SPONSORED BY:
PROJECT TITLE:SUBMITTED BY:
PHONE NUMBER (INCL. AREA CODE):
MOBILE PHONE:
EMAIL ADDRESS:
POSTAL ADDRESS (INCL. POST CODE):
PHARMACY NAME:
Notes for entrants
To win this award you need to be a technician or pharmacist (or team) who can show us you stand out from the crowd through excellence and innovation. You will have successfully thought outside the square to introduce a solution in any area of pharmacy.
This entry form provides a template for entries. Applicants should structure their entries according to the 7 sections outlined in this document. Suggested responses are included in each of the 7 sections however these are not mandatory and may be expanded upon if necessary. There is no word limit for each entry however a concise approach will meet with judging approval.
The judges use a 16 point marking schedule. Points allocated to each section are outlined below. The judge’s decision is final.
iNTRODUCTION
This section is a short awards application overview.
It should outline what you set out to achieve, and what the results were.
objectives – 3 points
In this section you will outline the why, what and who. Whyundertake your project, what did you want to achieve and who were you targeting? It will include an overview of what difficulties were predicted (socially, financially, technically, legally, organisationally). If your project aimed to be sustainable or could be used by other pharmacies, then include details of this as well. Good objectives are SMART – specific, measurable, achievable realistic and time bound.
You may wish to include details on:
REASON FOR THE PROJECT:THE OBJECTIVES OF THE PROJECT/WHAT YOU HOPED
TO ACHIEVE:
WHO DID THE PROJECT TARGET?
IDENTIFICATION OF PROBLEMS:
RESEARCH – 3 points
In this section you will expand on why this project/service was undertaken (your background analysis) and show how this links to the objectives you have set. Your research may have influenced how you planned your project or decided on how to implement the service. Include a description of any clinical or business models you have used to undertake your research (e.g. SWOT analysis).
You may wish to include details on:
DESCRIPTION OF BACKGROUND RESEARCH:EVIDENCE OFFERED:
Planning– 2 POINTS
This section expands more fully on what you planned to achieve your objectives. For instance, how did you plan to engage other staff members? How did you plan to get funding?
You may wish to include details on:
STRATEGIES TO ACHIEVE YOUR OBJECTIVES (INCLUDING OVERCOMING IDENTIFIED CHALLENGES):BUDGETS (IF APPLICABLE):
STAFF OR OTHER HEALTH PROFESSIONAL INVOLVEMENT:
TIMELINES:
CHALLENGES/PROBLEM SOLVING:
implementation – 3 points
This is where the rubber hits the road. Describe how you implemented your plan. Don’t be afraid to tell us about how you had to adapt the plan during implementation to overcome unforeseen challenges and how your staff training was undertaken.
You may wish to include details on:
HOW YOUR PLAN WAS PUT INTO ACTION:ANY DIFFICULTIES YOU HAD TO OVERCOME:
evaluation Method and results – 5 points
This section relates clearly to the objectives that were set in the first section. Were your objectives realistic and achieved within the time frame that you specified. If not, why not?
To do well in this section, remind us of your objectives, then describe your results. Give us a short analysis of your result, telling us what you have learnt from the project and how it has affected your role in delivering care. Tell us what you would do better next time and whether you would like other pharmacy staff to also give your project a go.
You may wish to include details on:
OUTCOME(S):DID YOU ACHIEVE YOUR OBJECTIVE?
INCLUDE FINANCIAL RESULTS
(IF APPLICABLE):
SUSTAINABILITY AND ABILITY TO BE REPLICATED:
WHAT WOULD YOU DO NEXT TIME? WHAT COULD OTHERS DO NEXT TIME?
Appendix
Include any additional supporting material/photos. If you are unable to provide these electronically, please send by post or courier to:
Ali Jacobs
The Health Media
PO Box 31905
Milford
Auckland 0622
Or
11 Omana Road
Milford
Auckland
0620
Please indicate on your entry whether you are sending additional material by post.