Large Grant Research

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Use this form if you are applying for funds from a designated fund for research proposals of £5,000 or above.

We recommend applicants read the entire form and prepare sections in advance. Before confirming your submission, please save a copy of your application by selecting the Print option and choosing to save a copy as a PDF. The form includes the following:

Proposed use of funds: King's College Hospital Charity (KCHC) seek applications for support of high quality, appropriately approved, patient focused research. Please ensure that the application is written for an intelligent layman and any unusual research terms are explained.

Eligibility: Whilst we recognise that parts of the research may be carried out by another institution and that some KCH staff have dual roles, the Principal Investigator managing the research project must be substantively employed by the KCH Trust.

Content of application - additionality: Please note the Charity will not pay for any research project which is considered to be the core normal function of the NHS.

Authorisation: Applications must be supported and authorised by the relevant Fund Advisor and the associated Director/Deputy Director of Operations prior to submission.

FT approval: Approval from KCH NHS Foundation Trust (the ‘Trust’) will be expected as a condition of the grant prior to disbursement. All research projects should get approval from the Trust's R&I Directorate. Dr Ann-Marie Murtagh, R&I Director, will be emailed a copy of this form and asked to confirm authorisation for it on behalf of the R&I Directorate through an online process. Please ensure you provide accurate details and you may like to inform them about this process as the Charity will not be able to process your application without these authorisations.

Supporting documents and clarification: Supporting documentation, such as existing project plans and business cases are welcome, and can be uploaded, where advised, in support of your application. The Charity may come back to you to ask for more clarification on information.

Process for Charity approval: For research grants we will consult research experts from the Trust and our Board prior to taking applications through our approval processes. Grants above 50k require Charity board approval and will be considered at quarterly board meetings after review at our Finance, Audit and Investment Committee. For the Charity to evaluate the proposal and circulate recommendations ahead of these meetings, we may ask for more information and seek the opinions of senior Trust stakeholders. Grants below £50k may be considered outside board meetings or approved by Charity CEO.

External funding: where the Charity is seeking external funding for this project, we will follow an assessment and approval process that meets funder requirements and will discuss this with you case-by-case.

Submission: All questions with a red Asterisk * are mandatory. You will be asked to review your application prior to submission.

Help and Support: Please contact grants@supportkings.org.uk with any questions.

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Applicant Details

Title

First Name

Surname

Job Title

Department, Ward or Area

Care Group

KCH Site where you are primarily based

Please provide the name of the site you are applying from

Organisation

Please provide the name of the organisation you are applying from

Work Phone

Work Email

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Do you have a co-applicant(s)?

Co-applicant(s)

Co-applicant Title

Co-applicant First Name

Co-applicant Surname

Co-applicant Job Title

Co-applicant Department, Ward or Area

Co-applicant Care Group

Co-applicant KCH Site primarily based

Please provide the name of the site

Co-applicant organisation

Please provide the name of the organisation

Co-applicant Work Phone

Co-applicant Work Email

Page 4

Project Details

Please enter details of your designated fund below. If you're not sure of the name or number of your designated fund, please click here to see a full list.

Designated Fund Name (if known)

Designated Fund Number (if known)

Research Title

Research Discipline

Please provide a lay summary of your research.
What is your research?
Why is it important?
How will it make a difference to patients, families, staff or other service users of King's? The lay summary should be concise, free of jargon and understandable by a lay person.

Please enter the duration of your project in months

Page 5

Ethical and Regulatory Approvals

Have you obtained King's College Hospital Research and Development (R&D) approval?

Please provide the date the approval was obtained.

Please describe why R&D approval is not required for your research?

Have you obtained, or intend to obtain ethical approval from your employing institution or other relevant authority?

Please describe the ethical approval required for your research and if applicable provide the date the approval was obtained.

Date

Please describe why ethical approval is not required for your research?

Please advise if the research requires any other regulatory or non-standard ethical approvals?
Please provide the name of the regulatory body.

Page 6

Plan of Action

Please outline a plan of action for the research investigation
What will you do, when and how?
What are the key milestones/timescales?
A project plan or business case can be attached in support of this application.

Upload Documentation

Page 7

Justification

Please outline the objectives for this research grant.
What need is being addressed?
What result are you seeking?
How will your research be delivered?

How will the research improve the future treatment of experience of King's patients?
What are the expected improvements in the outcomes or experiences for those directly involved in your project (if applicable).
How will the results be translated into a change in diagnostic treatment of patients?

How many patients might benefit from this project each year?
Please provide a figure for each group who might benefit.

What is the origin and context of this research activity within the overall research programme for the specialty? Have patients been involved in identifying the research need or designing the research? Does the design of the research reflect EDI principles, and involve patients from diverse backgrounds where possible?

Please give the names, appointments and institutional affiliation of any other participants in the proposed research. Please also describe the contribution to the project to be made by other participants, citing any particular specialisms or expertise. If detail is not known yet, please indicate numbers and status of people who might be involved.

Why is the Charity being asked to fund this research, as opposed to a grant from a research funding body?

Have any applications been made to any other organisations funding research which have been turned down and, if so, please give brief reasons why?

If this project is already partially funded from other sources please give details of the funders and why application for these costs was not included in that application?

How will you monitor progress on the plan of action and ensure that the research delivers on its objectives?

Who will be responsible for providing the Charity with updates on progress and reporting on the outcomes and impact of your research?

If the proposed research will generate data that is of significant value to the research
community, then please provide details of your data management and sharing plan.

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Does this project include a clinical, research or PhD post?

Post Appointment

Title of Post Holder (if known)

First Name of Post Holder (if known)

Surname of Post Holder (if known)

Job Title and Band of Post

Email of Post Holder (if known)

Name of Line Manager for the Post

Employing Department

Employing Organisation

Please provide the name of the organisation the post holder will be employed with

Number of FTE

Length of Contract in Months

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Guidelines for Completion:
1. The budgeted expenditure should be specific to the project for which you are applying for funding.
2. All activities described in the application form must be fully costed for the period of the project.
3. Salary costs must be specific to the project and should not include the costs of permanent staff
4. Salary costs must include all on-costs eg NI and pension
5. All non-salary costs should include VAT
6. Where the project involves costs incurred by other departments eg Works, the costs must be based on an estimate provided by that department and that estimate submitted with this template

Budget

Expenditure Type

Expenditure Description

Supplier Name (if applicable)

Quantity

Item Amount

Total Per Claim

Total Quantity

Total Amount

Page 10

Are you the Fund Advisor for the Designated Fund you are applying to?

Applicant Declaration

I confirm the expenditure detailed on this form conforms to the Charity’s expenditure principles set out in the Charity’s designated fund operating instructions and is consistent with the purpose for which the fund was set up.
I have obtained all the required FT approvals including those required for procuring research equipment.
No other sources of funds are available to fund this expenditure.
I have attached the necessary documentary evidence e.g. approvals, quotations, invoices etc.

I confirm the above statement

I have read and understood the Charity's Data Privacy Statement regarding the use of the above personal data and confirm I agree to this use of personal data.

I confirm the above statement

Date

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If this application is coming out of a designated fund, we require all applications to be supported by the fund advisor. The list of fund advisors can be found here. Please ensure you speak to the fund advisor to get support for your application prior to submission. The person named below will be emailed a copy of this form and asked to confirm their authorisation for it through an online process. Please ensure you provide accurate details and you may like to inform them about this process as the Charity will not be able to process your application without these authorisations.

Fund Advisor Approval

Fund Advisor Name

Email Work

I confirm that the expenditure detailed on this form conforms to the Charity’s expenditure principles, is for the purpose detailed in this application and is consistent with the purpose for which the fund was set up.
I have ensured compliance with KCH procurement procedures in terms of procurement waivers and/or obtaining competitive quotes, where applicable.
I have obtained all the required FT approvals and confirm that no other sources of funds are available to fund this expenditure.
I have attached the necessary documentary evidence e.g. approvals, quotations, invoices

I confim the above statement

I have read and understood the Charity's Data Privacy Statement regarding the use of the above personal data and confirm I agree to this use of personal data.

I confirm the above statement

Date

Approval Status

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We require all applications to be supported by the Trust's R&I Directorate. Dr Ann-Marie Murtagh, R&I Director, will be emailed a copy of this form and asked to confirm authorisation for it on behalf of the R&I Directorate through an online process. Please ensure you provide accurate details and you may like to inform them about this process as the Charity will not be able to process your application without these authorisations.

Trust Approval

Title Deputy/Director of Operations or equivalent Senior Trust Staff Member

First Name Deputy/Director of Operations or equivalent Senior Trust Staff Member

Surname Deputy/Director of Operations or equivalent Senior Trust Staff Member

Job Title Deputy/Director of Operations or equivalent Senior Trust Staff Member

Email Work

IMPORTANT: In the next screen you will be able to save a PDF copy of your application by clicking Print this page and from the Destination drop down select Save as PDF.

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