Guts UK/Dr Falk SpR Audit/Quality Improvement Awards

Guts UK/Dr Falk 2024 SpR Audit/Quality Improvement Awards Application Form

Dr Falk Pharma and Guts UK invite applications from UK-based gastroenterology SpR trainees who would like to conduct an audit or quality improvement project in any area of gastroenterology (including hepatology and pancreatology) or nutrition. The maximum award is £10,000. Ensure you have read the SpR award's criteria and the Guts UK Grants Terms and Conditions and have raised any pertinent issues with relevant staff.

Applications should be completed through the form below. A PDF version of your application will be sent to your email address after you submit the form (check your spam/junk folder if you have not received it and please ensure you use an email account that will allow the delivery of the PDF attachment). Please print this off, obtain all relevant signatures (Applicant, Supervisor and Finance Officer signatures required) and email a scanned signed full application to research@gutscharity.org.uk by 12 February 2024 at 5pm. The application will only be considered complete once we receive the signed version. Applications received after this time will not be considered.

Please do not exceed the word limits set in the application form and ensure all rich text formatted sections use 11 size font.

If there are any issues, please contact research@gutscharity.org.uk

Application Form: * REQUIRED
Tick box to confirm this is the award you want to apply for.
- Guts UK/Dr Falk 2024 SpR Audit/Quality Improvement Award
Section One - Applicant Details
Applicant's name * REQUIRED
Title First Name Surname
Applicant's address for correspondence * REQUIRED
Address Line 1 Address Line 2 City County Post Code Country
Applicant's email address for correspondence * REQUIRED
Applicant's phone number for correspondence * REQUIRED
National Training Number - NTN * REQUIRED
BSG membership number (if applicable)
Applicant’s academic record * REQUIRED
Add in chronological order. Include Honours and Awards. Click on the + button to add more rows.
Academic Institution Degree Class Subject Year of Award
Present and previous posts * REQUIRED
Most recent first.
Start date End date Job title Employing institution
Details of next post if present post ends before project is due to finish * REQUIRED
Include dates of contract and location. Write N/A if not applicable.
List previous publications
List any awards or prizes received
Collaborators
If applicable, use this section to list the names, positions and institutions of collaborators and/or members of the research network.
Section Two - Project Details
Title of the project * REQUIRED
Maximum 30 words. Please choose an informative title.
Proposed project start date * REQUIRED
Please indicate a realistic start date.
DD slash MM slash YYYY
Proposed project duration (in months, max. 12 months) * REQUIRED
Where would the project take place? * REQUIRED
Indicate the primary host institution and additional sites, if applicable.
Project description * REQUIRED
Word count between 1,000-1,500 words (excluding references). Please describe the background, aim/purpose, a brief outline of the project, and who will benefit from the outcomes. Add relevant references if needed (maximum 20).
Lay summary * REQUIRED
Maximum 200 words. Use simple lay terms to describe the project and include the following:
• A simple heading (maximum 10 words)
• The audit/quality improvement area you are addressing, e.g., information on the condition(s)/service/treatment
• How this project will benefit patients in the near future
This summary will be used when describing your work to the public. Please check the readability score of your lay summary using a readability checker such as:
http://www.readabilityformulas.com/free-readability-formula-tests.php
Has the project been discussed with your Local Clinical Research Network with regard to obtaining service support costs? * REQUIRED
- Yes
- No
- Not applicable
If 'Yes' please provide details of the discussion. If 'No' or 'Not applicable' explain why. * REQUIRED
Has approval from the relevant research ethics committee been obtained? * REQUIRED
- Yes
- No
- Not applicable
If “No” please note that proof of ethics approval will be required before any funds are released.
Have you obtained any other funding for this project or for a related application? * REQUIRED
- Yes
- No
If “Yes” please provide details of the title of the project, the amount received, the start and end dates, the funding body and how the project relates to this application. * REQUIRED
Section Three - Budget
Please note that the maximum award is £10,000 and applications requesting a larger amount will be rejected.
Capital items (for example, laptops and other equipment) will not be funded under this grant scheme nor will any contribution to salary costs or higher degree fees for the applicants. Conference-related costs are not eligible for funding. Travel costs related to conducting the project can be included (for example site visits, focus groups etc.). All costs must be in UK pounds (£).
Please ensure the Finance Officer has sufficient time to review the application budget and associated costs.
Budget breakdown * REQUIRED
Please use the + button to add more rows.
Item description Costs (£)
Total cost of the research project (£) * REQUIRED
Please ensure you have added up all the budget items listed in the section above.
Justification for support * REQUIRED
Please provide a brief explanation for each item in the requested budget in terms of why the expenditure is needed for the proposed project.
Section Four - Declaration and Signatures
Once you submit the application form online you will receive a copy as a PDF file by email. Print it, obtain all relevant signatures and email a scanned version of the full application form to research@gutscharity.org.uk by 12 February 2024 at 5pm. The application will only be considered complete once we receive the signed version.
Guts UK Standard Release Form * REQUIRED
Tick the box to indicate the applicant's institution accepts and agrees to the Guts UK Standard Release Form terms. As a charity it is best practice for Guts UK to announce the awards it funds on its website.
- In submitting this application, the applicant’s institution accepts and agrees to the terms relating to the Guts UK Standard Release Form set out below:
  
  Summary information about the successful application, including the title of the project, the applicant’s name and institution, the summary of the project, and the value of the award, might be published on Guts UK website and on social media channels, as soon as the award is announced.
Data Protection Information * REQUIRED
Tick the box to indicate that relevant staff at the applicant’s institution and/or other relevant institutions have been informed about the data protection information set out below.
- In submitting this application, the applicant’s institution confirms that it has informed relevant staff about the data protection information set out below:
  
  Guts UK may contact applicants, co-applicants and their institutions by email, telephone or post about their applications or other pertinent issues. Personal and other data on applications to grants and other awards will be stored by Guts UK to aid the processing of applications, and for auditing, review and evaluation purposes, and as set out in the Standard Release Form (see above). Information will not be shared with any third party except for aiding those purposes (e.g. data sharing of grant and other awards with the Association of Medical Research Charities). All personal information will be stored and processed in accordance with the Data Protection Act 1998 (and any subsequent legislation and guidance relating to data protection, in particular the General Data Protection Regulation 2016 and the Data Protection Act 2018). Processing of personal data is necessary for the legitimate interests pursued by Guts UK and with other third parties as set out above, and will be limited to that which is proportionate to those interests. Further information as to how Guts UK use and protect your data is available in Guts UK’s Privacy Policy, accessible from https://gutscharity.org.uk/privacy-policy/
Award publicity with Dr Falk
Dr Falk would like to liaise with the successful applicant to publicise the award and the project. Please check the box below to indicate you agree to be contacted by Dr Falk about this.
- I agree to be contacted by Dr Falk with regards to the preparation of relevant publicity materials and support for media coverage of the award and the project.
Declaration for the Applicant * REQUIRED
Tick the box to indicate agreement.
- In submitting this application:
  - I understand that if the application is successful I will be bound by the grant’s Terms and Conditions, other relevant terms, and any subsequent amendments.
  - I confirm that I have not entered into any obligations which would conflict with the grant’s Terms and Conditions or other relevant terms of the grant.
  - I confirm I have the full support of all relevant members of staff where the work is to take place.
  - I confirm that I will have secured all necessary licences and approvals in relation to the project by the take up of the grant and will abide by the terms of those licences and approvals in carrying out the project.
Applicant's full name, signature and date * REQUIRED
Add applicant's full name to the form, and sign and date here when preparing the scanned signed version of the application.
Declaration for the Supervisor * REQUIRED
Tick the box to indicate agreement.
- I have agreed to act as Supervisor for this project. I give my consent to be contacted by Guts UK and/or Dr Falk as required.
Supervisor's full name, signature and date * REQUIRED
Add the Supervisor's full name to the form, and sign and date here when preparing the scanned signed version of the application.
Supervisor's position and institution * REQUIRED
Supervisor's email address * REQUIRED
Declaration for the Finance Officer * REQUIRED
Tick the box to indicate agreement.
- I understand that if the applicant is successful the award will be bound by the grant’s Terms and Conditions, other relevant terms, and any subsequent amendments.
Finance Officer's full name, signature and date * REQUIRED
Add the Finance officer's full name to the online form, and sign and date here when preparing the scanned signed version of the application.
Finance Officer's position and institution * REQUIRED
Finance Officer's email address * REQUIRED

Save and Continue Later

Academic Institution	Degree	Class	Subject	Year of Award

Start date	End date	Job title	Employing institution

Item description	Costs (£)

Guts UK/Dr Falk SpR Audit/Quality Improvement Awards

Guts UK/Dr Falk 2024 SpR Audit/Quality Improvement Awards Application Form

Section One - Applicant Details

Section Two - Project Details

Section Three - Budget

Section Four - Declaration and Signatures

did you know your guts are 25ft long?! sign up for more fascinating facts, the latest research developments and how you can support further, including fundraising activities and more:

Footer - Newsletter Signup