Foundation of Nursing Studies & General Nursing Council Trust for England and Wales

Inspire Improvement Programme Application Pack 2018 How to apply checklist Essential Read all the information on the FoNS website □ Watch the ‘Creating Caring Cultures’ animation https://www.fons.org/learning-zone/culture- □ change-resources Read: Scott, A. (2013) Don’t fix – facilitate: the role of reflection in successful change processes. □ International Practice Development Journal. Vol. 3. No. 1. Available at: https://www.fons.org/library/journal/volume3-issue1/article7 Contact your executive/non-executive sponsor who should be the Director of Nursing (or □ equivalent). It is a requirement of this programme that the executive sponsor signs to support your application and provides a supporting statement Contact your matron or direct line manager to discuss support for the project (you will need time □ out of practice for the workshops in London and for meetings and visits etc). to support your application and provide a supporting statement Complete the application form. You will need to submit electronically or by post. Whatever means □ of submission, the form needs to be signed by the applicant, organisational sponsor and your direct line manager

Desirable Contact FoNS to arrange an informal discussion about your application. This provides an □ opportunity for you to discuss the support and facilitation that is available from FoNS and how this can be tailored to meet the individual needs of applicants. To arrange an informal discussion contact: Jo Odell, Practice Development Facilitator Tel: 020 7307 2857 Email: [email protected] Look at some of our suggested supportive reading and resources https://www.fons.org/learning- □ zone/culture-change-resources

When and where to submit your application Your fully completed and signed (electronic signatures will be accepted) application must be received by 1pm on the 6 th November 2017.

Please send by post or email to: Debbie Warren Foundation of Nursing Studies 11-13 Cavendish Square London W1G OAN

[email protected] Inspire Improvement Programme Application Pack 2018

1. Name: 2. Job title: 3. Contact details: Address:

Email address: Telephone: Preferred first contact details to inform of application outcome: 4. Professional qualification and regulatory body details (e.g. NMC): Professional qualification: Regulatory body and registration PIN/ID: Expiry date: 5. Organisational sponsor at executive/non executive level (preferably Director of Nursing or equivalent) Name: Job title:

Supporting statement: a) Confirm your commitment to providing internal support to the applicant to enable them to take part in this 12-month programme b) Outline how you think this opportunity will benefit the individual and the organisation

Signature: 6. Direct line manager Name: Job title: Supporting statement: a) Confirm your commitment to providing internal support, including time out for workshops and ded- icated workplace visits over the 12month programme b) Outline the suitability of the applicant for the programme c) Outline how you think this opportunity will benefit the individual and the nursing/care team

Signature: 7. Please tell us why you would like to join the programme and become a FoNS Improvement Fellow

8. Please tell us how you hope the programme will strengthen your skills in leading culture change and improvement

9. Please tell us how you think the programme will benefit your team

The Inspire Improvement programme. Application documents 2017 2 10. Please tell us how you think the programme will benefit patients/families, residents and relatives

11. Please provide details of any other leadership development/studies you have undertaken in the last 2 years and how these have been beneficial

12. Please tell us about your workplace/care setting and the care team you lead

13. Please tell us about the strengths and weaknesses of your workplace/care culture and any aspects you would like to improve this

14. Where did you find out about the Inspire Improvement Programme?

15. Applicant Signature:

16. Date:

Your fully completed and signed (electronic signatures will be accepted) application must be received by 1pm on the 6 th November 2017.

Debbie Warren Foundation of Nursing Studies 11-13 Cavendish Square London W1G OAN

[email protected]

The Inspire Improvement programme. Application documents 2017 3