Our Lady of Lords now has 47 of these.

Yeah, so one of the six standards for Pathway to Excellence is shared decision making and This is kind of new to us in Ireland, where we have sort of very traditional hierarchies and more form, you know, we're organized in a very formal way.

And what's your decision making is about, it's about empowerment and action.

It's about giving voice to all nurses and indeed MDT colleagues, because a big component of Pathway is the interdisciplinary team.

So what that is in terms of implementation means the development of councils, which are greenhouse.

I describe them as greenhouse spaces where new ideas can emerge, where you can give voice to everybody on the team.

They can articulate their ideas and find fellow travellers.

Adrian also explained that one of the most significant shifts has been what Pathway has done for nursing leadership itself, moving senior leaders from the daily operational demands to enable them to focus on the longer term work that their teams need from them.