VERSION 1.1: PROJECT FORM JULY 20161

Age Friendly Burnage: Project Form

The Age Friendly Burnage Partnership are looking for projects to help make the neighbourhood more age-friendly! They are working with older people and researchers in the Manchester Age Friendly Neighbourhood (MAFN) team to understand what the neighbourhood is like to live in now and how to improve it in the future.

Your Project must:• Cost under £2000 (see page 2-3)• Aim to tackle the risk factors of Social Isolation (see page 4-5)• Contribute to the Age Friendly Action Plan (see page 6-7)• Encourage Active Ageing and the involvement of older people (see page 6-7)• Report and feedback outcomes into the Age Friendly Action Plan (see page 8-9)• Be of benefit to the older residents (Over 50s) of the Burnage ward.

Decisions regarding the Age Friendly Neighbourhood (AFN) Funding will be made by the resident-led Age Friendly Burnage Partnership Board (see page 12 for time-scales).

Project Name: .....................................................................................................

Resident Champion: ................................................. Postcode: ......................

Resident Seconder: .................................................. Postcode: ......................

Partner Organisation: ................................................ Postcode: ......................

Partner Organisation Contact Name: ...............................................................

Other Supporters: ..............................................................................................

Give your project a catchy name!

There must be a named resident who will champion the project and liaise with MAFN.

The Champion and Seconder must not be members of the Board.

This must be an organisation in the partnership. They must have a bank account.

The name of the main staff member or volunteer who will work on the project.

There may be additional organisations or groups involved (they may or may not be in the partnership).

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What do you want to do?

Timetable

Let us know about the time scales for your project. One of the aims of the funding is to support the set-up of new projects. It cannot fund any on-going costs (such as a staff wages), so, make sure you think about how much time the project needs to get set up and running and also how you fund it in the future. Things to think about:

• Is it a one off event or a series of events? • How often will the activities take place? • How long is each session? • What time does it start and finish?• How long will the project last? • Is the project ready to go or will the funding help you get started?• Will the project continue after the funding has run out?

Project/ Activity/ Event

Let us know what your project is planning to do. Things to think about:

• What specific activities and events will your project involve? • What will people do? • Will there be food or refreshments? • Where will it take place? • How long will it last?

Costs and Sustainability

Please provide a list of all the items you need to fund and an estimate of how much they cost. Things to think about: Room hire? Equipment? Materials? Admin Time? Training? Advertising?

Projects funded by this process will cost under £2000. For any single item over £1000 you must provide an external quote. Funding is not available for the construction of buildings or purchasing of land. No family members of the named people in this form are allowed to directly benefit financially from this project. Receipts must be kept and any money not spent must be paid back.

The funding cannot be spent on any on-going costs. If your project involved a series of events which you hope to continue, think about how you will fund the costs in the future. Things to think about:

• Can you charge for sessions? • Are you looking at any other funding applications? • Could the project generate income or fundraise in another way?

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Please outline your Project/ Activity/ Event below...

Item Cost per item/ per hour/ etc Total££££££££££

Total Project Cost (inc. VAT) £

Board

This space is for board members to record their decisions.

Please outline how your project will continue in the future after the initial set up phase...

Does the project have a plan for the future after the funding is used?

Yes Reject

Does the project have a realistic cost plan?

Yes Reject

Does the project have a realistic timetable?

Yes Reject

This form is designed to be filled in with or after discussion with a member of the Manchester Age Friendly Neighbourhoods (MAFN) team or the Age Friendly Burnage Partnership Board.

Please outline your Timetable below...

Does your project have a specific start date or have any restrictions on dates? Yes No If Yes, please expand ................................................................................

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Who will benefit? Who is involved?

Social Isolation

A socially isolated person or someone who is at risk of social isolation can be defined as one who has little or no social contact with society. The risk increases if people have two or more risk factors. The risk factors of social isolation include but are not limited to:

• Ageing• Health & disabilities• Gender• Loss of spouse• Reduced social networks• Transportation issues• Type, location and place of residence• Family violence• Living alone• Unemployment • Societal adversity

An age-friendly approach seeks to address the risk factors of social isolation for the whole community, but individual projects can be targeted at individuals/ groups who have high risk factors; who have been identified as being socially isolated.

Your Project should either seek to prevent people from becoming socially isolated by increasing social activity or should actively engage people who are currently socially isolated or who are at risk of social isolation. Please tick the relevant boxes and use the box to expand.

You project should aim to improve/ increase one or more of the following areas:

• Physical and mental well-being, • Friendly or social contact, • Opportunities for civic and social

participation, • Choices of housing, transport, employment or

services.

Please tick the relevant boxes and use the box to expand. Please tell us how the group or individuals the project will involve were identified as socially isolated, or tell us which risk factors the project will help to reduce.

For example a choir aimed at people with dementia and their carers prevents social isolation as well as targeting people who are at risk of social isolation. The choir aims to improve their physical and mental well-being and increases social contact.

Who?

It is important to understand who your project is aiming to include. Let us know if your project is aimed at a specific area in Burnage or a particular group of people or activity. If your project is targeting an identified group it might not be open to everyone, e.g. a choir for older men.

Is the project open to a particular community? If your project is aimed at a specific location in Burnage or a particular group of people or activity, it must be available/ open to all members who identify with that community. For example, residents of Burnage Lane.

Or is the project targeted at an identified group? A group identified to be targeted would be defined by having shared personal characteristics such as a medical condition, ethnicity, gender etc. For example, people with Dementia.

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SOCIAL ISOLATION. Please select one or both:Our Project...... will help prevent people from becoming socially isolated.

... engages people who are socially isolated or who are at risk of social isolation.

Please select at least one.Our Project...... aims to improve physical and mental well-being ... aims to increase friendly and social contact ... aims at increasing opportunities for civic and social participation ... aims to improve choices in housing, transport, employment or services

Please expand how your project tackles risks of Social Isolation below...

WHO. Please specify if your project is either open or targeted? (and/ or use the map on page 10 to highlight a specific area):

Has the particular community or identified group previously benefited from AFN funding?

Yes No

If Yes. The Board must take account of previously funded projects for overall funding balance.

Does the project either aim to prevent people from becoming socially isolated by increasing social activity or actively engage people who are socially isolated or who are at risk of social isolation?

Yes Reject

Board

Our Project... ...is open to a particular community

Please confirm that the project will be open to all residents of Burnage

Our Project...

...is targeted at an identified group

Who is your project targeted at?

...................................................................

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How have you developed your idea?

Active Ageing

Your Project should promote ‘Active Ageing’. This means that it should encourage the involvement of older people at every stage, from project development through to running the project.

Let us know the number of older people who have already been involved in developing the project and the number of older people who will be involved in running the project. Please also describe how they have been involved in the development and how they will be involved in the running of the project.

For example a reminiscence cookery session may have been developed through an existing informal social group of older Asian women and they developed and will run a session aimed at older men.

Developing an Age-Friendly Action Plan for Burnage

The process of developing, writing and submitting this project to the Partnership contributes to the development of the Age Friendly Burnage Action Plan. A range of other research activities are also being undertaken by the Partnership with MAFN. The latest Action Plan is held by the Partnership Board and used to focus discussion on the following questions:

• How will the Project help to create a more Age Friendly Burnage? • Do you have any quotes or findings from older residents to support your project ideas?• Have you been involved in any workshops or meetings with MAFN? (For example walking

interviews, focus groups, action planning workshops, drop-in sessions, informal meetings with the MAFN team or at public forum events. )

For example, MAFN led a focus group with local residents and in the discussion older people identified language barriers as an issue facing the community. This was the starting point for a project to set up an informal conversation cafe in the local community centre.

Innovation

Funding is available for new projects. A new project is one which has not yet been funded by the Partnership Board and is not yet happening in the area.

Funding is also available for scaled-up or improved existing projects. A scaled-up project is one which has been previously funded and will use the funding to increase its scope to reach larger numbers of people or groups. An improved project is one which has been funded previously and will use the funding to increase the involvement of older people or improve the inclusion of people at risk of social isolation. If the Age Friendly Burnage Partnership has already funded the project and you are looking for further funding you must be able to demonstrate how the project has been scaled up, or improved in relation to the Action Plan.

If it is an Existing Project and has not been scaled up or improved it is not eligible for this funding.

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ACTIVE AGING. Please provide the number of people:

How many older people have been involved in developing this project?

How many of those people had not been involved before?

How many older people will be involved in running this project?

How many of those people had not been involved before?

Please describe how older people have been/ will be involved...How have older people been involved in developing the project?

How will older people be involved in the running of the project?

Please describe how you have developed your project and/ or how your project will contribute to making Burnage more Age Friendly...

Does the project promote Active Ageing in the development and/ or running of the project?

Yes Reject

Does the project contribute to the development of the Age Friendly Action Plan?

Yes Reject

INNOVATION. Please select one:

New Project Scaled Up AFN Project Scaled Up Existing Project Improved AFN Project Improved Existing Project

If the project is an Existing Project, has the project form demonstrated that the project has been scaled up or improved above?

Yes Reject

Board

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Reporting and Action Plan Feedback

BeforeWe would like to know how you will let people know about your Project. You must provide the following to the Partnership Board and MAFN, ahead of any planned project events:• Details of all events so they can be added to the Age Friendly Burnage Calendar. • Copies of any print and online material created to promote the project.

Try to be specific about where and how you will promote your project, especially if flyering or putting up posters. You can use the map on Page 10 to show specific locations you might be targeting. Things to think about:• Will you make flyers, posters, send emails, go on the local radio, local media, online or social media?• How about word of mouth and existing members of groups you know?

If you are planning to promote the project in any other way please describe in the box provided.

DuringWe would like to understand who in the community you are reaching with your project. You must provide the following to the Partnership Board:• Attendance Record. You must keep a record of who attends any meetings or events related to

the project. You can use the Member Sign In Form or your own sign in sheet/ register. Everyone involved (participants, staff and volunteers) must be recorded as having attended an event

• Feedback. Everyone involved should be given the opportunity of giving feedback on the project to the Partnership. This can be done via the Event Feedback Form or in another way if you would prefer. Please describe any other methods you will use to collect feedback in the box provided.

• Membership. The aim of the Partnership is to hear from and include as many older people as possible. You must provide all participants, staff and volunteers involved the option of becoming a member of the Age Friendly Burnage Partnership by offering Membership Forms.

All completed Attendance Records and Event Feedback Forms and Membership Forms must be collected at regular intervals and submitted to the Partnership Board.

AfterIn order to understand what happened during your project we ask for a Project Report. You must provide the following to the Partnership Board at the end of your project:• Project Reporting Form. This asks for reflection on the project including what you did to let

people know about the event, who was involved and what their role was, and four questions on the success and challenges you faced. There is also a checklist of everything that needs to be submitted including Attendance Records of all events and meetings, any completed Event Feedback Forms and Memberships Forms. If you plan to report the project in any other way please describe in the box provided. This information will help future projects and feed into the Age-Friendly Action Plan.

• Receipts. For everything purchased on the Project a receipt must be collected and submitted to The Partnership Board. Any funds that have not been spent must be paid back.

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You must discuss this with a member of the MAFN team. Additional guidance and any forms in italics can be downloaded from the Age Friendly Burnage Partnership website.

Have they agreed to submit the Project Reporting Form and submit all receipts?

Yes Reject

Has the project got appropriate promotional methods?

Yes Reject

Will the project provide Attendance Records and have they agreed to provide/ collect Membership Forms and Event Feedback Forms?

Yes Reject

BoardBEFOREWe will provide details of all events to the Partnership Board for inclusion on the Age Friendly Burnage Calendar. Yes NA

We will provide the Partnership Board with copies of any promotional material made in connection with the project. Yes NA

Please describe how you will let people know about your project in any other way...

DURINGWe will keep an Attendance Record of each planning meeting and project event which will be submitted to the Partnership Board. Yes

We will provide all attendees with Event Feedback Forms at appropriate times which will be submitted to the Partnership Board. Yes

We will provide all attendees with Membership Forms for the Partnership which will be submitted to the Partnership Board. Yes

Please describe if you plan to record attendance or feedback in any other way...

AFTERWe will complete the Project Reporting Formwhich will be submitted to the Partnership Board . Yes

All Receipts will be submitted to the Partnership Board at the end of the project and any money not spent will be paid back. Yes

Please describe how you will reflect/ report on the project afterwards in any other ways...

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Where in the neighbourhood?

Location

Please locate where the project will be based and which parts of the neighbourhood the project will be a focus for the project. Please identify any key venues/ locations/ areas which your project will be take place.

For example a befriending scheme might look at engaging older people living on a certain estate in Burnage.

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Declarations

Resident Champion Signature: ..........................................................................

Name (please print): ................................................. Date: .............................

Contact Information:.............................................................................................

Partner Organisation Contact Signature: ..........................................................

Name (please print): ................................................. Date: .............................

Contact Information:.............................................................................................

Bank Account Name: ............................... VAT number : ..............................

Account Number: ................................... Sort Code: ..................................

• The information contained in this form is correct and true to the best of my knowledge. • Payment of any monies in connection with the project is at the discretion of the Board. The monies

should be used only in connection with the project, as approved by the Board. • Receipts of spending must be provided to the Board and any unused funds promptly returned at the

end of the Project as stated on the Project Reporting Form.• Neither I nor my family will directly benefit financially from this project.• No commercial benefit will be derived from this funding.• The Board may (acting reasonably) request you provide additional documentation on the project from

time to time and you agree to complete promptly with each request.

I AGREE TO THE STATEMENT ABOVE

Please provide your phone number/ email address/ postal address. Your details will be kept confidential.

If applicable

Please provide your phone number/ email address/ postal address. Your details will be kept confidential.

Please use this space to let us know anything else about your project, or if you have any suggestions for how to improve this process (we welcome these...!)

Anything else you would like to tell us... Have the signatures been completed and have bank account details been provided?

Yes Reject

Board

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Board Comments and Decision

Next Steps...

Name (please print): ......................................................... Date: ....................Decision Fund

Continue to Develop with MAFN

Comments/ Feedback to Champion:

What now?

Thank you for completing this Project Form. Your Project Funding will be discussed at an Age Friendly Burnage Partnership Board meeting. They happen once a month and proposals must be received at least 3 weeks ahead of the meeting to give members time to read. A maximum of 3 proposals are discussed at each Board meetings.

We will let you know at least 2 weeks ahead of the board meeting when your Project will be discussed. The Resident Champion will be invited to discuss the Project with the Board, and MAFN will provide support. This will give the Board members a chance to ask you any questions they may have. The Board will let you know in writing after the meeting if they have approved funding, or if they feel the proposal needs some more development will provide some guidance.

If you have any queries please contact the MAFN team members in Burnage: Catherine Morris. Email: c.morris@southwayhousing.co.uk or call 0161 448 4281Kat Wong. Email: k.wong@mmu.ac.uk or call: 0161 247 5960 / 07973 973813