CONTINUED PROFESSIONAL DEVELOPMENT
APPLICATION FORM
This guidance is for applications to support Continuing Professional
Development funding; most frequently this will be applications for courses and
training.
The categories and priorities for the AHP Careers Fellowship learning and development
funds 2015/2016 are as follows:
Category 1: Fellowship applications for the benefit of AHP Support Workers and
Assistant Practitioners. Applications from and for the benefit of support staff,
technicians and assistant practitioners to support their development and learning.
Category 2: CPD applications from AHP Support Workers and Assistant Practitioners.
Applications from support staff, technicians and assistant practitioners to support
development and learning are particularly welcome, for example any of the appropriate
HNC courses, Talking Mats courses, etc
Category 3: Fellowship applications with a direct benefit and link to service
improvement, especially where there is a clear link to learning and implementing quality
improvement methodologies. Where the learning and development activity will be
directly connected to introducing or further developing an improvement to your service,
these applications will be considered as high priority. Learning and development
activities that can demonstrate a wider benefit or potential, e.g. for a Scotland-wide
benefit will be of particular interest to the Review Panel considering these applications.
If your application sets out to be of benefit across Scotland please make sure your AHP
director has discussed this at an AHP Directors Scotland meeting.
Category 4: CPD applications in general are also welcome. These will be considered
after the priority categories’ applications should there be funds remaining. Whilst not an
exclusive list the following areas have been recommended as of high importance by
members of the NHS Education for Scotland (NES) AHP Advisory Group:

Skills: workforce analysis, research, measuring impact, service re-design,
health promotion, communication, self-management, leadership, ultrasound and
role development

Care settings: early years services, dementia services, mental health in
mainstream health settings, diabetes, dysphagia, chest and abdomen reporting,
transitions for children moving to adult long-term care services, supporting War
Veterans experiencing complex trauma and need for prosthetics services,
advanced practice, delivering AHP services in the prison setting, the integration
agenda, telehealth services and AHP consultant services.
Paramedics have recently joined the AHP family. Discussions are underway to include
paramedics in future openings of the scheme.
AHP Careers Fellowship Application Form A
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ALL APPLICANTS
Your application must clearly state the learning objectives and the intended impact/
outcomes that it will achieve. Support from both the applicant’s Line Manager and
AHP Director/Lead is a pre-requisite requirement.
The application process is split into two forms:
Form A should be completed collaboratively by the applicant and their line manager
Form B will be sent by NHS Education for Scotland (NES) to the AHP Director/Lead
with a completed Form A for review.
NB. Application is for NES funding ONLY, if you are applying for an HNC or other
training course, you are also required to complete and submit an application form to the
College/University or training provider.
Closing date for application is 12.00pm (noon) on Friday 15 January 2015.
Please note the following learning opportunities for support staff that NES has
commissioned or have been developed following successful Fellowship
applications:
HNCs in:
 Speech and Language Therapy Support
 Physiotherapy Support
 Diagnostic Imaging/Radiotherapy (new course for assistants)
 Occupational Therapy Support
PDA in
 Occupational Therapy Support
 Healthcare: Facilitating Learning, Teaching and Assessment in the
Workplace
Data Protection: NES uses the personal data you provide for purposes
associated with administering the AHP Careers Fellowship Scheme. NES
will add your details to our database and share your work contact details
with other participants in the Scheme through our newsletter, Alumni
network or other channels as deemed appropriate. If you would prefer us
not to share your contact details, please contact
AHP.Fellowships@nes.scot.nhs.uk For more information see
http://www.nes.scot.nhs.uk/privacy-and-data-protection.aspx. Personal
data will be retained in line with our records retention policies.
AHP Careers Fellowship Application Form A
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AHP Careers Fellowship
Winter 2015/2016 opening timescales
1. Applications open: Monday 16 November 2015.
2. All applications will be collated on close of the Fellowship scheme at 12.00pm
(noon) on Friday 15 January 2016.
3. Applications will then be forwarded to respective AHP Directors with a request
to review and support for return by 12.00pm (noon) on Friday 5 February 2016.
4. The AHP Careers Fellowship Review Panel will be sent all supported
applications on 9 February 2016 and will initially meet on Thursday 25
February 2016 to allocate funding to successful applications. However, if the
volume of applications is significantly higher than projected, there will be the
need to organise a second Panel Review meeting.
5. Communications detailing the Review Panel's decision will be sent within 14
days of the Review Panel meeting (by Thursday 10 March 2016).
AHP Careers Fellowship Application Form A
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CPD: AHP CAREERS FELLOWSHIP - FORM A
Form A should be completed collaboratively by the applicant and their line manager
and then submitted to NES by the closing date stated above. Applications received
beyond the closing date will not be accepted.
SECTION A – to be completed by the applicant
 denotes mandatory fields throughout  denotes guidance notes throughout
1. APPLICANT DETAILS ( Page 4)
First Name: 
Surname: 
Job Title: 
Employer: 
Work Address
incl Postcode: 
Tel No: 
Mobile No.
E-mail: 
Allied Health
Profession you
work within or
most relevant: 
2.
APPLICATION DETAILS
2.1.
Please supply your HCPC number if applicable ( Page 4) :
2.2
a. Is this a group / team application? ( Page 5) 
Yes
No
b. If yes, please provide contact details for all other application
participants on the following page. ( Page 5) 
AHP Careers Fellowship Application Form A
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First
Name
2.3
Surname

Job Title
and Career
Framework
for Health
level
Employer

HCPC
Number
E-mail
Line managers
Name/contact
details
What is your core area(s) of practice? ( Page 5) 
Mental Health
Learning Disability
Adult Health
Child Health
Outpatient
Acute Hospital
Health Centre
Community
*School
*Social Work
*Voluntary Organisation
*Other, please specify
*NB: if you are not an NHS employee your learning must clearly benefit NHS and be
supported by one of the NHS AHP Directors/Leads.
AHP Careers Fellowship Application Form A
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2.4
What best describes your work settings? ( Page 5) 
Remote
2.5
Rural
Urban
What stage of your career are you on the Career Framework for Health?
( Pages 5-7) 
Level 1 Support Worker
Level 2 Support Worker
Level 3 Senior Support Worker
Level 4 Assistant Practitioner
2.6
Level 5 Practitioner
Level 6 Senior Practitioner
Level 7 Advanced Practitioner
Level 8 Consultant Practitioner
Level 9 More Senior Staff
Please remember that the Fellowship scheme supports all your areas of
practice and confirm if your learning aligns to one or more of the pillars of
practice: ( Pages 7 and 8) 
Leadership
Clinical Practice
Research and Audit
Facilitating Learning
2.7
Also, if your learning aligns to one of more of the Scottish Government’s
healthcare policies, strategies and HEAT targets, please supply details
here: ( Pages 8 and 9) 
2.8
If you are undertaking a learning opportunity with a university, college or
other training organisation, please provide name and contact details of the
provider ( Page 9-11) as well as the rationale for choosing this provider
(especially if you have selected a provider outwith Scotland) 
Course Name:
Course Provider
Name/Address:
Tel/E-mail:
Course start date:
Provider selection rationale: 
AHP Careers Fellowship Application Form A
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2.9
Please identify your intended learning outcomes: ( Page 11) 
2.10
How will you check you have achieved the intended outcome, i.e. how will
your learning outcomes be assessed? ( Page 11) 
2.11
Will the learning opportunity you describe promote person-centred
values? Will you involve service users in your learning, e.g. identifying
learning needs, content of learning, assessing your learning, evaluating
your learning? ( Pages 11 and 12) 
Yes
No
2.12
Will your learning promote equality and diversity (e.g. will your
knowledge/attitude of race, gender, disability, sexual orientation, age,
religion and belief be improved through this learning activity)? ( Page 12)
Yes
No
2.13
Please confirm that the learning opportunity has been identified and
agreed by your Line Manager via KSF and your PDP or equivalent personal
development scheme. ( Page 12) 
(NB. Your line manager will be asked to supply details)
I confirm
2.14
I do not confirm
Please indicate total costings required providing a breakdown and details
of how costings will be used. ( Page 13) 
Total costings
Breakdown of costings
2.15
Over what timescale will the costings be used? ( Page 13) 
AHP Careers Fellowship Application Form A
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2.16
a. Please indicate monies required for activities to be undertaken in this
financial year, i.e. before 31 March 2016 ( Page 13) 
Monies required this financial year
b. Please indicate monies required for financial year April 2016-March 2017
( Page 13) 
2.17
Please provide details of any additional sources of funding contributing to
the overall costs ( Pages 13) 
2.18
Support from your Line Manager and the Health Board AHP Director/Lead
is a pre-requisite. Please indicate the statement below that applies to your
application ( Pages 13-16) 
a. I have contacted the AHP Director/Lead and gained support
b. My application aims to be of benefit across Scotland. I have asked the AHP
Director/lead to discuss at an AHP Directors Scotland meeting
c. I have contacted the AHP Director/Lead but not yet received a response
d. I have not yet contacted AHP Director/Lead
2.19
a. Please note that if your application is successful, you will be required to
provide a reflective learning report outlining your learning experience and
outcomes, any barriers incurred and how these were overcome, and how
you have or intend to share your learning. Do you agree to submit a
report? ( Page 17) 
I agree
I do not agree
b. We publish some of the best examples of learning reports to assist
future participants. Do you agree to your learning report being published?
( Page 17) 
I agree
I do not agree
AHP Careers Fellowship Application Form A
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CPD: AHP CAREERS FELLOWSHIP - FORM A
SECTION B – to be completed by the applicant’s Line Manager
 denotes mandatory fields throughout
 denotes guidance notes
3. LINE MANAGER’S DETAILS ( Page 17)
First Name: 
Surname: 
Job Title: 
Employer: 
Work Address
incl Postcode: 
Tel No: 
Mobile No.
E-mail: 
Allied Health
profession you
work within:

4. APPLICATION DETAILS
4.1
I confirm that the learning opportunity has been identified and agreed via
the applicant’s KSF and PDP. ( Page 18) 
I confirm
4.2
Please include relevant extract from PDP ( Page 18) 
4.3
Why do you support this application? ( Page 18) 
If the identified learning opportunity relates to an HNC / HND, please complete
questions 4.4 and 4.5. If not, please continue to question 4.6.
AHP Careers Fellowship Application Form A
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4.4
If the application is to support an HNC / HND, please provide the name of
the appointed mentor. ( Page 18) 
4.5
Please confirm that you will ensure that the mentor is available to
participate in mentor support provided by the College (NB: 1-2 days of
support and advice for HNC mentors will be provided by the College)
( Page 18) 
I confirm
4.6
Please describe your commitment regarding time allocation for any study
leave, assessment, classroom time in addition to reflective learning.
( Page 18) 
4.7
Do you confirm that appropriate areas and tools for study will be made
available to the applicant, e.g. rooms and access to computer/equipment
(NB: For HNC applicants, a significant amount of taught time will be via
virtual learning, access to broadband internet will therefore be essential)
( Page 18) 
I confirm
4.8
Please describe your commitment regarding how you will make best use of
the skills acquired over this learning opportunity. ( Page 18) 
4.9
a. The applicant has described their learning outcomes. Please describe
the impact you expect on your service and how you intend to measure this
impact. ( Pages 18 and 19) 
b. What data could you provide to demonstrate this impact?
( Pages 18 and 19) 
4.10
Please confirm that you will provide feedback (if requested) in relation to
the applicant’s learning. ( Page 19) 
I confirm
AHP Careers Fellowship Application Form A
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4.11
Have you ensured that there is equality of opportunity for all applicants to
apply in the following areas: ( Page 19) 
Full and part-time staff
Race
Disability
Gender
Age
Sexual orientation
Religion and belief
4.12
If the application for funding is successful, you would be required to enter
into an agreement and to its arrangements, undertakings and
responsibilities as detailed in the answers to the criteria listed in this
proforma. ( Page 19) 
I confirm that I would be prepared to enter into an agreement as described
above
5. WHAT NEXT?
Please save a copy of the completed application form for your own records.
E-mail the completed application form to ahp.fellowships@nes.scot.nhs.uk
by the closing date of 12.00pm (noon) on Friday 15 January 2016.
Please be aware that applications received after the closing date will not be
considered.
The applicant and line manager will receive an e-mail confirming receipt of the funding
application. NES will contact the AHP Director/Lead directly for their supporting
comments. Please note that applicants are advised to have discussed their application
with the AHP Director/Lead and sought their support. If your application aims to be for
Scotland-wide benefit, the AHP Director/Lead should be asked to raise this at an ADSG
meeting.
AHP Careers Fellowship Application Form A
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