Little Pot of Health Wellbeing Fund 2016
Cover LetterFund: / Little Pot of Health Wellbeing Fund Round 5
Criteria: / Member of Salford CVS
VCSE organisation with a turnover of less than £100,000 per annum
Activity must take place in Salford for the benefit of Salford residents
Activity must make a difference to the wider wellbeing of Salford residents (see the definition of wellbeing in the guidance notes)
Application must demonstrate Social Value
Maximum application: / Up to £1,000 per application. Only one application per organisation in any 12 month period.
Time frame: / Open for applications: 9thMay 2016 to 18th July 2016
Application deadline: 12 noon on Monday 18th July 2016
Panel: August 2016
Delivery: 1st September 2016 to 31st October 2017
Monitoring return: No later than 30th November 2017
Little Pot of Health Wellbeing Fund 2016- Round 5
Have you got an idea to improve the wellbeing of Salford residents?
Would you like the opportunity to apply for up to £1,000?
To give your organisation the best chance of success please read the following guidance notes and criteria carefully.
If you have any questions, or would like support with your application please contact the Salford CVS Development Team on 0161 787 7795.
Please submit your application electronically in Arial font, size 12.
What is the Little Pot of Health Wellbeing Fund?
The Little Pot of Health Wellbeing Fund is a small grants pot of up to £1,000 for VCSE sector ‘small’ organisations in Salford (annual income below £100,000). Groups can apply to deliver activities that help improve the wellbeing of Salford residents.
What are the priorities for the Little Pot of Health Wellbeing Fund?
- Demonstrate Wellbeing benefits - we are using a broad definition of wellbeing that includes physical, social and emotional dimensions:
‘A positive physical, social and mental state; it is not just the absence of pain, discomfort and incapacity. It requires that basic needs are met, that individuals have a sense of purpose, and that they feel able to achieve important personal goals and participate in society. It is enhanced by conditions that include supportive personal relationships, strong and inclusive communities, good health, financial and personal security, rewarding employment, and a healthy and attractive environment. ‘
- Demonstrate Social Value (i.e. the social, economic and environmental difference your funded project will maketo Salford residents)
How much and deadline?
Please apply for the amount you actually need for your project and breakthese costs down in your application, show your calculations.
Up to £1,000 is available per application.
The deadline for the Little Pot of Health Wellbeing Fundround 5is:
12 noon on Monday 18th July 2016
Please email your completed application form to:
N.B. We are unable to give money to the following: Individuals; any activities that promote the advancement of religion or politics; proposals that are in breach of equalities or other relevant legislation; applications from freelance consultants; improvements to land or buildings that are either privately owned or the responsibility of a statutory authority.
Only one application per organisation can be submitted to this fund in any 12 month period.
Please note all applications will be cross-referenced against other funding sources in the City to ensure projects are not being double-funded.
Eligible organisations must:
- Be a member of Salford CVS (if you are not a member of Salford CVS please submit your completed membership form with your grant application form – if you do not do this your bid cannot be considered). To apply please contact CVS for an application form.
- Be not-for-private-profit and have social aims
- Have a governing document (e.g. a Constitution)
- Have a Management Committee/ Board
- Have a Bank Account (with 2 signatories who are not related to each other)
(NB If your group doesn’t have a bank account Salford CVS may be able to help you with a holding account – please contact us for further information)
- Have a whole organisation turnover of less than £100,000 p.a.
- Deliver wellbeingservices in Salford for Salford people. Little Pot of Health Wellbeing funded activity must take place solely in Salford.
- Demonstrate Social Value (i.e. the social, economic and environmental difference your funded project will make to Salford residents)
Answering questions on the application form.
The panel will be scoring your applications based on your answers to the questions below.
Please read the guidance for each of the questions and be clear and concise in your answers.
1.Describe your project in 50 words
This is a good opportunity to promote what you are doing by summarising in 50 words. If you are successful this information will be used on the Salford CVS website and in other promotional materials and media.
3.What do you want the money for?
Provide details of what your project will be doing and/or the activities you will be organising andtell us the story of how the money will be spent.
In your answer make sure you include who and how many people will benefit from your project?
4.What difference will your project make to the health and wellbeing of people in Salford?
a)What is the actual difference you are trying to make to the wellbeing of your beneficiaries?
b)Please tell us how you will measure the success of your idea; and how you will know it has made a difference to your community.
c)What are the long-term changes and impact of your project? Who and how many people will benefit from your project?
NB - Remember outcomes: the benefits, the changes and the learning that happens as a result of your activity. Ensure these are measurable and tell us what you aim to reduce, improve, increase or even maintain.
5.How will you demonstrate social value?
- Describe any social, economic and environmental outcomes that will be delivered.
- Describe how you will set clear targets for achieving these Social Value outcomes.
- What tools, measures and systems will you use to track the delivery of your Social Value?
For more information on Social Value visit our website:
6. How many people will benefit from this proposal? Please give numbers and describe your beneficiaries.
Be specific in telling us how many people will benefit from the work you are doing, and who they are. If this is a new proposal give us an estimated number of people you anticipate you will work with. For example you can include the age range, employed/unemployed, retired, health, disability and so on.
7. Budget please indicate how much money you need:
The judging panel will expect you to justify any request made. Please provide a detailed breakdown of the budget specifying each item the money will be spent on showing the calculations for the amount requesting for each area. Please see worked example below for the information required.
Venue hire: please provide the cost of the venue per hour; how many hours required per session; how many sessions in the project.
£15 per hour, two hours per week for 10 weeks.
£15x2=30 x10= £300
Public transport: please provide information about where the journey is from and to, what type of transport, how much per trip or day ticket and how many trips.
Two volunteers bus fares based on day ticket costing £4.10 each x one trip per week for ten weeks.
2 x £4.10 = £8.20 x 10 = £82.00
Personal vehicle usage: please provide information about where the journey is from and to, how many miles per trip and how many trips. The mileage rate is set at £0.45p per mile max.
One volunteer makes one round trip per week of 6 miles (Langworthy to Eccles) for 10 weeks
£0.45 x 6 = £2.70 x 10 = £27.00.
Equipment; Please list all the equipment required, the cost per item and how many of each are required.
Match Funding- Where the total cost of the project is more than the grant amount that is being requested please specify where the additional income is coming from naming several resources is applicable, the amount and if thefunding is currently in place.
N.B. Please note that Salford CVS reserves the right to request copies of all receipts for the monies you receive from us and will be conducting regular audits of successful applications
Little Pot of Health Wellbeing Fund 2016 – Round 5
Please complete the application form below. Typed text must be Arial font 12 and must fit inside the allocated box. Please refer to the guidance notes.Part 1
Q 1 / Describe your project in 50 words (this information is not scored).
If you are successful this information will be used on the Salford CVS website and in other promotional materials and media.
Q2 / Does your activity take place in Salford?
Please state where:
If no, please note your application is ineligible.
Q 3 / What do you want the money for? (300words)
Q 6 / How many people will benefit from this proposal? Please give numbers and describe your beneficiaries. (50 words max.)
Q 4 / What difference will your project make to the health and wellbeing of people in Salford? (300 words max)
Q 5 / How will you demonstrate Social Value? (see guidance notes) (500 words)
a)Describe any social, economic and environmental that will be delivered and describe how you will set clear targets for achieving these Social Value outcomes
b)What tools, measures and systems will you use to track the delivery of your Social Value?
Q 7 / Budget
Please indicate how much money you need and provide a detailed breakdown of your planned expenditure and details of how the costs have been worked out. Please note amounts should include VAT where applicable.
Budget heading / Total Cost £ / Amount requested from LPOH Wellbeing Fund£
Total amount requested from the Little Pot of Health Innovation Fund / £
Total cost of project / £
If relevant where is the rest of the money coming from? Please specify the funder and amount.
Have you got this match funding in place already?
Salford CVS will audit your project expenditureso please retain all records.
Q 1 / Contact details
Name of organisation
Your telephone number
Your email address
Q 2 / What type of organisation are you?(Please tick all that apply)
Constituted Group (Unincorporated Association)
Company Limited by Guarantee / Number:
Registered Charity / Number:
Industrial and Provident Society / Number:
Community Interest Company / Number:
Other (please specify)
Type: / Number:
Q 3 / Has your organisation got its own bank account?
Yes / No
If no, do you need Salford CVS to provide a holding account for you?
Yes / No
Q 4 / Which of the following do you have in place? (Please tickall that apply)
Health and Safety policy
Safeguarding Children policy
Safeguarding Vulnerable Adults policy
Equality and Diversity (statement or policy)
Public Liability Insurance
Employers’ Liability Insurance
Up-to-date Annual Accounts
Q 5 / Are your staff / volunteers appropriately DBS (Discloser & Barring Service) checked for the activities you provide?
Yes / No
If you need advice around DBS checks please call Salford CVS on 0161 787 7795
Q 6 / Please state your organisation’s turnover for the last financial year
Q 7 / Does this activity involve working with children and young people?
Yes / No
If yes please state age range:
Q 9 / Declaration
I confirm that the details on this application form are correct.
I am authorised to apply for this money on behalf of my organisation.
N.B. We require two signatures from people who are not related to each other or share the same household and are authorised to sign on behalf of your organisation. There must be at least one signatory from the governing body
(e.g. management committee / board member).
Scanned signatures are acceptable.
Person 1 / Person 2
Name / Name
Role / Role
Signature / Signature
Date / Date
Please return the completed application byMonday 18th July2016, 12noon to:
Email: acknowledgement email will be sent automatically, please call Salford CVS as soon as possible if you do not receive an acknowledgement. Salford CVS accept no responsibility for applications sent and not received. Late or incomplete applications will not be processed.
Post: Salford CVS, The Old Town Hall, 5 Irwell Place, Eccles, M30 0FN.
You can contact Salford CVS on 0161 787 7795 for queries.
Details available via our website
Please ensure you have enclosed the required documentation / evidence
Checklist / Tick to confirm
Completed all sections of the application
Application is signed
If you are not already a member you have attached membership form(if applicable)
Is your organisation a member of Salford CVS? / Yes No
Are you registered with Volunteer Centre Salford? / Yes No
How did you hear about the Little Pot of Health Wellbeing Fund?
Would you like to sign up to receive any of our e-bulletins?
Please tick below.
Basis E-bulletin (Health and Social Care)
Children, Young People & Families E-bulletin (including VOCAL Forum)
Volunteering In Salford E-bulletin
Funding E-bulletin / Salford CVS E-news
Social Value E-bulletin
For Office Use only
Little Pot of Health Wellbeing Round 5 2016-V1
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