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Health Practitioner Research Scheme2021 Funding Round Application Template

What’s new This round is open to:

– new researchers with one-year projects (maximum amount awarded - $30,000 per project)– mid-career researchers with one-year projects (maximum amount awarded - $37,000 per project)– established researchers with two-year projects (maximum amount awarded - $85,000 per project

per year).

Applicants should refer to section 5.1.1 of the Application Guidelines to ensure they are applying for the appropriate researcher funding category.

The Application Guidelines have been updated to include additional information to assist applicants with their submissions. Please ensure you read the Guidelines carefully and contact the HP Research Scheme Coordinator with any additional questions you may have.

Application checklist All application details and attachments must be included for your application to be considered. Before you submit your application, please check: You are eligible to apply. Each section of the application is completed. Each section complies with formatting and length requirements. The application is signed by ALL appropriate persons. Electronic signatures may be obtained where

required, however these must be visible as a signature on the final copy of the application.

Submitting your applicationPlease submit a PDF copy of your application via email to: [email protected] by 5pm Thursday, 8 October 2020. It is the responsibility of the applicant to ensure that it is a true, full copy of the signed application. You will not be advised if it is noted that your application is incomplete.Late applications will not be considered under any circumstances.Please direct any enquiries to the HP Research Scheme Coordinator (phone 3328 9281 or email [email protected]).

mailto:[email protected]



Section 1: Project teamCHIEF INVESTIGATOR

Full name including Title (Mr, Mrs, Dr, Prof, etc.)

Position title

HP Profession

Hospital and Health Service

Department & Facility

Office number Mobile number

Email

Researcher type (as defined by Section 5.1 of the Application guidelines)

New researcher Mid-career researcher

Established researcher

MENTOR (delete rows if not applicable)

Full name including Title (Mr, Mrs, Dr, Prof, etc.)

Position title

HP Profession

Organisation


Office number Mobile number

Email

Researcher type Mid-career researcher Established researcher

Health Practitioner Research Scheme- 2 -

ASSOCIATE INVESTIGATOR 1 (delete rows if not applicable)

Full name including Title

Position title

Profession

Organisation


Contact number Email

Researcher type New researcher Mid-career researcher Established researcher



Position title

Profession

Organisation






Position title

Profession

Organisation






Position title

Profession

Organisation






Position title

Profession

Organisation







Position title

Profession

Organisation






Position title

Profession

Organisation






Position title

Profession

Organisation






Position title

Profession

Organisation





Section 2: Project detailsProject title (no more than 20 words)

Please confirm your project meets the target area and key enabler priorities

Health Practitioner service delivery and workforce models that deliver high value, client centred services to improve patient access to care and health outcomes

Workforce

Clinical Education and Training

Digital Transformation

Please indicate whether your project meets any of the strategic priorities of the Scheme

Optimising the allied health workforce for best care and best value A 10-year Strategy 2019-2029

My health, Queensland’s future: Advancing health 2026.

Safe and applicable health care for rural and remote communities of Queensland.

Please indicate whether your project meets any of the following criteria

One or more members of the project team are from a rural, regional or remote area.

One or more members of the project team are employed by a university or hold a conjoint position between a university and Queensland Health.

The project requires multi-disciplinary collaboration which is reflected by the project team.

The project requires multi-site collaboration which is reflected by the project team.

Have other funds been allocated to this project (this includes funds for human resources)?

Yes (please specify):

No

Are other funding applications for this project planned or pending?


No

Is ethical clearance required for this project?

Yes - approved (please provide a copy of your approval letter with this application)

Yes - submitted (successful applications will be required to provide a copy of their approval letters by August 2021)

Yes - not submitted (successful applications will be required to submit and provide a copy of their approval letters by August 2021)

Not required

Are there any training or credentialing requirements to be met to conduct this project?


Not required


Section 3: Research outlinePlease provide an outline of the proposed research using the template below. Refer to section 7.1 of the Application guidelines.

(10pt font, single line spacing, modification to the table column width is not permitted, maximum of three pages)Introduction

Primary aims and hypotheses

Methodology

Ethical considerations

Expected outcomes


Section 4: Reference ListPlease provide a numbered reference list to support the content of your research outline.

1.

2.

3.

4.

5.


Section 5: BudgetBudget item Funding requested ($) Justification (please provide a short comment to justify each item)

1. Staffing including backfill, research assistant, expert consultants. Must include FTE, level and duration where appropriate.

e.g. 0.6FTE HP5.1 x 6 months e.g. Backfill for Chief Investigator to undertake research activity

Subtotal staffing costs:

2. Administrative costs including telecommunication and travel costs.

Subtotal administrative costs:

3. Consumables.

Health Practitioner Research Scheme - 8 -

Subtotal consumables:

4. Other, please note funds for capital expenditure including computer hardware, office furniture, clinical machinery will not be accepted.

Subtotal other costs:

Total funds requestedCost centre for transfer of funds

Finance officer name

Finance officer email

*Please provide the details of the appropriate finance officer who will be responsible for invoicing AHPOQ for the research funds.


Section 6: Suitability of project teamPlease provide a detailed list of your project team’s clinical and research experience relevant to your proposed research topic.

Relevant clinical experience

Relevant research experience


Section 7: Chief Investigator CVPlease use the following template to provide a one-page CV. Fields may be left blank where appropriate.

Educational qualifications (including current enrolment status for PhD candidates)

Awards & achievementsSuccessful grant / scholarship applications(past ten years only)

Publication history(past ten years only)

Relevant recent employment and professional memberships


Section 8: Mentor CVPlease use the following template to provide a one-page CV. Fields may be left blank where appropriate.

Educational qualifications (including current enrolment status for PhD candidates)

Awards & achievementsSuccessful grant / scholarship applications(past ten years only)

Publication history(past ten years only)

Relevant recent employment and professional memberships


Section 9: CertificationCHIEF INVESTIGATOR

I certify that I have read the Health Practitioner Research Scheme 2021 Funding Round Application Guidelines and that I meet the eligibility criteria for this round. I certify that all details of this application are correct and that I am the Chief Investigator of this project. I understand and agree that if successful, I will be required to meet the terms and conditions of receiving the research funding, including the provision of all required reports.

Print name Signature

Date

MENTOR

I agree to carry out my responsibilities as a mentor as per the Health Practitioner Research Scheme 2021 Funding Round Application Guidelines. I certify that all details of this application are correct. I understand and agree that if successful, I will be required to support the Chief Investigator to meet terms and conditions of receiving the research funds, including the provision of all required reports.


Date

ASSOCIATE INVESTIGATORS (delete rows as appropriate)

I certify that I have read the Health Practitioner Research Scheme 2021 Funding Round Application Guidelines and that all details of this application are correct. I certify that I support and will participate in this research project.

AI1 name Signature

Date

AI2 name Signature

Date

AI3 name Signature

Date

AI4 name Signature

Date

AI5 name Signature

Date

AI6 name Signature

Date

AI7 name Signature


Date

AI8 name Signature

Date

AI9 name Signature

Date

HEAD OF DEPARTMENT

I support this application and the intent of the project to undertake an evaluation of a service or workforce model within my department.

I certify that the project can be accommodated within the general facilities in the department/unit, and that work, and office space is available for any proposed additional staff. I am prepared to have the research project which is the focus of this application carried out in the department under the circumstances set out by the applicant.

I have noted the amount of time which the investigator/s will be devoting to the project and certify this is appropriate to existing arrangements for service delivery.

I note that any recurrent and/or capital funding that has been requested in the budget template will be supported by the Hospital and Health Service.


Date

EXECUTIVE DIRECTOR / DIRECTOR OF ALLIED HEALTH (OR EQUIVALENT)

I certify that this research area will contribute to the Hospital and Health Service goals and that I support the application for research funding by the applicant. I will facilitate the receipt of the funds into the appropriate cost centre and will support accurate documentation of details of expenditure.

In addition, I agree to be point of contact for this research if the Chief Investigator is not able to meet milestones as agreed.


Date


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