and submit the online form in order for the Charity to consider your application.


Fields marked with a red asterisk (*) must be completed in order to submit the form.


Checks

In ticking this you, the Lead Applicant, confirm that:



Section 1: Application Summary




Guidance: You may request up to 18 months of support.

Guidance: This date should be as realistic as possible, taking into account the amount of time that it will take Barts Charity to process your application and for you to prepare to start the work (including recruiting staff and obtaining any relevant approvals). You may adjust this start date if your application is successful. We expect most Advancing Healthcare Small Grants to start within 1 year of the decision.

Guidance: If your application is successful, this is the organisation that will be responsible for administering the award.




Your application form will need to be reviewed and electronically approved by the Head of Finance at the hospital that will administer this grant, if the application is successful. Please confirm their name and email address here. When you submit your application, they will be sent a copy of the application pack and asked to approve it.  



New Legally Responsible Contact
Please provide the details of the new Legally Responsible Contact




Complete for all applications for grants to be managed by Barts Health NHS Trust

Section 2: Project Summary

Technical Summary

Guidance: Succinctly outline the project, including the background to the problem, the key aims, your methodology/plans for delivery and anticipated impact/benefits. 
Lay Summary

Guidance:  We use this to describe your project through our communication channels (such as our website) and to describe your project to the public, supporters, donors and our Trustees. You should avoid unnecessary jargon, abbreviations, and technical terms wherever possible. If you must use them, provide a clear explanation. Further guidance on writing a lay summary, and other useful resources can be found through the INVOLVE ‘Make it clear’ Campaign.  

Section 3: Project Details

Project outline

Provide an outline of: 

  1. the need for this project
  2. the key objectives 
  3. the work plan
  4. the evaluation plans
  5. the plans to support or develop the project beyond this potential period of charitable funding.

Please ensure that this section of your application is fully referenced.

 

References may include clinical guidelines, NICE recommendations, as well as research papers. For advice/guidance regarding referencing, please see this resource.

 

Please note that if your application is not appropriately referenced it will be returned to you.

Guidance:

Please structure this section following the headings above. This is the main body of the application, most of the key information must be included here.


Your application will be read by a range of people including individuals who may not know the context of your application in detail. Please write your application with this in mind.


References, figures and any other supporting information referred to must be uploaded as attachments (on Page 9 of this form).


1. The need for this project

Describe the background to the project and how the need for intervention in this area has arisen. In this section, provide justification for the proposal, including details of any preliminary work and the current state of the field.


2. Key objectives

Clearly state what the proposal aims to achieve.


3. Work plan  

Outline how you will achieve your aims. This should include the approach you will take, key activities, risks and contingency plans as well as estimated timelines (with reference to a Gantt chart, if appropriate).


4. Evaluation plans 
Outline your plans to evaluate the impact of the proposed project, including how you will: 
  • collect baseline data, if appropriate 
  • monitor project progression  
  • determine whether the aims have been achieved, and what the outcomes and benefits have been.
You should include details of specific and measurable criteria of success.

5. Maintainability
Provide details of how the proposed intervention might be introduced on a permanent basis or will lead to long-lasting impact. We understand these actions might be completed by another team.

Explain whether your project may lead to ongoing costs (revenue/non-revenue) after the period of the grant. If so, outline the potential sources of funding (Barts Health NHS Trust, Integrated Care Systems, NHSE/I, other charities etc) for these ongoing costs and your plans to submit a request for future support.

Project Benefit

Approximately how many people will benefit from this project? Please provide:

  • evidence of how this figure has been derived 
  • details of the population who will benefit (e.g. age, demographic profile, location or disease profile)
  • details of patients who may benefit within Barts Health NHS Trust specifically, if applicable.

Guidance: If possible, provide the number of patients/people that would benefit per year in the UK. Where this is not possible, please state the units that you have used.

Section 4: Additional questions

Involvement and Engagement
As a local funder, effective involvement and engagement of patients and the public in the work we fund is very important to us. 

Patients and the public ideally should be involved and/or engaged in every stage of a project, from developing a proposal through project delivery to evaluation and dissemination.

More information and guidance around involving individuals in work to advance healthcare delivery has been developed by the NHS Accelerated Access Collaborative (AAC), a group who are committed to introducing proven innovations into clinical practice more rapidly. The ACC patient and public involvement strategy incorporates the guiding principles laid out in the NHS England guidance on patient and public participation in commissioning health and care and is available here.

We recommend reviewing this document before submitting your application.   

Costs related to patient and public involvement and engagement within your project can be funded by this grant and should be detailed in the finance section of this application form.


Outputs Management Plan

Guidance: Project outputs are tangible materials generated as a direct result of project activity and may include, for example: 

  • a framework outlining a new clinical pathway  
  • data/datasets, software or physical materials  
  • policy documents 
  • patents  
  • manuscripts/papers/poster presentations  
  • training materials.   

As a charity, we want to ensure that the outputs generated by the projects we fund have the largest possible impact. We expect applicants to consider whether the outputs of a project might be of value as a resource to others and, if so, to consider their approach to managing and sharing anticipated outputs in order to maximise their potential benefit. 


Project Team and Management
Outline the role that each team member (including lead and co-applicants, collaborators and staff) will play in the delivery of the project. Include details of the role any governance or oversight committee(s) (e.g. a steering group) will have.

Guidance: If your project requires collaboration with individuals from organisations outside of Barts Health, QMUL or City you will be required to submit a letter of support from each collaborator (please use ‘Letters of Support’ upload button on Page 9).
Commercial Involvement 

Guidance: If you will require involvement with a commercial organisation in order to realise your project aims, we advise you to seek guidance from the Barts Health NHS Trust commercial team.
Case for Charitable Support

Why is Barts Charity’s Advancing Healthcare scheme the best funding source for this proposal?  Your answer should include details of:

  • How the proposal meets scheme criteria of originality/creativity, including the extent to which your proposed intervention is currently available within the NHS.
  • Why the project is suitable for carrying out as a healthcare improvement, rather than research, project. Please see the HRA 'Is my study research?' tool for guidance regarding the circumstances in which a project should be considered research.
  • Other potential sources of funding which could be approached or have been approached.


Guidance:  
  1. Please refer to the scheme webpage and our Cost Policy for details of what this scheme can and cannot support.
  2. Include details of whether this or a similar application or business case has been considered by another organisation recently. If your application for funding was unsuccessful, outline the reasons for this decision and any changes you have made to this proposal. 

Section 5a: Applicants

The grant application must be led by one Lead Applicant, with up to four Co-Applicants.  


The Lead Applicant is responsible for completing the application form, leading the project and fulfilling monitoring requirements. They will be the main person that Barts Charity communicates with.


The project team must include representatives from all services involved. 


Please provide a letter from your directorate general manager confirming that they support this application. You can do this on Page 9 of this form. 


Lead Applicant details






















Guidance: ‘Outputs’ refers to any tangible materials that have been generated as a result of project activity, and may include, for example:
  • a framework outlining a new clinical pathway
  • data/datasets, software or physical materials
  • policy documents
  • patents
  • manuscripts/papers/poster presentations
  • training materials. 
New Lead Applicant details
Please provide the new lead applicant's details




















Guidance: ‘Outputs’ refers to any tangible materials that have been generated as a result of project activity, and may include, for example:
  • a framework outlining a new clinical pathway
  • data/datasets, software or physical materials
  • policy documents
  • patents
  • manuscripts/papers/poster presentations
  • training materials. 

Section 5b: Applicants


The following individuals were listed as co-applicants on the preliminary application.

If you would like to remove a co-applicant, you can do so by clicking the 'remove' button that appears at the top right of each co-applicants section. 
Co-Applicant details






















Guidance: ‘Outputs’ refers to any tangible materials that have been generated as a result of project activity, and may include, for example: 
  • a framework outlining a new clinical pathway
  • data/datasets, software or physical materials
  • policy documents
  • patents
  • manuscripts/papers/poster presentations
  • training materials.   
Use the 'add another co-applicant' button to add details for another co-applicant.

Attachments 

The upload fields below will only accept Office (e.g. Word) or PDF files.

Upload a list of the sources cited in the Project Outline above. This might include NICE clinical guidelines, Cochrane reviews, guidelines from major professional bodies or Royal Colleges, advice from expert groups, other charities or research papers. For academic research papers, include all authors, the full title of each publication, journal title, year, volume and pages. For citations to preprints, state Preprint, the repository name and the article persistent identifier (for example DOI). For advice and guidance regarding referencing, please see this resource .

Figures, schema, preliminary data, Gantt charts and other supporting information. This document is not included in the word counts of the Project outline. This document must not exceed two A4 pages. If the document exceeds the limits, we will return the application to you so that you can reduce its length.

Upload a Letter of Support for this project from your Divisional Director. 

 

If you have any additional letters of support for this work from clinical or operational leads within Barts Health, or key project collaborators from other organisations, upload these here too. Multiple letters will need to be merged into a single file. 

Section 6: Project Finances

  • We will fund only the direct costs of the project

  • All requested costs must be justified in the context of the proposal

  • You must obtain accurate costs from your Finance Office, including VAT exception certificates where relevant

  • All costs requested must be in line with Barts Charity's Cost Policy

  • We expect that the majority of the project’s costs would be incurred in Barts Health NHS Trust. We will consider providing funds to collaborating organisations on a case-by-case basis and, if agreed by the Charity, this collaboration will need to be managed by the Barts Health NHS Trust as a sub-contract

All amounts below must be shown as whole numbers and in pound sterling (£) (no symbols, commas or spaces)


Guidance: This must be the total amount requested from Barts Charity, including funding from any Special Purpose Funds Barts Charity manages.
Guidance: You should include the value of contributions (confirmed or requested) from other sources (e.g. other charities, the NHS or higher education institution or commercial companies).

Guidance: Provide a list of the value and source of funding as well as what this will cover. Indicate whether these contributions have been confirmed or are still under review.
Costs requested
Provide a breakdown of costs requested from Barts Charity using the following cost categories.
You must ensure the breakdown matches the amount requested (above) from Barts Charity.

All amounts below must be shown as whole numbers and in pound sterling (£).
Year 1 Year 2 CostID
Staff
Materials and Consumables
Equipment
Estates
Involvement and Engagement
Publications/
Dissemination
Other


This figure is the sum of the figures provided in the cost breakdown above. You must ensure that this field matches the amount entered into the 'Amount requested from Barts Charity field'.



Guidance: Provide a detailed breakdown of the costs provided. For example: “We see x patients, so require y of item z. Each item costs £A, bringing the total to B.”


The list below provides guidance specific to this scheme. You must refer to Barts Charity’s Cost Policy for full details of the allowed/disallowed costs.

 

Staff

  • Outline the role each staff member will play in the project, including a justification for the level of salary support requested.
  • Where the requested staff member has already been identified, please provide their name and a justification for their involvement in the project.

Equipment

  • A company quote is required for any piece of equipment over £5,000.
  • You must ensure that any freight/shipping/delivery, VAT, installation, or capital/estates costs related to equipment have been fully accounted for.
  • The Lead Applicant is responsible for ensuring that a suitable location to house/store the equipment has been identified, and that this space is fit for purpose.

 Estates

  • If your project has associated estates costs you must ensure that all relevant costs have been fully accounted for. This includes, but is not limited to, construction, PFI fees, professional fees and fixtures and fittings.
  • A quote, cost estimate or variation request response must be provided.

Public and Patient Involvement

  • We encourage the involvement of patients, staff and/or the public in the work we fund. Costs related to involvement and engagement to support your idea as outlined in the relevant question in this form can be requested here.

Uploads
If you are requesting equipment or Estates costs, you must provide a quote/Variation Request Response. Please upload this here.

If you have multiple quotes, please merge these into a single document for upload.
Your Finance Manager is responsible for checking that the item/work is VAT exempt. If the cost is VAT exempt, you must attach an email or letter from them confirming.  

Section 7: Approvals


  1. Which internal groups/boards/committee have approved your proposal? This might include the Hospital Executive Board, for example.
  2. Which groups still need to give approval of your application? 
Please specify here if your planned project will involve the introduction of a New Interventional Procedure. If so, your proposal must have been approved by the Barts Health Clinical Effectiveness Committee before it can be considered for a final funding decision by Barts Charity

Guidance: Barts Charity may share your application with key stakeholders within Barts Health as a part of our due diligence and to confirm that the necessary internal approvals have been received or will be before a final funding decision is made.

Diversity Monitoring


Barts Charity is committed to ensuring that our decision-making processes are fair and free from bias. We ask that all applicants complete a short diversity questionnaire to allow us to monitor our progress against these aims.

Data collected will be held separately to your application and cannot be accessed by anyone involved with processing or assessing your application.

Each applicant will receive an email with further details and instructions on completing this survey shortly after the application is submitted. If an applicant has provided this data in the last two years, we will not ask them again. They may however request a form to update or remove this data but contacting funding@bartscharity.org.uk.

Review and Submit




When you submit, your application form will be sent to the finance manager you have identified as Legally Responsible Contact for this grant. They must review and approve your application in order to complete the submission to the Charity. 

Applications must be received by 5pm on the day of the deadline. 

The Lead Applicant will be sent a PDF copy of the data entered into this form. 
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