Register before testing
Question: ____
Team and sponsor: ____
Workflow and exclusions: ____
Baseline period/sample/definitions: ____
Numerical target set after baseline, before test: ____
Primary measure: net reporting minutes per issue.
Balancing measures: completeness, rework, overdue actions, escalation quality and staff experience.
Test cycle
Plan one small change; predict its effect; run it with synthetic information; observe; compare with the prediction; record what changed and what remains uncertain. Then seek authorisation for a limited operational shadow test.
Stop and review
Pause if information is lost, escalation is delayed, workload becomes unmanageable, access is inappropriate or a participant raises an unresolved safety concern. Named stop authority: ____
Results record
Dates, sample sizes, missingness, before/after measures, context changes, implementation costs, participant feedback, limitations and continue/change/stop decision.
Publication
Provider and participant permissions: ____
Independent reviewer: ____
Claims supported by evidence: ____
Claims not supported: ____
A 90-day project cannot establish sustained national benefits.