Project Title Name Contact Email

Project Title Background: (Please summarise in bullet points need for project & if you are aware of any previous published studies or literature) Aim: (State aim or clinical question to be answered by study) Standard: (Please state standard and source of defined standard for all audits)

Project Title Methodology: Please propose a methodology including: All data points to be collected Method of collection e.g. questionnaires, notes, theatre logs, interviews Recruitment period e.g. 1 week, 2 weeks Target number of patients to be recruited (include power calculation if done) Is ethics approval / patient consent required Outputs Target Journal or conference for publication