FELLOWSHIP
APPLICATION FORM
This guidance is for applications to support Fellowship funding; most frequently this will be applications for time to undertake learning to be supported.
The categories and priorities for the AHP Careers Fellowship learning and development funds 2015/2016 are as follows:
Category 1: Fellowship applications for the benefit of AHP Support Workers and Assistant Practitioners. Applications from and for the benefit of support staff, technicians and assistant practitioners to support their development and learning.
Category 2: CPD applications from AHP Support Workers and Assistant Practitioners. Applications from support staff, technicians and assistant practitioners to support development and learning are particularly welcome, for example any of the appropriate HNC courses, Talking Mats courses, etc
Category 3: Fellowship applications with a direct benefit and link to service improvement, especially where there is a clear link to learning and implementing quality improvement methodologies. Where the learning and development activity will be directly connected to introducing or further developing an improvement to your service, these applications will be considered as high priority. Learning and development activities that can demonstrate a wider benefit or potential, e.g. for a Scotland-wide benefit will be of particular interest to the Review Panel considering these applications. If your application sets out to be of benefit across Scotland please make sure your AHP director has discussed this at an AHP Directors Scotland Group meeting.
Category 4: CPD applications in general are also welcome. These will be considered after the priority categories’ applications should there be funds remaining. Whilst not an exclusive list the following areas have been recommended as of high importance by members of the NHS Education for Scotland (NES) AHP Advisory Group:
- Skills: workforce analysis, research, measuring impact, service re-design, health promotion, communication, self-management, leadership, ultrasound and role development
- Care settings: early years services, dementia services, mental health in mainstream health settings, diabetes, dysphagia, chest and abdomen reporting, transitions for children moving to adult long-term care services, supporting War Veterans experiencing complex trauma and need for prosthetics services, advanced practice, delivering AHP services in the prison setting, the integration agenda, telehealth services and AHP consultant services.
Please note: Applications may be subject to an interview process in addition to the paper application. You will be informed of any request to interview following decisions made at AHP Careers Fellowship Review Panel meeting.
Paramedics have recently joined the AHP family. Discussions are underway to include paramedics in future openings of the scheme.
Where your applications has a direct benefit and link to service improvement, please ensure this is apparent when you describe your learning outcomes at questions 2.7 and 2.8. For applications that are for the benefit of others, please remember that it is your learning outcomes that are required.
ALL APPLICANTS
Your application must clearly state the learning objectives and the intended impact/outcomes that it will achieve.Support from both the applicant’s Line Manager and AHP Director/Lead is a pre-requisite requirement.
The application process is split into two forms:
Form A should be completed collaboratively by the applicant and their line manager
Form B will be sent by NHS Education for Scotland (NES) to the AHP Director/Lead with a completed Form A for review.
NB. Application is for NES funding ONLY, if you are applying for other training or learning, you are also required to complete and submit an application form to the College/University or training provider.
Closing date for application is12.00pm(noon) on Friday 15 January 2016.
/ Data Protection: NES uses the personal data you provide for purposes associated with administering the AHP Careers Fellowship Scheme. NES will add your details to our database and share your work contact details with other participants in the Scheme through our newsletter, Alumni network or other channels as deemed appropriate. If you would prefer us not to share your contact details, please contact For more information see Personal data will be retained in line with our records retention policies.AHP Careers Fellowship
Winter 2015/2016 opening timescales
- Applications open: Monday 16 November 2015.
- All applications will be collatedon close of the Fellowship scheme at12.00pm (noon) on Friday 15 January 2016.
- Applications willthen beforwarded to respective AHP Directorswith arequest toreview and support for return by 12.00pm (noon) onFriday 5 February 2016.
- The AHP Careers Fellowship Review Panel will be sent all supported applications on9 February 2016and will initiallymeet onThursday25 February 2016to allocate funding to successful applications. However, if the volume of applications is significantly higher than projected, there will be the need to organise a second Panel Review meeting.
- Communicationsdetailing theReview Panel's decision will be sentwithin14 days ofthe Review Panel meeting (byThursday 10 March 2016).
FELLOWSHIP - FORM A
Form A should be completed collaboratively by the applicant and their line manager and then submitted to NES by the closing date stated above. Applications received beyond the closing date will not be accepted.
SECTION A – to be completed by the applicant
denotes mandatory fields throughout denotes guidance notes throughout
1. APPLICANT DETAILS(Page 6):
First Name: Surname:
Job Title:
Employer:
Work Address incl Postcode:
Tel No:
Mobile No.
E-mail:
Allied Health Profession you work within or most relevant:
2. APPLICATION DETAILS
2.1. Please supply your HCPC number (Page 6):
2.2a.Is this a group / team application? (Page 6) Yes No
b. If yes, please provide contact detailsfor all other application participants on the next page. (Pages 6 and 7)
2.3What is your core area(s) of practice? (Page 7)
Mental Health Outpatient *School
Learning Disability Acute Hospital *Social Work
Adult Health Health Centre *Voluntary Organisation
Child Health Community *Other, please specify
*NB please note if you are not an NHS employee your learning must clearly benefit NHS and be supported by one of the NHS AHP Directors/Leads.
2.4What best describes your work settings? (Page 7)
Remote Rural Urban
2.5What stage of your careerare you on the Career Framework for Health?
(Pages 7-9)
Level 1 Support Worker Level 5 Practitioner
Level 2 Support Worker Level 6 Senior Practitioner
Level 3 Senior Support Worker Level 7 Advanced Practitioner
Level 4 Assistant Practitioner Level 8 Consultant Practitioner
Level 9 More Senior Staff
2.6Please advise the form of learning you intend to undertake?
(Pages 9 and 10)
Practice-based learning in the workplace
“Mackay” Experiential learning placementeg shadowing others
Developing or evaluating qualifications (e.g. PDA, HNC)
Other, please specify
2.7Please describe the learning you intend to undertake( Page 10)
2.8Please identify your intended learning outcome( Page 10)
2.9How will you check you have achieved the intended outcome, i.e. how will your learning outcomes be assessed? ( Page 10)
2.10a.Will the learning opportunity you describe promote person-centred values? ( Page 11)
Yes
No
b. Will you involve service users in your learning,e.g. identifying learning needs, content of learning, assessing your learning, evaluating your learning?( Page 11)
Yes
No
2.11Please confirm that the learning opportunity has been identified and agreed by your Line Manager via KSF and your PDP or equivalent personal development scheme. ( Page 12) (NB. Your line manager will be asked to supply details)
I confirm I do not confirm
2.12Please indicate which of the four “career pillars” you will develop as a result of the learning activities you plan to undertake: (Page 12)
- How will your learning support Leadership?
- How will your learning support Clinical Practice?
- How will your learning support Research andEvaluation?
- How will your learning supportFacilitating Learning?
2.13Please demonstrate how the intended outcomes of your learning will contribute to improved service delivery to meet the Quality Strategy; focusing on person-centred, safe and effective care? (Pages 12 and 13)
2.14Please describe how the learning opportunity identified will support thehealthcare policies, strategies and HEAT targets that are relevant to yourlearningopportunity? Be specific and name each policy. You are strongly recommended to refer to the guidance notes. (Pages 12 and 13)
NB: To demonstrate your capabilities to undertake the proposed learning, you may be required to attend an interview.
2.15Please indicate total costings required providing a breakdown and details of how costings will be used and who they should be paid to (Page 13)
- Total costings
- Breakdown of costings
- Finance department contact details
Organisation:
Name:
Email address:
Postal address:
2.16Over what timescale will the costingsbe used? ( Page 14)
2.17Please indicate monies required for activities to be undertaken in this financial year, i.e. before 31 March 2016 ( Page 14)
- Monies required this financial year
- Please indicate monies required for financial year April 2016-March 2017( Page 14)
- Please indicate monies required financial year April 2017-March 2018 and beyond ( Page 14)
2.18Please provide details of any additional sources of funding contributing to the overall costs ( Page 14)
2.19Support from your Line Manager and the Health Board AHP Director/Lead is a pre-requisite. Please indicate the statement below that applies to your application(Pages 14-17)
I have contacted the AHP Director/Lead and gained support
My application aims to be of benefit across Scotland. I have asked the AHP Director/lead to discuss at an AHP Directors Scotland meeting
I have contacted the AHP Director/Lead but not yet received a response
I have not yet contacted AHP Director/Lead
2.20a.Please note that if your application is successful, you will be required to provide a reflective learning report outlining your learning experience and outcomes, any barriers incurred and how these were overcome, and how you have or intend to share your learning. Do you agree to submit a report? (Page 18)
I agree
I do not agree
b. We publish some of the best examples of learning reports to assist future participants. Do you agree to your learning report being published? (Page 18)
I agree
I do not agree
FELLOWSHIP - FORM A
SECTION B – to be completed by the applicant’s Line Manager
denotes mandatory fields throughout denotes guidance notes
3. LINE MANAGER’S DETAILS(Page 18):
First Name: Surname:
Job Title:
Employer:
Work Address incl Postcode:
Tel No:
Mobile No.
E-mail:
Allied Health profession you work within:
4. APPLICATION DETAILS
4.1I confirm that the learning opportunity has been identified and agreed via the applicant’s KSF and PDP. (Page 18)
I confirm
4.2Please include relevant extract from PDP(Page 18)
4.3Why do you support this application? (Page 19)
4.4Please describe your commitment regarding how you willmake best use of the skills acquired over this learning opportunity. (Page 19)
4.5Please describe your commitment regarding appropriate areas and tools for study, e.g. rooms and access to computer/equipment (Page 19)
4.6a.The applicant has described their learning outcomes. Please describe the impact you expect on your service and how you intend to measure this impact. What impact do you expect?(Page 19)
b. What data could you provide to demonstrate impact? (Page 19)
4.7Please confirm that you will provide feedback (if requested) in relation to the applicant’s progress and maintenance of an appropriate skill mix within the clinical area. (Pages 19 and 20)
I confirm
4.8Have you ensured that there is equality of opportunity for all applicants to apply in the following areas: (Page 20)
Full and part-time staff
Race
Disability
Gender
Age
Sexual orientation
Religion and belief
4.9If the application for funding is successful, you would be required to enter into an agreement and to its arrangements, undertakings and responsibilities as detailed in the answers to the criteria listed in this proforma. (Page 19)
I confirm that I would be prepared to enter into an agreement as described above
5. WHAT NEXT?
Please save a copy of the completed application form for your own records.
E-mail the completed application form to
by the closing date of 12.00pm(noon) on Friday 15 January 2016.
Please be aware that applications received after the closing date will not be considered.
The applicant and line manager will receive an e-mail confirming receipt of the funding application. NES will contact the AHP Director/Lead directly for their supporting comments. Please note that applicants are advised to have discussed with the AHP Director/Lead and sought their support. If your application aims to be for Scotland-wide benefit, the AHP Director/Lead should be asked to raise this at an ADSG meeting.
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AHP Careers Fellowship Application Form A