2026 GSK IMPACT Awards - Review Application

Please review your completed application below. If you are happy with all your responses, scroll to the bottom of this page and click the Submit button to send it to us. If not, click the Amend button to return to the form and make any changes.

Once you have clicked the Submit button you will not be able to make any further amendments to your application.

*Organisation name

Organisation's registered address

*Address1:

Address2:

Address3:

Town:

County:

*Postcode:

Country:

*Telephone number

Your organisation's website address

*Name of your most senior staff member
(Director/Chief Exec/Centre Manager etc)

*Job Title

*Telephone number

*Email address

*Is this a work email address?

Address (if not as above)
Please leave these boxes blank if it is the same address as in A2 above

Address1:

Address2:

Address3:

Town:

County:

Postcode:

Country:

*Name of contact person for this application. This is the name of the person who is completing this form and will be the person contacted if we have any queries (please complete all fields even if this is the same as in questions A3)

*Position in the organisation

*Contact telephone number

*Contact email address

*Is this a work email address?

*Charity number

*In which year was your organisation registered as a charity

*In which year was your organisation founded

A10

If your organisation has merged with another charity or changed its legal status in the last three years please give details and your old charity number here
(Maximum 700 characters)

A11

Please tell us the number of people in your organisation (full time, part time and volunteers)

*Full time

*Part time

*Volunteers

Project Title

*What is your organisation's remit?

*In which geographical area does your work take place?

*Which option best describes the people who benefit from your organisation's work?

If you have selected 'other' in the first part of this question or would like to provide more information please give details here

(Maximum 700 characters)

*Please choose the option from the list which best describes the health condition your organisation is most concerned with.

If you choose 'other specific health conditions' in the first part of this question, please state which here. (Maximum 700 characters)

*Which age category best describes the majority of people accessing your organisation's services?

*Please give an estimate of your organisation's total annual income for this financial year (2025/26)

*What was your organisation's total annual income for the last financial year (2024/25)?

*For the current year (2025/26), please supply details of financial support, estimated where necessary.

Source	Anticipated Income	Percentage of Budget
Government
Local Government
NHS Funders
Charitable Trusts
Companies
Other Donations
Fundraising Events
Fees/Earned Income
Other (please specify below)

If you filled in other above, please specify here

C4a

*Please tell us if you charge service users or request a donation for any of your services. Enter Yes or No.

C4b

If you answered yes, please tell us how much you charge and how services are made accessible to those who could find it difficult to pay?

Approximately 50 words (350 characters max including spaces)

*Has your organisation previously won, or been highly commended or a runner up for a GSK IMPACT Award?

*What was the most recent year that you won, were highly commended or a runner up for a GSK IMPACT Award? Organisations that have previously won a GSK IMPACT Award can re-apply five years after winning. If your organisation applied in 2020 (receiving the award in 2021) or before, you are eligible. Other shortlisted organisations can re-apply for any year.

*Please give details of your organisation's achievements since its last GSK IMPACT Award assessment. Please tell us about any new services or other work in your organisation; collaborations; reach into communities or new partnerships; growth in income and/or number of people you worked with when you won the award and now; and any changes in the complexity of your work. If you have previously won an award what would be the additional benefit to your organisation of being considered for a second award?
Approximately 300 words (2,100 characters max including spaces)

E1a

*Please briefly describe the purpose of your organisation.
Approximately 50 words (350 characters max including spaces)

E1b

*Please list the main services / areas of work across your organisation (this should be work you are currently delivering or listed in your most recent annual report).
Approximately 50 words (350 characters max including spaces)

E1c

What percentage of your current work would you consider to be:

*Direct health services / support

*Broader health and wellbeing services

*Not health specific

*Please describe the health and wellbeing needs of the communities your organisation serves, your key achievements in this field over the last two years, and the impact this has had on the people you support.
Approximately 300 words (2,100 characters max including spaces)

What is the scale of your work in your last reporting year. Please tell us:

E3a

*How many people you worked with directly? (Please only include those you supported through one to one and group work, telephone advice/helplines and direct services delivered online, such as online counselling).

*Please provide a breakdown of your answer to E3a across your main services. For example, how many people accessed a particular service or attended sessions. Approx 100 words (700 characters max including spaces)

E3b

*Please estimate the number of people you reached through awareness raising activities, events or campaigns.

Please add any comments to help us understand the numbers provided in your answers to E3a and E3b (such as where your services are one-off light touch, or longer-term interventions for those with complex needs).
Approximately 100 words (700 characters max including spaces)

*Please tell us how your organisation uses data and evidence to understand and improve its work and impact. Please provide one or two examples, to include:

- how you have evaluated the effectiveness of your approach or the outcomes of your work?

- what did this tell you (please provide specific examples/data)?

- how has this information been used within your organisation?
Approximately 200 words (1,400 characters max including spaces)

*Please describe how your organisation works in partnership with others and the value this brings. Can you provide one example of a health-related partnership your organisation has been involved in, for example with the NHS, a local authority or another charity? What was your organisation's role in the partnership, what did it set out to do and what was the outcome?
Approximately 100 words (700 characters max including spaces)

E6a

*How is the local community, either individuals or groups, involved in your organisation's work?
Approximately 100 words (700 characters max including spaces)

E6b

*How is the community that you serve represented in your organisation (trustees, senior management team, staff, volunteers)?
Approximately 100 words (700 characters max including spaces)

E6c

*How do you ensure that a wide range of people use your services? What have you done to make your services more accessible and reach people who are least privileged? Who are you finding it difficult to connect with and how might you address this?
Approximately 150 words (1,050 characters max including spaces)

*The GSK IMPACT Awards are an award for excellence and recognise charities whose work has had a demonstrable impact on the health and wellbeing of the community it serves. Looking at the criteria, why do you think your organisation should be considered for this award? Is there one aspect of your work you are particularly proud of that makes your organisation stand out for this award?
Approximately 100 words (700 characters max including spaces)

E8a

*Please confirm you have a Board of at least three unrelated trustees in place.
Enter Yes or No

E8b

If any of your trustees or staff are related, please describe how any conflict of interests are managed.
Approximately 100 words (700 characters max including spaces)

E8c

*I confirm that no paid staff are also members of our Board of Trustees.
Enter Yes or No

*Where did you hear about the GSK IMPACT Awards?

E10

*The GSK IMPACT Awards are funded by GSK. Please confirm your organisation can accept funding from a pharmaceutical company. Enter Yes or No.