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Consultant Innovation Fund Project Review

Page 1

Question 1.

Name

*
Question 2.

Email address

- Required.
Question 3.

Funding Stream i.e. Consultant Innovation Fund, Impact or another source

Question 4.

Date of Report

Question 5.

Please confirm which year you received your funding? 

Question 6.

Please indicate if this is your 6 month progress report or 12 month final report. 

Question 7.

Title of Project

Question 8.

Healthcare Site Name

Question 9.

Project Rationale and Description

Question 10.

Project Team

Question 11.

Have you utilised the full amount of funding allocated to your project? 

Question 12.

If no, please indicate the remaining balance and outline any reasons for underspend?

Question 13.

Was the funding used in line with the activities and objectives outlined in your original application?

Question 14.

If no, please outline why? 

Question 15.

Please select which best describes your project status.

Question 16.

Please identify any challenges you encountered during the project, including when they occurred and how they were addressed

This is required
Question 17.

Describe the key improvements observed and how they compare to the project’s original objectives. 

Question 18.

Outline how the project’s effectiveness was measured, including any key metrics:

Question 19.

Please select which category/categories your project focused on in terms of providing value (Please select all that apply)

This is required
Question 20.

Based on your answers above, please give details on how your project has provided value in these areas. 

Question 21.

Spread and Influence
Provide details on whether the project has been adopted beyond its original setting or has influenced broader practice.

Question 22.

Please see select the category that best describes the next steps planned for your project. 

This is required
Question 23.

We welcome any feedback or suggestions regarding the Consultant Innovation Fund

Question 24.

If you would like to attach any additional relevant information regarding your project, please upload the file here. 

or click to browse your files

One file allowed, up to 100 KB