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*UPDATED* Hospital visiting changes, home testing kits, Vaccine info, general info and guidance for public, NHSGGC staff, and community-based services.

Application Form - Community Setting

Below you will find the application for Health and Wellbeing (HWB) input into the Community Setting for Health Improvement staff.

Please ensure that you have read and understood the requirements stated in the information pack and guidance notes before completing and submitting the application. 

Please make sure that you have all the information required for filling in the application, as it is not possible to save the application.

Please tick any box that describes the nature of the input.

Please state the lead organisation for this input. (Please note that QA group will consider HWB inputs that are developed, delivered or funded by Health Improvement and where Health Improvement is the lead organisation).
Please tick as appropriate.

Please provide an overview of the aim, objectives, theme, and content of the input and timescales, if appropriate.
Please provide information on original publication date for this input or any subsequent updates.
Please indicate if this input covers universal provision or is targeted for a particular group.

Please specify whether this input is for young people or staff. Please denote the age range of young people.

Please state the policy drivers related to this topic.

Please explain how the input links with the strategic direction (see link at the bottom of the page) by explaining which outcome this relates to and explain how this input would meet the outcome/s.

Please provide details of your evidence base for this piece of work, including information on how the need was first identified.
Explain in detail of how the input was evaluated? All input should be underpinned by robust evaluation.
Explain how you have linked with topic HI leads, partner organisations and other relevant partners/stakeholders to ensure there is no duplication.
Please tick all protected characteristics supported/covered by the input. If any characteristic is not applicable, then please denote that. If you have answered NO against any of the protected characteristic then please explain? Please see for more information, if required.
Please detail if the input requires staff training to support implementation.

Please provide any costs associated with e.g. initial set up costs, printing, staff time, other ongoing costs etc.

Please provide details of how the input is planned to be implemented and how this can be sustained in the long term. E.g.: This may include capacity to support the input from health improvement and/or community.




Once completed, the application form should be submitted electronically, along with the input/resource to:- 

[email protected]

If the input / resource is not available in an electronic format then please submit a hard copy to:-

Youth Health Team

North West Health Improvement Team

Ground Floor

West House

Gartnavel Royal Hospital

1055 Great Western Road 


G12 0XH

Last Updated: 16 September 2020