Healthcare Workforce Wellbeing Grant Program

Winter Retention and Surge Payment
Template A - Acceptance and planning

This program has been provided to health services to provide snacks and meals for staff prioritising those working on night shift and doing double shifts from 1 June to 31 December 2022. To accept this funding, please complete this template and return before 15 July 2022. Funding will be provided in two instalments: August 2022 and October 2022. Please note: All health services will be required to report on the progress using Template B.
Organisational information
Name of lead organisation*
Partner organisation/s (if relevant)
Organisational contact
Accountable Executive Officer*

First NameLast Name
Position *
Phone Number*
Email*
example@example.com
Program Contact Name*

First NameLast Name
Contact name*

First NameLast Name
Position *
Phone Number*
Email*
example@example.com

Winter Retention and Surge Payment