1. Sheelagh Petrie Head of Audiology Audiology Dept Dumfries and Galloway Royal Infirmary NHS Dumfries and Galloway

2. IN THE BEGINNING Approached by Project Officer November 2008 Identify needs of service Direct referral and re-assessment

3. REDESIGN WORKSHOP Multi-disciplinary Discussion _ Standards _ P.N. no robust data _ Barriers _ Staffing sustainability _ Lack of space Flow charts _ Current pathways _ New pathways _ Action plan

4. KEY CHANGES TO BE MADE Incorporate standards Pre-assessment Additional staffing Best use of capacity Electronic referrals Patient information Educational support for primary care

5. THE NEXT STEP Staffing implemented Pilot pre-assessment Capacity planning S.A.T.O. training Siemens – work with to improve quality of data Sub-committee meeting to monitor action plan