Princess Margaret Hospital Foundation
Project Grants 2015
The Department of Clinical Research and Education at PMH is calling for applications for Project Grants. Researchers with a
current appointment in CAHS** are eligible to apply for these grants, generously funded by the PMH Foundation. Applications
may relate to any aspect of clinical research in newborns, children and adolescents.
Projects
 Projects must be relevant to newborn, child or adolescent health services in CAHS and have an expected direct impact
on future clinical practice in CAHS
 Up to three Project Grants will be awarded in this funding round
Eligibility
 The chief investigator must have a current appointment in CAHS* and substantial elements of the research project
must be done in CAHS**
 ALL investigators involved in the project MUST be listed
 Investigators can only apply as chief investigator on one grant across all categories in any funding round
 Chief investigators who previously received a PMH Foundation Grant must have completed that grant and submitted a
final report to the PMH Foundation before applying for further funding
Funding
 The Project Grants are valued at $80,000. The research project should normally be completed within 18 months of the
date of award
 Investigators are required to submit 6 monthly reports to the PMH Foundation. Funding is contingent on these reports
being submitted
 Applicants do not need to have Ethics Committee approval for their project before submission. However, approval must
be in place before any funds will be released. A copy of the approval letter should be submitted to the Coordinator of
Clinical Research in the Department of Clinical Research & Education, PMH
 Investigators are required to present the results of their research at the annual Child and Adolescent Health Research
Symposium
 Investigators must acknowledge PMH Foundation funding at all presentations and in all publications of their research
Assessment Criteria
Applications for Project Grants will be judged by the assessors on the following criteria:
 Scientific merit of the proposal
 Track record and ability of the research team to carry out the project
 Impact of the research on future clinical practice in CAHS
 Importance of the project to newborn, child or adolescent health
Please note the above information regarding eligibility. Incomplete applications will not be assessed
Closing Date
A paper copy of the full, signed application as well as a full electronic copy of the application in Microsoft Word format (emailed
to karen.mitchell@health.wa.gov.au) must be submitted by 12.00pm Friday 16th October 2015 to:
Reception, Level 1, Children’s Clinical Research Facility, PMH (please leave in the marked tray)
Further Information
If you have any queries regarding the application process, please contact Dr. Angela Fonceca on 9340 7846 or
angela.fonceca@health.wa.gov.au . Guidelines and application forms will be available on the CAHS intranet homepage.
*Staff employed on the PMH Neonatal Unit or Neonatal Emergency Transport Service, but not funded through CAHS, are also
eligible to apply. **The research can be done in the PMH Neonatal Unit
Princess Margaret Hospital Foundation
Project Grants 2014
Application Form
Chief Investigator
Title
Department
Institution
Phone
Outline clinical
duties in
CAHS/PMH
Role in this
project
First Name
Surname
Email
Co-Investigators
First Name
Surname
Dept/Institution
Investigator 1
Role in this project
Investigator 2
Role in this project
Investigator 3
Role in this project
Investigator 4
Role in this project
Project Title
Field of Research (speciality) _______________________________________________
Three Key Words/Terms:
1. _______________________________________________
2. _______________________________________________
3. _______________________________________________
Ethics Approval
Yes
Is ethics approval required for this project?
No
If so, what is the Ethics Approval status?
Not submitted
Pending
Approved
(HREC reference number ______)
If approved, please attach a copy of the current approval letter.
If approval is pending, a copy of the letter will need to be provided prior to the commencement of the study
(please refer to guidelines).
Updated August 2014
2
Chief Investigator Name:
Project Title:
Lay Summary (500 words maximum) Please note: the lay summary will be read by the
assessment panel ranking the applications and may be used by the PMH Foundation for publicity
or fundraising purposes. Therefore, it is important to include a clear overview of all aspects of
your project in non-technical language.
Updated August 2014
3
Aims and Objectives of the Project
Briefly describe the aims, hypotheses to be tested, methodology and expected outcomes of the proposed
research project (maximum one page of typewritten text, using a minimum of 11 point font).
Updated August 2014
4
Project Outline
Describe the project including background, design, methods, analysis plan, timelines and feasibility of the
project i.e. what, why and how (maximum 3 pages of typewritten text, using a minimum of 11 point font;
please include as much information as possible here. Additional supporting documents e.g. questionnaires
may be included but extensive appendices are discouraged).
Updated August 2014
5
References
(Maximum one page of typewritten text, using a minimum of 11 point font)
Updated August 2014
6
Impact of project
1. Outline how this project is expected to have a direct impact on future clinical practice in CAHS and
2. Outline how this project will impact on children and their families in the wider community
(Maximum one page of typewritten text, using a minimum of 11 point font).
Updated August 2014
7
Details of Research Team
Please include details for each member of the research team including (a) areas of research, (b)
publications in the past five years and (c) grant support from all sources in the past five years (2009present). All information must be included here, do not attach separate CVs.
Updated August 2014
8
PMH Foundation Project Grant Budget
Chief Investigator
First
Name
Title
Department
Institution
Phone
Project Title
Surname
Email
Budget
Quarter 1
Item
Justification
Cost
Item
Justification
Cost
Item
Justification
Cost
Item
Justification
Cost
Item
Justification
Cost
Item
Justification
Cost
Total
Quarter 2
Total
Quarter 3
Total
Quarter 4
Total
Quarter 5
Total
Quarter 6
Total
TOTAL FUNDS REQUESTED
Updated August 2014
9
OTHER SOURCES OF FUNDING
Funding for THIS project
Have you applied for funding for this project from other sources?
Yes
No
Have you received funding for this project from other sources?
Yes
No
If yes, please provide details (project title, funding body, year (s) and amount(s) funded as well
as overlap with current application
1. Project title
Funding Body:
Year(s)
Amount
Year(s)
Amount
2. Project title
Funding Body:
Insert additional rows if required
Previous funding from the PMH Foundation
Please provide details of all previous funding received by the listed investigators from the PMH
Foundation (copy and paste onto additional pages if necessary
A. Project title:
Year:
Amount funded:
Has a progress/final report been submitted for this project?
Yes
No
If no, please complete and submit the report template at the end of this application form.
Note: unless a report is submitted, the current application will be ineligible for consideration.
B. Project title:
Year:
Amount funded:
Has a progress/final report been submitted for this project?
Yes
No
If no, please complete and submit the report template at the end of this application form.
Note: unless a report is submitted, the current application will be ineligible for consideration.
Updated August 2014
10
Children’s Clinical Research Facility Site approval form
Will use of the PMH Children’s Clinical Research Facility be required for the conduct of this study?
Yes
No
Yes
No
If ‘Yes’ please complete the following:
Will additional desk allocations be required for staff?
If yes, how many (number of staff x FTE)?
__________
Yes
Will additional use of clinical suites be required?
No
If yes, please provide information regarding the number of patients per week, the duration of the study and the
approximate length of visits
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Yes
Will use of CCRF laboratories be required?
No
If yes, please provide information regarding the equipment to be used and duration of use
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Are there any other factors that should be considered (eg will patients be symptomatic or potentially infectious
at the time of their visits)?
____________________________________________________________________________
____________________________________________________________________________
CORDINATOR OF CLINICAL RESEARCH, DIVISION OF CLINICAL RESEARCH AND EDUCATION
I am aware of this application and approve the CCRF providing the following facilities for the conduct of the study:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Approval is subject to the following restrictions:
____________________________________________________________________________________
____________________________________________________________________________________
Name (please print): ____________________________________________________
Signature: ___________________________________ Date: ___________________
Updated August 2014
11
Approvals
Please duplicate form for additional signatures where research involves more than one department or CCU
Certification by Chief Investigator
I confirm that the information I have provided in this application is true, complete and accurate to the best of
my knowledge
Name
Signature
Date
Approval of Head(s) of Department
I confirm that the above project is acceptable to the general facilities and resources in this Department and
impact on clinical services has been considered.
Name
Signature
Date
Approval of the Director of the Clinical Care Unit
I confirm that the above project is acceptable to the general facilities and resources in this Directorate.
Name
Signature
Updated August 2014
Date
12
PMH Foundation Research Grant
Research Progress and Budget Report
Date:
1. Type of Progress Report

Is this a final progress report?
Yes
No
2. Chief Investigator
Title
First Name
Surname
Department
Institution
Phone
Email
3. Project Details
Project Title
Date of Award
Date Commenced
Type of Grant
Ethics Reference #
PMHF Grant ID #
4. Research Progress
4.1 Describe the aims of your research project as outlined in your application
4.2 Describe your progress to date including achievements and any obstacles
Updated August 2014
13
4.3 Outline the direction of your research over the next six months if your project is continuing
4.4 Comment on whether you are on target to complete your project

If you are not on target or need a time extension, please provide explanatory comments in this
section
4.5 If this is your final report, please describe your conclusions
4.6 Have (or will) the outcomes of this project provided a platform for further research or research funding
applications? If yes, please provide details
4.7 Did any postgraduate students or junior medical/clinical staff contribute to this research? If yes, please
provide details
5. Publications

Have the results of this project been published?
Yes
No
If yes, please list the publications below and provide a link to the electronic versions
6. Dissemination of results
Have the results of this project been presented:
Locally
Yes
No
Nationally
Yes
No
Internationally
Yes
No
If yes, please give details including whether they were poster or oral presentations and the forum at which
they were presented
Updated August 2014
14
7. Translation into clinical practice
Have the results of this project had an impact on policy and/or clinical practice in CAHS?
Yes
No
If yes, please provide details
If no, are the results likely to have an impact on future policy and/or clinical practice in CAHS?
Yes
No
If yes, please provide details
If you wish to make any further comments, please do so here:
Please ensure you complete the budget report on the
following page:
Updated August 2014
15
Budget Report
Chief Investigator
Title
First
Name
Surname
Project Title
Type of Grant
Grant ID #
First Quarter
Salaries
Equipment
Consumables
Equipment
Consumables
Equipment
Consumables
Equipment
Consumables
Total $
Second Quarter
Salaries
Total $
Third Quarter
Salaries
Total $
Fourth Quarter
Salaries
Total $
Total grant funds awarded:
$
Grant funds expended to date:
$
Grant funds remaining to be expended:
$
Have there been any circumstances that resulted in funds being unspent? If yes, please provide details:
Updated August 2014
16