Housing and Technology Capital Fund: 2016 to 2017

Application form

Please note: completed bids should be submitted at the latest by 5:00pm on 28 October 2016 by email to H&TC-Fund@dh.gsi.gov.uk

Section 1 – Overview of proposal

1.1  Applicant Details	
Lead Local Authority	
Name of Local Authority		
Name of contact within the Local Authority		
Address	

	
Telephone number of contact		
Email address of contact		
Other participating Local Authorities (add rows as needed)	
Name of Local Authority		
Name of contact within Local Authority		
Address		
Telephone number of contact		
E mail address of contact		

1.2 From the list below, please select the bid description that is relevant to this proposal	
Single organisation bid		
Partnership bid		

1.3 If this is a joint or partnership bid please list ALL partners here, and the geographical area that will be covered. If a single bid, please enter “Not applicable”	

	

1.4 Summary of the proposal
Briefly give an overview of the proposal - what it will achieve and who it will benefit.  
Please consider in your response, what the project is delivering, how it will be delivered, how sustainable it is, what activities are involved and when the outcomes/outputs will be delivered.  (Maximum 4,000 characters)	

	

1.5 Capital Grant Profile
Please outline when you will draw the capital grant(s). Note that grants drawn in 16/17 must have been fully utilised by the end of March 2017.  All projects must have concluded in full by the end of March 2018.  LAs will be responsible for reporting on delivery in line with the MOU.	
Date	Oct 16 – Dec 16	Jan 16 – Mar 17	April 17 – Jun 17	Jul 17 – Sept 17	Oct 17 – Dec 17	Jan 17 – Mar 18	
Value (£,000s)							

1.6 Funding Description
Please use this section to provide detail on the capital assets and their values which will be created, or the capital investment which will be undertaken.  Also use the section to provide more detail on any ‘matched’ or complementary funding which the investment will unlock or has already been secured. Where funding will be required in both financial years, please outline what is expected to have been delivered by the end of March 2017.	

	

Section 2 – Meeting the criteria
2.1 Promoting independence, choice and control for individuals (see para 3.6
of the guidance notes)	
1.	Provide evidence of local housing needs of adults and/or children with learning disabilities who require urgent housing and are at risk of entering inappropriate services. 	
	
2.	Demonstrate how the proposed activity will lead to improved outcomes for individuals in their community based on person-centred housing specifications for individuals maximising rights and independence.	
	
3.	Demonstrate how the proposal will increase flexibility and choice and control and ensure tenants/homeowners are active members of their community.		

2.2 Innovation and partnerships (see para 3.7 of guidance notes)	
Please set out a description of how the proposal will be delivered including details of collaboration and partnerships that enable new local solutions to be developed and how service users, families and carers will be involved in design and delivery of the initiative.  Please provide evidence of how partner organisations are resourced and possess relevant expertise to ensure a successful outcome. (Maximum 4,000 characters)	

	

2.3 Value for money (see para 3.8 of guidance notes)	
Please use this section to:
a)	Reiterate how much funding is being sought from the Department and how it will be utilised.
To link this to evidence of how the proposal delivers value for money for the Health and Social Care system or wider society.  You may refer to quantitative (monetary or otherwise) or qualitative benefits.	

	

2.4 Sustainability (see para 3.9 of guidance notes)	
Describe how you will sustain the project after the grant funding has ended. Please ensure this information covers any commitments to recurrent funding of assets created if this is applicable. (Maximum 4,000 characters)	

	

2.5 Sharing the learning (see para 3.10 of guidance notes)	
Describe your plans to actively disseminate the learning or replicate good practice from this proposal. Please explain 
(a) who the findings will be shared with and how they will use this information
(b) what steps you will be taking to ensure that best use is made from the learning/best practise from this proposal.
Please note that solely putting a report on a website and/or holding a conference are not sufficient.
(Maximum 2,000 characters)	

	

Section 3 – Supporting information
3.1 Please give 
(a) a brief summary of the key milestones including delivery dates for outcomes
(b) how and when will you engage with stakeholders/commissioners?
(Maximum 2,000 characters)	

	

3.2 Describe your evaluation methodology. Please explain 
(a) how and when you will assess and evaluate the project to test whether it has achieved the stated outcome(s) and provides value for money 
(b) who will be doing the evaluating 
(c) what qualifies that individual(s)/organisation to do this?
(Maximum 2,000 characters)	

	
3.3 Please provide a statement of how the proposals have been considered against state aid requirements.