Application Form for patient grants

Members of Barts staff and professionals from other intermediary organisations working to support patients of St Bartholomew's Hospital can apply for a grant on behalf of a patient using this form. We cannot accept applications directly from patients.

This form must be completed by a member of Barts staff or a professional from another organisation working to support a patient of St Bartholomew’s Hospital. We cannot accept applications directly from patients.

Before completing this form, please ensure that you have read our grants policy.

The Fund has a limited budget for patient grants which cover a wide variety of needs and must apply funds sparingly. We are here to help patients as a last resort when there is no alternative way of meeting their need.

There must be both a clinical or therapeutic need for the item or funds requested AND a clear financial reason why the patient cannot afford to meet these costs themselves. Decisions are made based on the information provided in the application form.

To ensure that our trustees can effectively consider grant applications for patients, please complete the application form with as much detail as possible. If it is felt that more information is needed, we will ask further questions about the beneficiary via the person making the referral.

 

Our online application form is under development. Please check back soon. In the meantime, an application form can be requested by emailing [email protected]