Notification of programme outputs form Programme Grants, Form V1 Programme Outputs: Programme Grants for Applied Research (PGfAR) notification procedure We actively encourage the dissemination of your work through publications and/or presentations. However, we do require that you inform the programme team of any outputs 28 days prior to publication. This is an obligation of your contract with the Department of Health (the relevant part of which is reproduced below*). We do not want to suppress or alter your plans to disseminate your research. A 'research output' is defined as any output related to the project that will enter the public domain, including press releases and other publicity material. Reasons for this requirement: The Department of Health need to be kept aware of any imminent publication, so that if approached they can formulate an appropriate response. Programme Grants for Applied Research (PGfAR) funding must be acknowledged and the Department of Health disclaimer included on each output, with wording similar to the following: PGfAR funding acknowledgement: ‘This presentation/article presents independent research commissioned by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research scheme (RP-PG-XXXXXXXXX).’ Department of Health disclaimer: ‘The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.’ If we are aware of your programmes outputs we can help to raise general awareness of your published results. *The contract states 'The Authority's Representative must be notified prior to any publication (whether in oral, written or other form) of data or the results of the project or of matters arising from such data or results. One draft copy of the proposed publication shall be sent to the Authority's Representative at the same time as submission for publication or at least 28 days before the date intended for publication whichever is earlier.' Overleaf you will find a notification of programme outputs form which we require you to complete for each output and return to us. We would appreciate it if you use this form and include a copy of the relevant output. If you have any queries regarding the output notification procedure please contact your Programme Manager or email programme.grants@nihr-ccf.org.uk. Page 1 of 3 Notification of programme outputs form Programme Grants, Form V1 Notification of programme outputs form 1. Details Date of notification: (dd/mm/yyyy) Chief Investigator: Output Title: PGfAR reference number: 2. Output Details Type of output: Please select.. For ‘other’, please state type of output: Output Title: 3. Publishing Details Place where the output is appearing e.g. journal or conference. Please select.. For conferences please give the venue. For journal articles, if known, please give the reference, including volume, issue, start and end page. Please also state if the article has previously been submitted to a different journal: Does the output make any recommendations? Are you aware of any plans to announce this output to the press? Please select.. Date output is appearing/publishing: (dd/mm/yyyy) Page 2 of 3 Notification of programme outputs form Programme Grants, Form V1 4. Author details 5. Details of person to be contacted with any queries Title: Please select.. Surname: Forename Telephone number: Email address: 6. Checklist Copy of output attached DH disclaimer included PGfAR & NIHR funding acknowledged Please email your completed form along with the output to the PGfAR programme. You must attach the output to the email before it is sent. Email: programme.grants@nihr-ccf.org.uk, Tel: +44(0)20 8843 8085, Fax: +44(0)20 8843 8000 Page 3 of 3