Little Pot of Health Innovation Fund 2016
Have you got an innovative idea to improve the health and wellbeing of people in Salford? Would you like the opportunity to apply for up to £5,000?
To give your organisation the best chance of success please read the following guidance notes and criteria carefully.
If you have any questions, please contact the CVS Development Team on 0161 787 7795.
Please submit your application electronically in Arial font, size 12.
What is the Little Pot of Health InnovationFund?
The Little Pot of Health Innovation Fund is a small grants pot for VCSE sector organisations in Salford. Groups can apply to deliver innovative activities that meet the priorities below and which ultimately improve the health and wellbeing of people in Salford. The Little Pot of Health Innovation Fund is a real opportunity to do things differently. Remember we want to fund you to make a difference to the people who live in Salford. How will you show us that you have made a difference?
What are the priorities for the Little Pot of Health Innovation Fund?
- START WELL: Ensure all children have the best start in life and continue to develop well during their early years
- LIVE WELL: Local residents achieve and maintain a sense of wellbeing by leading a healthy lifestyle supported by resilient communities
- AGE WELL: All local residents can access quality health and social care and use it appropriately
How much and deadline?
Please apply for the amount you actually need for your project and break these costs down in your application, show calculations. Up to £5,000 is available per application.
The deadline for Little Pot of Health Innovation Fund round 3 is27th May2016 at 12 noon.
Please email your completed application form and any supporting documentation to:
N.B. We are unable to give money to the following: Individuals; any activities that promote the advancement of religion or politics; proposals that are in breach of equalities or other relevant legislation; activities or services that are delivered outside of Salford; applications from freelance consultants; improvements to land or buildings that are either privately owned or the responsibility of a statutory authority.
Only one application per organisation can be submitted to this fund in any 12 month period.
Please note all applications will be cross-referenced against other funding sources in the City to ensure projects are not being double-funded.
Eligible organisations must:
- Be a member of Salford CVS (if you are not a member of Salford CVS please submit your completed membership form with your grant application form – if you do not do this your bid cannot be considered). Apply online:
- Be not-for-private-profit and have social aims
- Have a governing document (e.g. a Constitution)
- Have a Management Committee / Board
- Have a Bank Account (with 2 signatories who are not related to each other)
(NB If your group doesn’t have a bank account Salford CVS may be able to help you with a holding account – please contact us for further information)
- Have a whole organisation turnover of less than £50,000 p.a.
- Deliver services in Salford for Salford people. Little Pot of Health Innovation funded activity must take place solely in Salford
- Demonstrate Social Value (i.e. the social, economic and environmental difference your funded project will make to Salford residents)
- Have no outstanding monitoring from previous grants from Salford CVS.
Timeframe:
Panel Meeting / July 2016
Delivery Period / 1st Aug 2016 to 31st July 2017
Monitoring Return / No later than 31st August 2017
Answering questions on the application form.
The panel will be scoring your applications based on your answers to the questions below. Please read the guidance for each of the questions and be clear and concise in your answers.
1. Describe your project in 50 words
This is a good opportunity to promote what you are doing by summarising in 50 words. If you are successful this information will be used on the Salford CVS website and in other promotional materials and media. (This information will not be scored).
2. Does your activity take place in Salford?
Little Pot of Health Innovation funded activity must take place solely in Salford. If the activity cannot be delivered in Salford then your application will be ineligible.
3. What do you want the money for?
a)Provide details of what your project will be doing and/or the activities you will be organising and tell us the story of how the money will be spent.
b)Be specific in telling us how many people will benefit from the work you are doing, and who they are. If this is a new proposal give us an estimated number of people you anticipate you will work with. For example you can include the age range, employed/unemployed, retired, health, disability and so on.
4. How is this innovative?
For the purposes of this fund the definition is taken from the document ‘Innovation Health and Wealth: Accelerating Adoption and Diffusion in the NHS’, which states:
‘Innovation has to be more than a simple improvement in performance, and to achieve its maximum added value to the NHS it needs to be replicable – and replicated – across similar settings, therefore innovation is as much about applying an idea, service or product in a new context, or in a new organisation, as it is about creating something entirely new.’
Your idea must be something that you are not already doing, it can be for a different client group, or taking your existing work in a new direction.You need to clearly tell us how it is innovative and why.
Give us details of how you will share the learning you have gained by trying something new; but also think about the learning you will gain even if your project proves to beunsuccessful.
Example of an Innovation project:
- Salford Dadz the movie -
General sources about innovation:
- Social Innovation Exchange (SIX) -
- Nesta –
- Young Foundation -
5. What difference will your project make to the health and wellbeing of people in Salford?
a)What is the actual difference you are trying to make to the health and wellbeing of your beneficiaries?
b)Please tell us how you will measure the success of your idea; and how you will know it has made a difference to your community.
c)What are the long-term changes and impact of your project? Who and how many people will benefit from your project?
NB - Remember outcomes: the benefits, the changes and the learning that happens as a result of your activity. Ensure these are measurable and tell us what you aim to reduce, improve, increase or even maintain.
6.How will you demonstrate social value?
- What do you predict will be the long-term changes and wider impact of your project?
- Describe any social, economic and environmental outcomes that will be delivered and how you will set clear targets for achieving these Social Value outcomes.
- What tools, measures and systems will you use to track the delivery of your Social Value?
For more information on Social Value visit our website:
7.How will you capture learning?
What tools, measures and systems will you use to track the progress you have made and how will you know you have been successful in achieving the outcomes you proposed? What will be your evidence? The evidence may include evaluations, questionnaires, summary of learning gained, Outcomes Star, testimonials, case studies or any other creative tool to capture outcomes.
8. Budget please indicate how much money you need:
The scoringpanel will expect you to justify any request made. Please provide a detailed breakdown of the budget specifying each item the money will be spent on showing the calculations for the amount requesting for each area. Please see worked example below for the information required.
Venue hire: please provide the cost of the venue per hour; how many hours required per session; how many sessions in the project.
£15 per hour, two hours per week for 10 weeks.
£15 x 2 = 30 x 10 = £300
Public transport: please provide information about where the journey is from and to, what type of transport, how much per trip or day ticket and how many trips.
Example:
Two volunteers bus fares based on day ticket costing £4.10 each x one trip per week for ten weeks.
2 x £4.10 = £8.20 x 10 = £82.00
Personal vehicle usage: please provide information about where the journey is from and to, how many miles per trip and how many trips. The mileage rate is set at £0.45p per mile max.
Example:
One volunteer makes one round trip per week of 6 miles (Langworthy to Eccles) for 10 weeks
£0.45 x 6 = £2.70 x 10 = £27.00.
Equipment; Please list all the equipment required, the cost per item and how many of each are required.
Your total project costs can exceed £5,000 but this is the maximum available from The Little Pot of Health Innovation Fund. If you have any match funding please tell us how much and where it’s from.
Please note amounts should include VAT where applicable.
N.B. Please note that Salford CVS reserves the right to request copies of all receipts for the monies you receive from us and will be conducting regular audits of successful applications.
Little Pot of Health Innovation Fund 2016
Round 3
Application form
Please complete the application form below. Typed text must be Arial font 12 and must fit inside the allocated box. Please refer to the guidance notes.
Part 1Q 1 / Describe your project in 50 words (this information is not scored).
If you are successful this information will be used on the Salford CVS website and in other promotional materials and media.
Q 2 / Does your activity take place in Salford?
Yes
Please state where:
______/
No
If no, please note your application is ineligible.
Q 3 / What do you want the money for? (500 words max)
a)What will you do?
b)How many people do you think you will engage?
c)Describe your beneficiaries.
Q 4 / How is this innovative? (300 words max)
Q 5 / What difference will your project make to the health and wellbeing of people in Salford? (300 words max)
Q 6 / How will you demonstrate Social Value? (see guidance notes) (500 words)
a)What do you predict will be the long term changes and wider impact of your project?
b)Describe any social, economic and environmental that will be delivered and describe how you will set clear targets for achieving these Social Value outcomes
c)What tools, measures and systems will you use to track the delivery of your Social Value?
Q 7 / How will you capture learning? (50 words max)
Q 8 / Budget
Please indicate how much money you need and provide a detailed breakdown of your planned expenditure and details of how the costs have been worked out. Please note amounts should include VAT where applicable.
Budget heading / Total Cost £ / Amount requested from LPOH Innovation Fund
£
1
2
3
4
5
6
7
8
Total amount requested from the Little Pot of Health Innovation Fund / £
Total cost of project / £
If relevant where is the rest of the money coming from? Please specify the funder and amount.
Have you got this match funding in place already?
Salford CVS will audit your project expenditureso please retain all records.
Part 2
Q 1 / Contact details
Name of organisation
Your name
Your telephone number
Your mobilenumber
Your email address
Address details
Post code
Q 2 / What type of organisation are you?(Please tick all that apply)
Constituted Group (Unincorporated Association)
Company Limited by Guarantee / Number:
Registered Charity / Number:
Industrial and Provident Society / Number:
Community Interest Company / Number:
Other (please specify)
Type: / Number:
Q 3 / Has your organisation got its own bank account?
Yes / No
If no, do you need Salford CVS to provide a holding account for you?
Yes / No
Q 4 / Which of the following do you have in place? (Please tickall that apply)
Health and Safety policy
Risk assessment
Safeguarding Children policy
Safeguarding Vulnerable Adults policy
Volunteeringpolicy
Equality and Diversity (statement or policy)
Public Liability Insurance
Employers’ Liability Insurance
Up-to-date Annual Accounts
Q 5 / Are your staff / volunteers appropriately DBS (CRB) checked?
Yes / No
If you need advice around DBS checks please call Salford CVS on 0161 787 7795
Q 6 / Please state your organisation’s turnover for the last financial year
Q 7 / Declaration
I confirm that the details on this application form are correct.
I am authorised to apply for this money on behalf of my organisation.
N.B. We require two signatures from people who are not related to each other or share the same household and are authorised to sign on behalf of your organisation. There must be at least one signatory from the governing body
(e.g. management committee / board member).
Scanned signatures are acceptable.
Person 1 / Person 2
Name / Name
Role / Role
Signature / Signature
Date / Date
Please return the completed application by27th May 2016, 12noon to:
Email: acknowledgement email will be sent automatically, please call Salford CVS as soon as possible if you do not receive an acknowledgement. Salford CVS accept no responsibility for applications sent and not received. Late or incomplete applications will not be processed.
Post: Salford CVS, The Old Town Hall, 5 Irwell Place, Eccles, M30 0FN.
You can contact Salford CVS on 0161 787 7795 for queries.
Details available via our website
Checklist
Please ensure you have enclosed the required documentation / evidence
Checklist / Tick to confirm (if applicable)
Completed all sections of the application /
Application is signed /
If you are not already a member you have attached membership form /
Is your organisation a member of Salford CVS? / Yes No
Are you registered with Volunteer Centre Salford? / Yes No
How did you hear about the Little Pot of Health Innovation Fund?
Would you like to sign up to receive any of our e-bulletins?
Please tick below.
Basis E-bulletin (Health and Social Care)
Children, Young People & Families E-bulletin (including VOCAL Forum)
Volunteering In Salford E-bulletin
Funding E-bulletin / Salford CVS E-news
Training Newsflash
Trustee E-bulletin
Social Value E-bulletin
For Office Use only
Eligibility Checked
Civi Updated
Cross-referenced
Rejected
Taken to Panel
Approved at Panel
Rejected at Panel
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Little Pot of Health Innovation Round 3 2016 – V3