Applications for Funding

Brenda Munro: 01224 5585471

For the attention of:  All Health Visitors

Broomhill Nursery Charity
As you will be aware new General Data Protection Regulations (GDPR) have been introduced and in order to ensure compliance we have had to make a few small adjustments to, firstly the Charity Application Form and secondly to the process which needs to be followed by Health Visitors.

NHS Grampian are the hosts of the Charity and as such are responsible for the personal details of the families who are referred to the Charity, part of the new regulations state that we must have the permission of the families before NHS Grampian can pass their personal details to another agency i.e. Broomhill Nursery Charity.  Therefore, with immediate effect, we will not be able to process any requests for support unless we are in possession of the signed permission slip. 

Printable permission slip link here.

Can we ask that Health Visitors carry copies of the permission slips when speaking to clients and suggesting a referral to the Charity.   The permission slips can be scanned and e-mailed to or sent via internal mail to:  Brenda Munro, GIRFEC Administrator, ACH&SCP Nursing Admin Team, Summerfield House, 2 Eday Road, Aberdeen.

Broomhill Nursery Charity prides itself in being able to respond quickly to requests from Health Visitors so that help can be given to avoid a client’s situation deteriorating into a crisis.  We are keen to continue this and would ask for the support of the Health Visitors by completing the permission slips and returning them before submitting a request on-line to the Charity.
Many thanks

ACH&SCP Nurse Management Team / Brommhill Nursery Charity

Eligibility Criteria (updated 19/06/2018)

  1. All applications must be made electronically by using the form below. Once filled in, click on the "submit" button which you will find at the bottom of the page.
  2. There must be funds available.
  3. Funding cannot be provided by another source. Details of where you have applied must be noted on application form.
  4. Funds must be used for a crisis situation. Health Visitors please note - vouchers only last one week from date of issue. If they are not used within this time frame, it suggests there is not a crisis, and they cannot be reissued. They can only be used at the Bridge of Dee branch of ASDA.
  5. Funds must directly impact on the health and/or well being of the child.
  6. Funds must directly impact on the education of the child.
  7. Decisions are made on the basis of prioritization using the information provided, therefore more precise information will improve the chances of your application being successful.
  8. Decisions are made by two Directors of the Charity.
  9. Recipients must be under 5 years of age and live within Aberdeen city.
  10. If applying for clothes please specify items required, as this allows us to calculate cost.
  11. Unsuccessful applications cannot be resubmitted at a later date.

Please take care to fill in all the form fields after reading the information at the right hand column regarding the ways in which we can help. Our Data Protection statement can be found here, in the last section of the HV form.

Section 1: Parent's Details

First name Surname  
Telephone number

Section 2: Children Details (only for those who are under five years)

No of children under 5 years in the home?
1st child, first name 1st child, surname  


1st child DOB dd/mm/yy
2nd child, first name 2nd child, surname  


2nd child DOB dd/mm/yy
3rd child, first name 3rd child, surname  


3rd child DOB dd/mm/yy

Section 3: Health Visitor's Details

If you are not the Health Visitor, but applying on behalf of a HV, please give your name, job title, place of work:
HV First name HV Surname  
HV Work place   HV Telephone number
HV e-mail HV NMC

Section 4: Eligibility

Using the eligibility criteria above, please answer the following questions:-
(Please note decisions are based on the information you provide)

What social factors have caused the crisis situation?

Where / to whom have you applied for funds and been rejected?

Why can't the family afford these items:

How will the funding improve the lives of the child/children?

If you are applying for more than one item, prioritise them by listing the most important things first!

If the application is for clothes or shoes, please specifically list the items you wish the child to have as this helps us to give sufficient funds to cover the cost.

If this application is for equipment please specify the item or items required:

Section 5: Testimonials

The reason we ask for testimonials are
  1. To provide evidence in support of applications to larger bodies for funding.
  2. As evidence that funds are being used in compliance with the regulations of the  OSCR and the constitution of The Broomhill Nursery Charity.

Testimonials should be the Health Visitor’s professional assessment of why the funds are required and the needs that will be met.
(You might choose to use the Shanarri Indicators).

Section 6: Health Visitor's Signature

Click on the purple link below to print out the Client's Permission for Referral slip

Client's Permission for Referral Slip (Compulsory)

We would suggest that it might be a good idea for the Health visitor to have some of these printed out and carried with her at all visits to cut out the need to return to the client for their signature at a later date.

Please note that no applications can be processed unless this slip is signed. Under the Dat Protection Act, the Charity requires the HV (NHS employee) to have written permission from the client to hand on their details to the Charity (non NHS).

GDPR changes 2018 (General Data Protection Regulation)

  1. The Charity complies with all GDPR regulations.
  2. We have secure systems in place to ensure confidentiality.
  3. All data is automatically deleted from our remote systems within one month.
  4. The only information held by the charity is the child's name, date of birth and the name of the assigned Health Visitor.
  5. We do not share any information other than the name, address and phone number of the client to facilitate delivery of goods, or to allow contact from the Credit Union, if that has been requested by the client.

Very important, legal section!

To be ticked by the HV.

I have obtained the signature of the client as proof of consent of referral to The Broomhill Nursey Charity . I will send the printed slip with the client's signature to Brenda Munro, Summerfield House by internal mail.

N.B. The application will not be processed unless written consent has been received by us. The printed consent form link is onthe second line of section 6 above.

I will collect a cheque made payable to Asda, from Brenda Munro at Summerfield House,  and deliver the cheque to the Client. Please remember to stress to your client that the voucher can only be used at the ASDA store at Bridge of Dee.

Signed Date  

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