Airedale Healthy & Sustainable Communities Fund Application

Airedale Healthy & Sustainable Communities Fund

For funding up to £2,500 or £4,000 for joint bids. (Version 2 08/08/2025)
Eligibility

Your project should clearly demonstrate how it contributes to the Core20Plus5 priorities, which currently focus on five key health areas:
1. Maternity – Supporting continuity of care, particularly for women from BAME backgrounds and low-income communities.
2. Severe Mental Illness (SMI) – Encouraging uptake of annual health checks.
3. Chronic Respiratory Disease – Increasing vaccinations and support for people with conditions such as COPD.
4. Early Cancer Diagnosis – Promoting early detection and diagnosis at stages 1 or 2.
5. Hypertension – Supporting interventions to improve blood pressure control and reduce risk of heart disease and stroke.
Your project should aim to:
- Make a meaningful impact on health inequalities within the communities of Airedale and Ferry Fryston.
- Engage and support residents who are most vulnerable or marginalised in these areas.
- Contribute to one or more of the five Core20Plus5 health priorities by addressing the wider social factors that influence wellbeing.
A list of ineligible costs and organisations can be found here.

You can apply for a grant to deliver projects in partnership with other organisations if you wish. This joint bid can be for up to £4,000, single organisation bids will be for up to £2,500.

Please confirm the following:*

	Yes/No
Your organisation has appropriate policies and procedures in place e.g. data protection policy, volunteer policy, and equality, diversity & inclusion policy
Your organisation has appropriate insurance cover in place
Your organisation has the appropriate safeguarding policies and procedures in place i.e. DBS checks, child protection policies, safeguarding disclosures policy
You understand that the CRT cannot fund costs to which your organisation has already committed
Your organisation has a minimum of 2 unrelated signatories

Organisation Details

This section is for you to tell us about your organisation, the services your organisation provides, and how they benefit your community. If you will be working in partnership to deliver your project, questions 1 to 4 are regarding the lead organisation.
1. Organisation Name - This should be the organisation's legal name as shown on your governing document e.g. Constitution, Memorandum & Articles of Association.*
If you are working in partnership to deliver your project, this should be the organisation leading on the project.
2. Address - Please tell us the full address and postcode of your organisation.*

Street Address

Street Address Line 2

Town/CityCounty

Postcode
3. What type of organisation are you?*

Registered CharityCharitable Incorporated Organisation (CIO)Company Limited by GuaranteeCommunity Interest Company (CIC)Community Benefit SocietyUnregistered Group with Formal RulesOther
3a. Please tell us your registration number(s)
If your organisation is both a Company Limited by Guarantee and a Registered Charity, you can include both registration numbers.
4. What services does your organisation provide and how do these services help reduce health inequalities in Airedale in line with the NHS Core20Plus5 priorities? *
Please include who your beneficiaries are.
5. Are you applying for a grant in partnership with another organisation?*
5a. Please provide the name and address of the partner organisation.

Your Funding Request

This section is for you to tell us about your project, why it is needed and what impact it will have.
6. How much funding do you need? *
You can apply for up to £2,500 or for joint bids up to £4,000
7. Describe the project you would like us to fund, including estimated costs for items or activities and, if delivering in partnership, what your partner’s involvement will be. Please include how long it will take to spend the funding. You have up to 12 months (you can reapply after 12 months for ongoing projects if you wish).*
8. Which NHS Core20Plus5 priorities does your project address?*

MaternitySevere Mental Illness (SMI)Chronic Respiratory DiseaseEarly Cancer DiagnosisHypertension
9. Why is your project needed and how have you identified this need? Please summarise the issue your project addresses and how you've identified this need. You may wish to include: service gaps, rising demand, and supporting data (statistics, consultation, community feedback etc.)*
10. What impact will the project achieve and how will you measure the impact and evidence the outcomes? Consider: - What improvements the project will make to the health and wellbeing of local people. - How you will capture and evidence improvements (this could be participant feedback, case studies, photos, testimonials, attendance numbers). *

Contact Details
Tell us who the main contact for this application is and who we should contact if they are unavailable. Your second contact should be aware of the application and consent to their details being shared with us and to being contacted regarding it, if you are unavailable.

Your details can be updated at anytime by contacting chloe.smith@coalfields-regen.org.uk

How we will use your information:
We will use your contact details to keep you up to date with the progress of your application and if successful to process grant terms and obtain feedback. Your details will be securely stored.

We use Jotform for our online grant form. Submitted forms will be kept on Jotform for 10 working days (max.) and then transferred onto our secure internal servers. Saved forms will be kept for the length saved, plus 10 working days.

Further information and your rights can be found in our Privacy Policy.
11. Main contact name*

TitleFirst NameLast Name
11a. Role in the organisation *
11b. Main contact email*
example@example.com
11c. Main contact phone number*
12. Second contact name*

TitleFirst NameLast Name
12a. Second contact role in the organisation *
12b. Second contact email*
example@example.com
12c. Second contact phone number*
13. Please confirm the second contact has provided consent for their details to be used in this manner.*
Should be Empty:

Airedale Healthy & Sustainable Communities Fund