1. Project Title
Name
Contact

2. 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)

3. 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