PACE Setter application form

The application form can either be downloaded, completed, scanned and emailed to us at or completed online (below).

Picture of child with balloons
your details
About your team
Your general practice / community provider details

In the box above, tell us about the scale (population size including of children and young people where known), scope, practice set up, staffing, CYP highlights, CYP challenges, desired impact and any other notable features.

Reporting back
Statement of intent

On clicking the submit button you are confirming your agreement with the following statement:

I am applying to be part of the PACE Setter Award pilot on behalf of my organisation. We, as a core team, commit that we will complete the award process and be willing to share our best practice and lessons learned with the wider health community.

This is to prevent automatic submissions.