Academic Clinical Fellowship Support Grant application form - Barts Charity

Academic Clinical Fellowship Support Grant application form

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Eligibility check

Thank you for your interest in Barts Charity's ACF Support Grants.

Before you begin, please answer the question below to confirm your eligibility.

Outcome - ELIGIBLE
You are eligible for the Barts Charity ACF Support Grant scheme. You must submit your application using this form.
Outcome - INELIGIBLE
You are not eligible for a Barts Charity ACF Support Grant. Please contact the Funding & Impact team (funding@bartscharity.org.uk) if you have any questions.
FormIds




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

Before starting your application, please familiarise yourself with:

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


You can download a sample version of the form here.


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


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

Checks

In ticking this you as the Lead Applicant confirm that:



Section 1: Application Summary





Guidance: You may request up to 12 months of funding.

Guidance: This date should be as realistic as possible, taking into account the application assessment process as well as appropriate estimates for the time required to receive ethical approval etc. You may adjust your start date if your application is successful.

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





Your application must be reviewed and electronically approved by a Finance Manager at your organisation with appropriate delegated authority. Please confirm their name and email address here. 

When you submit your application, they will be sent a copy of the application form and asked to approve it before the application is submitted to Barts Charity. The application needs to be submitted to us by 5pm on the day of the deadline.

We will confirm receipt of the application after the Finance Manager has approved it. 

Your application will need to be reviewed and electronically approved by the Legally Responsible Contact at the Joint Research Management Office (JRMO) - Coleen Colechin (c.g.colechin@qmul.ac.uk).

When you submit this application, they will be sent a copy of the application form and asked to approve it before the application is submitted to Barts Charity. The application needs to be submitted to us by 5pm on the day of the deadline.

We will confirm receipt of the application after the Legally Responsible Contact  has approved it. 



Section 2: Project Summary


Guidance: Succinctly outline the project, including key aim(s) and objective(s), the background to the problem, your methodology/plans for delivery and anticipated outputs/benefits.

Guidance: We may 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 have to 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 3a: Lead Applicant

Guidance: The Lead Applicant must hold a NIHR Academic Clinical Fellowship at Barts and The London School of Medicine and Dentistry, Queen Mary University of London for the duration of the proposed grant.


The Lead Applicant must have a Supervisor with a contract of employment at Barts and The London School of Medicine and Dentistry for the duration of the proposed grant. The Supervisor should provide guidance during the application process and is responsible for the administration of the grant, if successful.




























Guidance: Research outputs may include (but are not limited to):

  • Peer-reviewed publications and preprints

  • Datasets, software and research materials

  • Inventions, patents and commercial activity.



Guidance: State the name of the funder, name(s) of grantholder(s), title of the project, total amount awarded (and how much of this you received), your role in the project, and the start and end dates. State the percentage of your time spent on the research; if the grant is active state the number of hours per week that you spend on the research.



Guidance: When writing your personal statement, you should consider including details of:
  • Research you have undertaken (making clear what your role was), the research methods you have experience of, and the impact and outputs of the research you have been involved in. Research outputs may include (but are not limited to):
    • Abstracts, posters or oral presentations at conferences
    • Peer-reviewed publications and preprints
    • Datasets, software and research materials
    • Inventions, patents and commercial activity.
  • Any relevant awards and prizes you have received
  • Other skills and experience which highlights your suitability for the fellowship you are applying for and which demonstrates your commitment to a clinical-academic career
  • Your clinical experience to date and how it links to this research project. 
  • Your short- and long-term research and clinical career intentions and how will the Fellowship enable you to achieve these aims? Include details of any training you will receive during your Fellowship.

Section 3b: Supervisor

Guidance: The Supervisor must have a contract of employment at FMD or City for the duration of the proposed fellowship. 

The Supervisor must provide guidance during the application process and will act as Sponsor if the application is successful, taking responsibility for the administration of the grant. The Supervisor must have strong track records in research and training for their career stage.

Additional collaborators, based at any organisation, should be identified to support the work proposed in this application.















Guidance. You may include details of individuals who you did not directly line manage. In this case you should indicate the group within which the individual was based and state your role in their training.

Section 3c: Collaborators

Collaborators

Guidance: Collaborators may contribute additional expertise, access to resources, materials, access to technology or similar to support the project. The named collaborators may be replaced with suitable alternatives, should it be necessary or appropriate to do so.


Guidance: We do not require letters of support from collaborators for this application.

Section 4a: Project Details


Provide a detailed description of: 

  1. the background, rationale, context or need for this project 
  2. the key aims and objectives
  3. the project plan, including the approach and methodology
  4. the expected outcomes/outputs/benefits.

Guidance

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


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


References, Gantt charts, figures and any other supporting information referred to here must be uploaded as an attachment. 


1. Background, rationale, context or need 

Describe the background to the project and how the need for intervention in this area has arisen. In this section please provide the evidence base/justification for the proposal, including the current state of the field/area. It is important to include details of any preliminary work (published or unpublished) that has led up to this proposal. Include citations, where appropriate, to the literature as well as your own work (including to figures/data uploaded as additional information).


2. Key aims and objectives

Describe the key research questions/hypothesis that you will address through this work. If your project does not have an underlying research question/hypothesis, describe how this work will lead to progress in the field.


3. Project plan 

Clearly explain how you will address your project’s aims/objectives. Provide enough information to demonstrate why you consider your approach is likely to be successful, including details of any relevant contingency plans. Include, as appropriate:

  • justification for the choice of (qualitative/quantitative) methodology/ies
  • details of any validation already undertaken or rationale for using the selected protocols
  • the proposed sample size (including power calculations) and/or details of (statistical) analysis plans. Where you have received input from an expert statistician, please include their details.
  • method(s) for sample selection
  • potential risks and associated mitigation plans
  • details of any milestones.

You must include a timetable with key milestones in this section or provide a Gantt Chart as an attachment. 


4. Expected outcomes/outputs/benefits

Outline the key outcomes/outputs/benefits that are expected to arise from this project.

Section 4b: Additional Questions 

Patient and public involvement and engagement


Guidance: 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.

If the main aim of your project is to support the wellbeing, recruitment, training and/or retention of Barts Health NHS Trust employees and volunteers, plans to involve and engage these groups should also be considered here.

In this section, please outline your approach to the involvement and engagement of patients and public in all stages of the project, including:
  • Who will be/has been involved and why?
  • Why your approach to patient and public involvement is/was appropriate for this project?
  • Details of how you will support and enable patient and public involvement and engagement in your project (e.g., payments, training).

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


More information and detailed guidance about involving and engaging patients and the public has been developed by INCLUDE. This includes processes, procedures and values necessary to support suitable public and patient involvement. We recommend that you review this guidance before planning any involvement activities.

Specific guidance for patient and public involvement in lab-based projects can be found here.

Section 4c: Attachments 

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

Application attachments


Upload a list of the sources cited in the Project Description. 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).

Include details of major milestones and dependencies

Preliminary data, figures, schema and other supporting information. This document is not included in the word counts of the Project Description. This document must not exceed one A4 page (or two A4 pages if your project involves human participants). If you exceed these limits, we will return the application to you so that you can reduce its length.

Letters of support


Guidance: Upload a letter of support from your Supervisor (and Sponsor). The letter must be signed and on headed paper. It should include:
  • an assessment of the calibre of the Fellow and why they are a suitable candidate for one of these awards 
  • details of the relationship of the proposed research to the abilities and career aspirations of the applicant
  • brief details of how the proposed work relates to other research carried out in your lab and the wider centre/department/institute
  • a demonstration of commitment that the applicant will be given the support and mentorship they need in pursuit of a career as a clinical academic
  • the guarantee of space and access to core facilities.

Section 5: Project Finances

Guidance:
  • We will fund only the direct costs of the project.
  • You may request up to £7,000 a year for research costs (see below for more details).
  • All requested costs must be justified in the context of the proposal.
  • You must obtain accurate costs from the Joint Research Management Office (QMUL/BH) or your Finance Office.
  • All costs requested must be in line with Barts Charity's Cost Policy.
  • We expect all costs will be incurred in Barts Health NHS Trust, Barts and the London School of Medicine and Dentistry or City, University School of Health Sciences. 
All amounts below must be shown as whole numbers and in pound sterling (£).


Guidance: State the total direct costs of your research project (excluding your salary costs). 

Guidance: If the total project cost is more than the £7,000 offered by this scheme, please provide a list of the other financial contributions to the work, including the value and source of funding.

Provide a breakdown of costs requested from Barts Charity using the following cost categories.
Ensure the breakdown below matches the Amount Requested from Barts Charity.

All amounts below must be shown as whole numbers and in pound sterling (£).
Year 1
Materials and Consumables
Public and Patient 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'. Please enter a whole number value without decimal places.


Provide a breakdown of costs requested from Barts Charity using the following cost categories.
You must ensure the breakdown matches the Amount requested from Barts Charity.

All amounts below must be shown as whole numbers and in pound sterling (£).
Year 1 Year 1 Year 2
Fellow's Salary
Materials and Consumables
Equipment
Public and Patient  Involvement and Engagement
Dissemination
Animals
Other

Guidance: Provide a brief description and project-specific justification of the costs requested from Barts Charity, using the budget headings above to structure your answer.


Further details regarding allowed/disallowed costs is available in Barts Charity’s Cost Policy.


The following information should be included for specific budget headings:


Materials and Consumables

All costs must be project-specific and itemised.


Equipment

This grant cannot be used to purchase laboratory equipment.


We do not usually allow computers to be purchased using funds from this scheme. We will consider requests only when specialised computing equipment is essential for the project. 


Public and Patient  Involvement and Engagement

We encourage the involvement of patients and the public in the design and delivery of your project. The INVOLVE cost calculator is a useful tool to help you estimate the costs required to support these activities. You may request funds for:

  • Public engagement materials (including printing and publishing) where this is a key activity of the project.
  • Recruitment and participation fees for participants to a project.

Dissemination

You may request a contribution towards the cost of conference attendance (registration fees only) up to £500.

Section 6a: Ethics and Approvals


Guidance: We support the AMRC principles on the use of animals in research as outlined in this statement.

 

Applicants are expected to be familiar with the relevant NC3R guidelines and have applied them to this project. More information is available on the NC3Rs website

 

If your project involves primates, cats, dogs, equidae, pigs or their data, please contact the Funding & Impact team (funding@bartscharity.org.ukfor advice before applying. 


Use CTRL + Click to select multiple options.

Provide a justification for the use of animals in this project, including:

  • why animal use is necessary for this work

  • why the species to be used is most appropriate for the planned work

  • how the principles and guidelines set out by the NC3Rs have been incorporated into the project design.

  • research projects involving animals should include both sexes unless there is a strong rationale for not doing so, this information should be detailed within this section.

(max 500 words)





Section 6b: Ethics and Approvals




Guidance: You must include details of: 1) the Committee or regulator, 2) the date of (actual/planned) application(s) and 3) the outcome or date of expected outcome.  
We reserve the right to request copies of relevant approval documents at any point during the lifetime of the grant.



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.

Submission and next steps


When you submit, your application will be sent to your Legally Responsible Contact (LRC, see page 4 of this form for more information) for approval. The LRC will then review your application and submit it to the Charity.

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

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