CYPMH Project Proforma

Name (team member completing this form) *

First

Last

Email (team member completing this form) *

Team Name *

Please choose a name for your team that describes the project you will work on

Brief description of your improvement project *

Approximately 100 words

What is the problem you are trying to address? *

Example: Poor and delayed communications and handovers of vital information

What do you hope to achieve? (think SMART objectives - Specific, Measurable, Achievable, Realistic, Time-bound) *

Example: To reduce waiting times from X to Y by July 2020

What would good look like at the end? *

Example: All staff adopting a new way of working that improves communication and CYP outcomes as well as saving time.

Who else do you need to involve and get help from? *

Example: A core team of commissioner and provider members, specifically person a, b, c

What challenges do you anticipate? *

What data do you think you will need to support your project? *

Example: number of referrals received, your DNA rates, the number of first appointments that ended with a discharge etc.

What level of understanding do you have of your service demand and current capacity?

How long do you think it will take to complete? *

Example: The project will by completed by May 2020 and the results will be acheived by July 2020

Phone