Application for funding for



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APPLICATION FOR FUNDING FOR

NES COURSES (LaMP)


This form should be used for LaMP or SCOTS course applications to be considered for funding from the NES SAS Doctors’ and Dentists’ Professional Development Fund.
All doctors and dentists working in substantive Staff Grade, Specialty Doctor and Associate Specialist (SAS) contracts within the NHS in Scotland are eligible to apply. Please read the guidance notes in Appendix 1, before completing the form.

The Application Form should be fully completed, including sponsoring support from your Line Manager.


Applications will be considered by the Associate Postgraduate Dean for the SAS Development Project in association with the Project Implementation Group.
Incomplete applications will be returned to the applicant resulting in an inevitable delay in processing.

LAMP FUNDING BID GUIDELINES
The aim of these guidelines is to ensure consistent decision making, fairness and equity and to optimise the benefit gained by SAS doctors and dentists, during the project term to March 2016.


  1. Eligibility

Applications can only be considered from those on NHS substantive/permanent Staff Grade, Associate Specialist and Specialty Doctor / Dentist contracts.
2. Nature of approvable study funding

  1. Funding is intended to support development that will result in the gaining of new knowledge, skills or experience which will complement and benefit your role, enabling you to take forward new work.

  2. Line Manager’s statement of support is mandatory, applications will not be considered without the appropriate signature and information.

  3. Accommodation, travel and subsistence costs will be considered using standard NES policy and forms, production of receipts required. It is assumed that you will attend a course geographically closest to your place of work and/or home location, unless there is a significant reason for you to do so (you must state the reasons for this in Section 2.1).




  1. Process of submission

  1. Late applications: Applications will be considered and approved by the Associate Postgraduate Dean in association with the Project Implementation Group.

  2. Retrospective applications will not be considered.




  1. Post-approval requirements

Funding is granted subject to the commitment by the applicant to complete a ‘SAS Development Project Report’ at the conclusion of the period of training, detailing the achievement gained. Acceptance of funding is also an acceptance that case studies of successful applicants will be used to promote the scheme and encourage other SAS doctors and dentists to apply.


  1. Payment procedures:

The approved course fee will be refunded on the submission of the appropriate Claim Form, together with a receipt/receipted invoice as proof of payment from the accredited course.


  1. Evaluation:

Successful applicants may be asked to complete online evaluation for courses undertaken.




Section 1a Personal Details

Title:




Job Title




First Name:




Surname




Home Address:




Work E-mail Address:




Daytime Telephone No.:




Mobile Telephone No.:






Section 1b Employment Details

Current Employer:




Main place of work:




Current Grade (must be substantive contract on SAS terms and conditions of service




Specialty:




Full or Part Time:

Part Time  Full Time 

Date appointed to current post:






Section 2 - Supporting Information



How will this course enhance the leadership or management roles you hold or will hold ?






Section 3 – Declaration I declare that the information given in support of my application, including information on this form and any appendices, is to the best of my knowledge and belief true and complete. I understand that if it is subsequently discovered that any statement is false or misleading, or that I have withheld relevant information, particularly on additional funding received, any funding approved by the SAS Doctors’ and Dentists’ Professional Development Funding Panel may be withdrawn.

Signed:




Date:







Section 4 - Service Approval – Head of Service/Clinical Director

I can confirm this individual will be released for this learning

Yes 

No 

I can confirm that this individual will have the opportunity to make use of this learning

Yes 

No 

Any additional comments about your support of this application:



Signature




Email



Print Name:




Title:




Date of receipt of application & date of signing

Date received



Date signed



Department Address and contact telephone:

Address

     


Telephone
     


Please return fully completed application forms to:
Gillian Campbell

SAS Project Office

NHS Education for Scotland

3rd Floor, 2 Central Quay

89 Hydepark Street

Glasgow, G3 8BW


Tel: 0141 223 1509


Data Protection:

NES uses the personal data you provide for purposes associated with administering the SAS Doctors’ and Dentists’ Professional Development Fund. NES may also use this data for purposes associated with our responsibilities for health workforce development, including the administration of courses, monitoring training programmes and circulating information relating to relevant development opportunities. For more information see www.nes.scot.nhs.uk/privacy-and-data-protection.aspx. Personal data will be retained in line with our records retention policies.





For Office

Use Only:

Reference No:

Received:

Panel Date:



















SAS Development Funding Panel Outcome:

For Office

Use Only:

Outcome:

Approved: 

Not Approved: 

Date:

     

Reason for non approval:

     

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