What problem is to be solved? Define the problem which to be solved in a succinct statement (two sentences). Try to describe the size, scope and impact of the problem using examples from the client and frontline viewpoint. Consider using a diagrammatic presentation. Make it clear that it can be solved by DATE - be specific. Consider saying what the problem isn’t. This freshness about exploding some myths would be valuable.

What drives the problem? Use about six bullet points to identify the most influential key drivers. Where possible, use evidence to show why these are the most influential drivers. Consider the possibility of noting any myths around the drivers.

What are the drivers in the way our service operates? Try and focus on the factors that exacerbate or drive the problem. Show the CBT will focus on those drivers of the problem which are capable of being altered by dealing with a systemic barrier within the system - what is feasible for a CBT to tackle Give an indication of how significant the barriers are as a driver of the total problem – i.e. the likely impact of the likely solution.

What is the likely outcome if the problem is fixed? This is your project benefits page – giving an indication of what the executive reference group might be able to expect if your solutions are implemented. Avoid actually stating solutions – you are talking about the outcomes, not the strategies or solutions for achieving them.

What are the key issues? Try to show how your problem definition is different from what has gone before – maybe some myths, maybe some key blockages and the help that you need from them. Include some real AHA!s to show the freshness and insights of a frontline approach. Think about the key risks and state them.

What are the key learnings from the CBT process? One of the major benefits of this project is the learning as well as the resolution of the problem – what are the potential benefits, advantages, and stresses of approaching intractable problems from the CBT approach.

Next steps Outline what you will be doing over the next month. If you wish, give a flavour of any ideas for solutions that you might be testing as you do the next month’s work.