Form

Clinical Excellence Awards: application form

Application form for the 2021 national Clinical Excellence Awards competition.

Applies to England

Documents

ACCEA online application system

Application form

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Application form

This file is in an OpenDocument format

This file may not be suitable for users of assistive technology.

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Details

Application form for consultants and academic GPs applying to the 2021 national Clinical Excellence Awards competition.

The form is available in Word and OpenDocument formats.

All applications are completed through our online application system. You can use the forms on this page to work on your application offline before completing it on the online system.

We’ve simplified the application process this year by:

  • removing the additional forms for domains 3, 4 and 5
  • increasing the character limit to 2,000 characters for domains 3, 4 and 5, maintaining the separate publication section of 1,350 characters in domain 4
  • removing employer ratings for individual domains and the overall employer statement. Employers will continue to select from 3 levels of support (Supported, Qualified Support, Not Supported), giving a justifying statement if the application is Not Supported or has Qualified Support
  • removing third-party citations. National nominating bodies (Royal Colleges and Specialist Societies) will retain the ability to provide a citation to accompany those applications that they rank

Guidance on the 2021 application process

Published 16 June 2014
Last updated 4 December 2020 + show all updates
  1. Added application form for the 2021 awards round. Removed citation form, research and innovation form, teaching and training form, and leadership and management form.

  2. Updated the application form for the 2020 awards round.

  3. Added application forms for the 2019 awards round.

  4. Updated Clinical Excellence Awards application forms for 2018.

  5. Updated Clinical Excellence Awards application forms for 2017.

  6. Updated Clinical Excellence Awards application forms for 2016.

  7. Updated Clinical Excellence Awards application forms for 2015

  8. First published.