The content discusses the Recommended Summary Plan for Emergency Care and Treatment (RESPECT) process, emphasizing its role as a communication tool for documenting and respecting patient preferences in emergency situations, and explores practical challenges and best practices for its implementation, particularly for paramedics.
Mind Map
Click to expand
Click to explore the full interactive mind map • Zoom, pan, and navigate
to hand you over to either tanya or emma
for an introduction to the respect process
process
so it's me tonight louise um thank you
very much so i'm in my husband's i'm one
of the partners of medicine consultants
in gloucestershire um and tanya is one
of the emergency medicine and priority
consultants so she said in the chat just
there um so next slide please
so we're here to talk about respect
we're here to talk about planning for
emergencies and we know that future
future care planning can help people to express
express
in advance of an emergency what matters
to them
how they would or how they wouldn't want
to live if something unexpected were to happen
happen
and i'm sure you're all familiar with
respect at this stage but respect stands
for recommended summary plan for
emergency care and treatment
and it's a process it's a process that
is supported by a form
but we emphasize that it is a process
rather than a piece of paper and it's
really about generating guidance that
can be used to inform decision making in
an emergency setting um often that's
relating to an underlying condition and
underlying illness but it might be a
very general statement particularly for
those who may be a bit more
globally frail without particular
illnesses um
alongside that
the goal is that it's created in
discussion with the individual and we've
been emphasizing very much today and in
these sessions that it is a process of
several discussions ideally um you want
to be having the conversation over time
and that can sometimes mean that you're
not going to be presented with a
completed form in a single episode and
that's obviously something that's
important from paramedic perspective
that you may have a quote unquote
half-completed form but the idea is to
create that joint understanding that
shared respect for somebody's
preferences what matters to them what
kinds of situations would they
potentially fear so for some people that
might be not wanting to be dependent on
others not wanting to be
artificially fed and unable to
communicate and for others they might
want to have all life-blooming
interventions as
much as it is reasonable for a zombies
as possible
and trying to be able to then shape any
guidance around treatment options that
are going to have the best chance of
fulfilling that individual's priorities
it's really
not just about cpr and actually the cpr section
section
is in many ways the the least important
part of that document around decision
making and how to look after somebody uh
in a situation of them becoming unwell
but that's clearly part of it and
certainly in gloucestershire it's now
the document that we use um as our
communication aid and
and
complete and hopefully to be able to
have a an ease of recognition for you as paramedics
paramedics
the hope is that by developing that
shared understanding we have clarity
over somebody's underlying health conditions
conditions
and we can get those realistic uh
clinical recommendations put down in
clear and and concise terms uh we know
that that's a work in progress with all
of the different groups of clinicians
who potentially can complete these documents
documents
and actually some of the feedback that
you guys give us is really helpful in
trying to
continually educate
and continually reinforce some of the
messages that we know we need to get to
it's a nationally recognized form it's
used in an awful lot of areas i think
over 100 areas have now adopted it so
it's something that you may well see in
other places and people bring you from
other locations and the other thing just
to note is it's not necessarily just for
adults we haven't formally adopted it in
gloucestershire for pediatrics yet but
it's coming
and it's very much been designed as an
all-age document so you will be seeing
this as something
that is part of advanced care planning
documents for pediatrics for kids um as
well as for adults going forwards
and i think that's about a reasonable
summary so to introduce ourselves to
this call into this particular patient
you are called to vera who is an 82 year
old lady who lives in gloucester these
are your initial call
details so you can see we're going to
vera williams she's an 82 year old lady
um she's in abu dale which is fairly
central in gloucester and we're being
called to her because she's feeling weak
as you arrive on scene this is vera's
house and this is what you see
you go through the open door that you
can see just to the bottom right of the
picture and an older man's voice called
you into the living room and here you
meet vera
she's on a bed in the front room and she
briefly opens her eyes when you say
hello but she quickly dozes off again
you ask what's happened today
at this point alph vera's husband tells
you that veer has been very tired today
fear is not herself and she's not been
talking much since
he can't get her to eat or drink
anything and he's quite worried about her
you ask queer if it's okay to check her
over and she agrees she opens her eyes
at that point your crewmate cracks on
with some observations and whilst you
ask alf about vera's past medical
history he mentions about her blood
pressure and her cholesterol but he's
not too sure at all and goes to get her
medications for you
and these are the medications that he
comes back with fear has got a bit of
nitrofurantoin a bit of a talk for
statin some ramapril some paracetamol
elf says that there has been having her
usual trouble with her waterworks again
and you have a little look at the
summary care record on the epcr which
mentions recurrent uti but it doesn't
really have very much else on there
elf also mentions that they have carers
in twice a day and during your hunt
around the house you spy a care notes folder
and just creeping out the top of that
care notes folder you can see the corner
of a purple respect form which is
sticking out and you start to have a
little bit of a look through the details
so you can see that the form has vera's
name on it it has her date of birth it
has her address it has her preferred
name it has the date that it was completed
completed
you've got a little bit more information
on her medical history which is
consistent with the medications that
you've seen so on top of the current
recurrent utis she's got some
hypercholesterolemia some arthritis
she's had a stroke previously some
hypertension and a mild onset of
dementia and at the moment there aren't
any other decisions or
such as advanced participation care
plans advanced decisions to refuse
treatment advanced directives and
you carry on down the form
and you can see that it's really
important to vera that she balances
sustaining life with dignity and comfort
and she's very very worried about being
potentially being in pain or losing her
independence and would like to not be in
pain and to promote being independent
for as long as possible
in terms of the clinical recommendations
she'd like to balance extending her life
with comfort and with valued outcomes
and she'd prefer to be treated at home
if that's an option
she has said she would consider going to
hospital if treatment at home was not
possible or if it was ineffective but if
she does go into hospitals she's for a
full active ward-based ceiling of care
and vira would not like to have cpr
mira had capacity when she was making
these decisions so she was actively
involved within this decision making
and she has said that this is what she
would like to happen should she deteriorate
so at this point you perform an ask and check
you ask
i can see that vera doesn't wish to go
to hospital if she can be treated at
home and wants to be as comfortable as
possible is that still correct
and you check that this is the most
up-to-date copy of the form with alf you
ask alf has anything changed recently
but at this point your crewmate has now
finished all the observations and comes
back with the following so you've got
your temperature your blood pressure
your sats and your heart rate and your
blood glucose on there
the crewmate has also done a bit of an
assessment of vera and they have found
that vera's chest is clear and she has
no obvious rashes or breaks in her skin
her abdomen was fairly soft but she did
have some mild generalized discomfort on
a bit of palpation and this is
vera's ecg for those of you that enjoy
an ecg we'll give you a moment just to
i'll just give you another 30 seconds or
so to have a little look at that ecg
so you take all of these elements into
consideration you start to have a think
about what we're going to do with vera
and at this point you consider vera's
case and decide that she probably needs
different antibiotics and some fluids
for a potential exacerbation of her
recurrent utis
you have a think about all the possible
options for vera in your area and you
weigh up the benefits of hospital
admission and your available community services
services
deciding that based on her history her
presentation her observations and her
respect guidance that the best course of
action is to speak to her community
outreach team
you decide to consult the community
outreach team to see if they can provide
the supportive care you think the vera needs
needs
alpha agrees with this plan and you're
just finding the number to call them
when fear is family appears
you explain the plans in virus family
but they aren't happy and they demand
that you take there to hospital at this point
so at this point we're going to move
over to you and your thoughts on this
situation we're going to go into some
breakout rooms we're going to have some
discussion around these four questions
so we're going to consider would you
feel different if the case involves cpr
recommendations we'll talk about the uh
processes and procedures you may follow
at this point and we'll work through the
other questions around what we're going
to do with other healthcare
professionals and other sources of
information so we're going to move into
breakout rooms at this point
so first up should i talk about our room
uh whilst i have the microphone and then
i'll pass on to somebody else um so
first up we were talking about what
would we we would do in this situation
with the conflicts between the family um
and with what the patient's wishes
potentially would be and we had a really
good question actually just right at the
end that snuck in under the radar around
should the patient's wishes override
everything else and i kind of want to
bring emma and tanya in on this one as
well because i feel quite strongly that
we should be advocating for them and
should be respecting their wishes but
would you agree with that perspective or
are there any situations where you'd say
actually maybe that's not what we go
with so i think it's about the subtlety
between wishes and demands
um no patient can demand an intervention
that isn't felt to be appropriate and
that's a subtly different thing to
respecting somebody's wishes so somebody
being able to say to you i want you to
do everything i want you to put me on a
machine i want you to breathe for me i
want you to keep my brain in the jar for
eternity until uh i can be regenerated
and believe it or not i have had that
conversation with somebody um it is is an
an
unrealistic and
an and inappropriate demand but somebody
being able to say look i talked about
wanting to stay at home i don't want to
actually now i feel like i don't feel
safe here i want to go to hospital um
that's okay to be able to revisit that
and i think that's a really key part of
respect is it's not set in stone and
people can change their minds it's not
always easy to if it says not for hospital
hospital
they don't necessarily feel that you
can't take somebody to hospital if
that's the right thing to do but it's
just that subtlety of patient wishes
versus demands um the point of respect
is mutual respect their priorities
clinical recommendations they don't
always completely marry but if somebody
wants everything doing you can do
everything that's reasonable and that
doesn't necessarily include absolutely
everything every type of intervention
that's out there
i think it's also very important to
try and explore what patients fish
wishes are because for example you often
get people that say my wish is always to
be resuscitated but when you dig down on
something they don't mean cpr they mean
they don't want you to leave them in a
corner just to die when there's
something that you could do that would
be reasonable and you can take that to
all all
you know all points they might say i
don't ever want to go to hospital but
what they mean is they don't want to be
on an ed corridor and that's very
reasonable and you might find the way
around things so it's always about exploring
exploring
what's important to people and their values
lovely thank you very much in terms of
making sure that we um ensure we are
upholding those wishes and exploring
this it's a real key theme of
communication that runs through all of
our answers for all of the the different
questions that we asked when we talked
about talking with the family there's a
strong theme in our room around
understanding of the family and family perspective
perspective
and kind of trying to understand um both
why they feel that way and making sure
that they're fully informed and that
they know about the available um
services that are out there for them
that they are aware of the level of care
that maybe can be provided in the home
and the fact that that isn't necessarily
going to differ massively from what
they're going to get in a hospital setting
setting
and that kind of fed into very much our
discussion around different healthcare
professionals as well and how we would
uh interact if somebody had um maybe
arranged a different plan around
admission for our patient and
understanding that and communication
again came out as being really key
finding out why finding out if that
person had maybe already had
communication conversations with the
community teams and whether things were
accessible or not whether they were
aware of the whole range of everything
available to us so communication and
advocacy definitely really really strong
points um any other uh comments from the
other rooms around those topics in
particular so if we have differences of
opinions or
anything else from the other room leaders
any fairly consistent themes
yeah sorry i was trying to mute then i'm
muted then i am muted um yeah we we um
see other sessions you know we have
we've had similar themes as well
um so
kind of working through through the
questions we had some um
um
quite strong um
like recommendations on who you know who
we could
use to help us make decisions
so there was um you know there was there
was a good use of kind of using other
services outreach teams community
services so that that went quite
strongly throughout the whole of our
conversation as well
um which was good to see so it wasn't
about making a decision
on our own it was about using other
people to help make the decisions that
would be really important for the person um
um
and you know it was highlighted there
there are obviously different services
in different areas uh but we do have a
lot of this you know similar types of
services um or equivalents in the same areas
areas
and it's not just about using the
service for a particular thing but it's
just like having you know um
for example tanya mentioned about using
the palliative care team but it's about
using them for
providing comfort for the person not
just calling them if the person's dying
you know so it's those sort of things
that we did cover as well
absolutely and similar in in our area
too i think a couple of the other places
that we highlighted were using your hub
clinicians particularly if um your cards
aren't working and you can't access the
summary care record
using the hub clinicians to kind of fill
in some of the blanks maybe on the
information that you can't get
we talked about using the rapid teams
which are a bit more specific to
gloucestershire but very very useful if
you're in that particular area we talked
about district nursing gps and out of
hours which are probably fairly familiar
to most of us in paramedics and we kind
of routinely use those services
we then highlighted services such as
synapsis and and all the different
clinicians that will potentially be on
synapses um and this single point of
care access so this spoke i can never
remember exactly what it stands for um
single point of clinical access and
again i think really
nice very close many many other places
will have something similar as a kind of
coordination hub
so it's really about using all of those
different services available to us and
not making these decisions in isolation
and using that form as a bit of guidance
for us as well but not necessarily as
emma said having things set in stone
allowing things to be a bit more fluid
and having discussions on the day about
what's best for our patient i think
that's pretty much everything from our
room i was scribbling some notes as we
went um so anything else anybody would
um sansa we've had quite similar
conversations so that's that's good
joe we move on to the next section which
is myth busting so missile reality so
again a little bit interactive for our
participants you are going to see a quiz
come up on the screen and we would like
you to answer quick fire there's no
maybes there's any yeses or no's on this
particular quiz what your gut reaction
is to the following set of questions and
we'll have a bit of a discussion on the
so first question is the respect form
okay tania yeah i can see your mic is
open do you want to discuss the answer
to questions i'm just i'm pleased that
my group listened because i might have
apprenticed about this um so no respect
is not a legally binding document trying
to get you know there's very few legally
binding documents when it comes to
advanced care planning and most of the
ones we see aren't legally binding even
if people think they are respect is a
conversation and it's about supplying
information to allow you to make it an
informed decision
and it is in no way legally binding
and and just to add a tiny thing i think
cpr documentation
other types of tips etc
none of these have ever been legally
binding and i think that's a bit of a
long-standing myth as well so this isn't
a change and this is an ongoing
evolution of how things are documented
number one number two can you can you
use an unsigned respect form
oh bit of an even split here 59 saying
yes 41 saying no take it away tanya and emma
emma
uh yes you can use an unsigned respect
form it's not a legally binding document
so anything that is written on that form
you can use as information to help you
guide your decisions it doesn't need to
be signed so we actually encourage for
example carers to add information to
forms and it's an ongoing discussion so
information will be added to the form
before somebody
and it doesn't necessarily mean they'll
have got all the way to signing it if
you are putting something on the form
it's good practice to sign your name on
the back and there's lots of spaces for
lots of people but use whatever
information you find on that form
and like everything in life um if you
get those text messages through or you
get those emails through and you're not
sure whether it's really from your bank
demanding your codes uh immediately to
save you from uh your house burning down
or something similar you look at any
kind of documentation that you've gotten
and do you believe it um and
frustratingly that's one of the things
that you guys have to decide on the
ground but but look at it does it look
real does it look legitimate um i know
i've said in these sessions before very
very occasionally the only thing that i
might be able to find at seven o'clock
in somebody's house when i'm doing a
very late visit is a flowery post-it
note that's all i've got that might be
what i have to write on and i will make
that look as efficient as i possibly can
but sometimes it will be about looking
at the information and seeing whether
you believe it or not and that could
even be on a respectful particularly if
printed out copy
because sometimes that's the only thing
abs thank you that's myth number two
busted number three
do respect forms go out of date yes or no
oh
it's a little bit stronger there 89
saying no they don't
they don't
um again it's about using them in the
moment so it's about do you believe it
does it feel like it fits the story um
it's always good practice to revisit
these conversations it's a bit like a
long-term relationship respect documents
and discussions and you should be going
on a date night every now and then um
clinicians aren't very good at
revisiting these conversations they're
not always very good at having them for the
the
in the first place and so going over
them again isn't always an easy thing to
do we recommend trying to do that every
six to 12 months is good practice but
they aren't date specific um so it's
really about looking in the context of
okay myth number four
are photocopies of respect forms valid documents
documents yes
i think that's a very similar answer to
the one given a couple of times again a
couple of questions ago um if it looks
real if it looks reasonable it's okay um
sometimes you will only get a
photocopier a photocopy um forms get
lost it's one of the it's one of the
challenges around a paper document
unfortunately um certainly with with
documents like this i might have several
copies of it so that i can have one in
my wallet and one in my handbag and one
in my back pocket and one with my will
and all of those different things um if
just a little plea that as with any
passport this is your health passport so
please try and encourage the patient to
have their original with them i am well
aware care homes and other
establishments don't like letting them
out of their site in case they don't get
them back but if somebody has got to be
admitted to hospital the chances are we
should be updating that original respect
form anyway
so encourage the
person at home to take a copy and bring
the original to us because that will try
and help us um make things clearer by
always having the original with the patient
patient
and in previous sessions emma's had this
beautiful phrase about it should be a
bit doggied and it should be a bit well
loved it shouldn't be a pristine piece
of paper it should have gone with that
patient everywhere and should look like
it's traveled a little bit it shouldn't
be a pristine document because it should
have followed them through all those
different care settings
oh 100
yes excellent well done team so
absolutely paramedics can add to respect
forms i'm hoping the little kind of drop
in there about the carers being allowed
to add to
the respect forms as well was partly
what influenced that but absolutely
paramedics can and should add to respect
forms because of all those reasons that
we've been talking about this is an
ongoing discussion we're seeing that
patient at that time people change their
minds emma do you want to add any more
on today just to say likely the focus is
that from a paramedic perspective the
area that you would add value to is the
patient preferences um more so than the
clinical recommendations because that's
a broader discussion that ideally you
want to have with the lead clinician um but
but
absolutely feel empowered to be able to
do that because you will see things that
we just don't know because we're not in
completely absolutely we're vital um
previous uh ex previous things have
included even things like the patient's
living situation what they have
available at home if there's big blocky
dogs etc um we have a unique position as
paramedics we're all quite aware of the
fact that we have this very very
specific perspective which can be really
really useful to other healthcare
professionals as well and we see that
person in their natural setting and so
we we know this as paramedics it's what
we do all the time we always talk about
that unique perspective but it's really
really important when it comes to
respect forms as well
and if you if you guys if you guys get
um sorry i i'll say it really quickly if
you guys get come back from that if you
don't feel supported in that then please
get in touch with us because tanya and i
are really happy to kick ass on that
front you know part of this session is
to try and empower you you are part of
the clinical team um and you are not
just there to be done to actually it's
about supporting you and your clinical
decision making and reasoning um but you
are part of contributing to that as well
so please do let us know because we
really want to know if that's not coming through
absolutely these guys are your champions
right final question then question
number six
does a ward-based ceiling of canada mean
individuals should be admitted to
you can see the celebration going on
there with tanya no it does not
necessarily mean that that patient needs
to be admitted to hospital i'm going to
let emma talk about a word-based ceiling
of care and that phrase um which appears
unfortunately on quite a bit
it does
actually there's two things i'm going to
say about this so we're moving away from
ceiling of care because actually there
isn't ever a receiving of care there's a
ceiling of treatment
um and uh one of the things i've learned
doing this over the years is i keep
changing what i'm doing i've been doing
this job for a long long time and i'm
ever learning so see these are
treatments um but in terms of
award-winning feeling of care do you
know what is flipping useless phrase
even in a hospital setting because in a
hospital setting you might be on a
respiratory ward you might be an arena
ward um you you might be
on an elderly care award and the ceiling
of treatment you could get in all three
of those would be completely different
so it's actually a really unhelpful
phrase no matter where somebody is but
having said that if you see a document
like that in the community and that's
what it says what i think you can
probably interpret it as is that you're
not going to be escalating that that
individual to intensive care you're not
going to be having those more intensive
interventions and so potentially
the treatments that you would be
offering in a hospital setting could be
translated into the community with
things like rapid response with services
that can provide ivs and such like so
don't dismiss it with any of these
phrases there is an interpretation of
them um but we are definitely trying to
beat that out of our hospital colleagues
as well
sorry guys can i just ask a quick question
question absolutely
absolutely
um so if if a paramedic wants to add to
the respect form where is the best place
for that to be sort of added to because
there's different sections so
so so we might we might sort of answer
that a little bit in a second as well but
but
in terms of where you're going so there
are two things number one
when it comes to adding to respect
documents if you can't do it in a
legible fashion don't
because you don't want to make a form
illegible um they should be and often
there is space to be able to add
information i think it's about the
information that you're adding so as i
said a wee while ago i think the
likelihood is that the information that
you're going to be most valuably adding
is around an individual's priority so
that's going to be on section three
um and in one of those boxes around
their fears or their hopes and their goals
goals
and you can add accordingly depending on
what it is that you're saying if you do
add something
good practice would be to date it turn
the form over you can then sign um in
the signature section with the with the
matching date that you have added that
information clinical recommendations if
you have a conversation with somebody's
gp for example and you are in essence
subscribing that conversation that
you've had together i think that's very
reasonable but what i wouldn't want is
for you to feel burdened with making
clinical recommendations necessarily i
think that's taking us into a slightly
different realm and all of this is about
feeling confident within your
competencies um and your experience but
don't feel that you can't add
information if there's something that's
really really useful that somebody says
then you can certainly do that if there
is absolutely no space on the form
um or somebody's got ginormous writing
and they filled it all up um you could
always put it on a piece of paper and
attach it to the form you know that the
boxes are quite small so you could do
that data nhs number make sure that it's
clearly identifiable the new respect
form does actually have a um
a section i think right at the bottom
saying is there a supplementary form or
some such words so that you could just
highlight that you've added something there
there
so if we're adding information to a
respect form with a piece of paper do we
need to put our name and our sort of
paris reg number and yes
so if you look at the back of a respect
form it actually says on there your
professional group your professional
registration so that's maybe gmc number
might be nmc number paramedic number if
you've got one um and and you can put
your role and and so on um and i guess
the other element of this is making sure
that you share that information so if you've
you've
amended or changed or added to
then make sure that that goes on your
hand over to the gps for the next day or
whatever it may be
thank you and it is quite
self-explanatory on the back in terms of
what you what you design it it's quite
it's quite a
um it's quite a well-ordered form in
terms of structure from that perspective
i think
thanks emma
i think one of the ways you could maybe
facilitate um joining that up is maybe
using the pcr camera and taking a photo
of what you've written there because
then that's going to become part of the
patient record as well that people can
access in those different settings so
consider using that too could be really handy
handy
um so
just really to summarize what we've
talked about already um
um
that it is um
a form that is used to document an
ongoing discussion that you should use
to help guide your decision making
we have a
campaign in gloucestershire called the
asking check campaign which is about
getting every health professional to ask
and check about respect
so from a swast point of view ask if
they've got one check where it is
um check if it changes your management choices
choices
um ask the the care home to send the
original in with them um and that's the
same with when you're taking people from anywhere
anywhere
hopefully we have covered dealing with
imperfect forms
um either completed imperfectly or
incompletely and that they can still
give you lots of information
we've talked about
updating forms whether you're updating
them or the fact that it's fine that a p
that the respect form has had
bits added to it as we've gone along so
they should not be um perfect
no decision in isolation so you're gonna
get information from wherever you can
and for me that is important that um i
phone a friend all the time and i work
in a nice light shiny warm hospital
um but i will rate and i'm a consultant
but i'll regularly ask for a second
opinion and i don't expect any clinician
to be making tricky decisions by
themselves um so
a make sure that you make it any
decision with everything around you know
with as much information as you can but
also don't be afraid of sharing that
decision and phoning a friend
and please please if possible the
original form to come with the
individual into hospital
so that we've got um we can see it
because much as i love that you take
photographs of the forms i normally
can't read them by the time they've got
280 and been scanned onto our system
um but it also means that we
may well and we should be updating the
forms before people go back home
so the original one to come with if
possible please but we'll take anything
if it can't
and that was certainly one of the things
from this morning that i think you guys
are a real
resource for us in terms of trying to
engender that because you are often
transporters of people in different
directions so being able to ask at the
whichever front door you collect free
people from even on the hospital ward
when you're taking somebody back home um
can i have their respect guidance please
because it gets forgotten in all
different avenues so
you you have a real role in just
emphasizing that as an important point
good afternoon it's good evening
actually good evening i'm jake ferns i'm
the business analyst for the swast
connector program uh the objective of
our program is to find a seamless
solution to providing patient
information that a paramedic would need
to support optimal decision making and
it's recognized that there's currently
no consistent way to access patient
information although there is so much
available within different clinical
systems across multiple organizations in
the region
uh we know that the summary care record
has some patient information as does to
epcr and of course the paper documents
like the respect for by having access to
additional information from other
healthcare organizations like the
discharge summary for example could
provide a wealth of information that
could potentially alter the clinical
decision being made for your patient
what we're aiming to do is establish
what information is available how it
could support or enhance your clinical
decision making and then find a solution
to providing this information in the
most convenient way possible
all in one place the project is
currently in its uh discovery phase
which is fundamental to
understanding how paramedics work now
what information is accessible to you
wherever it can be found and what
limitations there are
preventing you from accessing the
information you would like to see
myself and the team i will be inviting
you to join us in different avenues to
contribute to this discovery um we'll be
publishing and distributing a
questionnaire that we've designed to
give you as a paramedic an opportunity
to share your experiences with the
access to patient information and what
you think could be done to make it
better for you
this will be an online questionnaire but
on simultaneously myself and members of
my team will be um
attending various eds across the region
to complete these questionnaires of you
face to face so please keep an eye out
for all the communications with those details
details
if you would like to be involved in the
project or have any questions or
comments that you think would be
beneficial to us please feel free to
leave your emails in the chat in our
chat and i'll get back to you um
additionally i've i'll leave my email as
well uh if you wish to get in contact
with me for my information please please
Click on any text or timestamp to jump to that moment in the video
Share:
Most transcripts ready in under 5 seconds
One-Click Copy125+ LanguagesSearch ContentJump to Timestamps
Paste YouTube URL
Enter any YouTube video link to get the full transcript
Transcript Extraction Form
Most transcripts ready in under 5 seconds
Get Our Chrome Extension
Get transcripts instantly without leaving YouTube. Install our Chrome extension for one-click access to any video's transcript directly on the watch page.
