COVID-19 grant application form

The RNOH Charity appreciates this is a uniquely challenging time for the RNOH, as it is for the NHS as a whole. We are aware that the coronavirus outbreak is putting unprecedented pressure on the hospital’s clinical staff. For this reason, the RNOH Charity has created a COVID-19 Support Fund to help clinical staff and patients in any way possible. The aim of the fund is to enhance the well-being of NHS staff, volunteers and patients impacted by COVID-19, such as:

Funding well-being packs/gifts for staff and volunteers on wards/departments (this could include food/meal deliveries and refreshments, wash kits, overnight stay kits, furniture for rest rooms, etc.)
Supporting patients’ mental health through isolation with electronic communication devices so they can talk to family and friends
Other items as identified by staff that enhance the well-being of NHS staff, volunteers and patients impacted by COVID-19
This list is not exhaustive

After an incredibly generous response from supporters of the hospital, the RNOH Charity and NHS Charities Together, funds are now available. If you would like to apply for support, please complete the details below. You will receive a response within 24 hours.

COVID-19 Grant Application Form

Applicant details

Name *

Job title *

Ward/Dept *

Telephone number *

Email address *

Support needed *

Support start date *

Support needed

1. Please describe the help you need from the RNOH Charity’s COVID-19 Support Fund: *

2. How will this funding benefit staff and/or patients during the COVID-19 crisis? *

3. How many frontline staff and patients will benefit from this grant? *

The costs

4. Total amount sought from the RNOH Charity: *

5. Will you be sourcing and purchasing the items yourself, or would you prefer the RNOH Charity to do this? *

Your information

Important information for all individuals named on the COVID-19 Support Fund application form.

As you have chosen to apply for help from the COVID-19 Support Fund we will be in touch with you within 24 hours and throughout the decision process until you no longer require this support. We will need to process your information to allow us to administer this support programme effectively. You have the right to see this information and to have it corrected if it is wrong. By submitting this application form you are confirming that you have read our Privacy Policy, which can be found at rnohcharity.org/privacy-policy.

Authorisation

Please tick the following if you agree:

If appropriate, I will send a progress report, case study, and a photo/video to show the funding in action, and will obtain the relevant consents for this to be shared to support RNOH Charity communic

I have gained the relevant authorisation from my line manager. *

I understand that by submitting this application form I confirm that I have read the RNOH Charity’s Privacy Policy at rnohcharity.org/privacy-policy. *

Please note funds are limited and we aim to ensure all staff are able to benefit from this support. Please refer to the COVID-19 Support Fund Policy for full details. Should you need any assistance, please contact Tamsin Roberts, Executive Assistant at rnoh.charitygrants@nhs.net

World-leading specialists need world-leading support.