172 Chapter 9 Better follow-up The interviews and focus groups led to some concrete recommendations for improving the use of MCD in the daily work of transgender teams. These recommendations were: to better monitor the to-do lists and other conclusions agreed upon in MCD sessions; to better coordinate team members’ tasks and responsibilities after these sessions; to discuss the results and actions agreed upon in MCD sessions during regular treatment team meetings and to ensure that current guidelines and policies reflect these results. “After conducting a moral case deliberation session, how can we ensure that we get a fixed moment to reflect on the question: ‘How do we proceed with what has been discussed in relation to our final decision-making?’ Maybe we could do that during a moment of feedback to the team.” - Individual interview with a clinician Which moral case deliberation outcomes do the professionals hope to see when taking part in moral case deliberation sessions, and which moral case deliberation-related outcomes do they actually experience during moral case deliberation sessions and afterwards in their daily work? Prior to starting their MCD sessions, 34 team members completed the Euro-MCD questionnaire. This survey asked these professionals what outcomes they expected MCD to have, and how important these specific outcomes were to them. The questionnaire was based on 26 pre-defined MCD-related outcomes (T0) (Svantesson et al., 2014). After the team members had attended two to four MCD sessions, they were asked once again to complete the Euro-MCD questionnaire (T1), but this time regarding, (1) which MCD-related outcomes they had actually observed during the MCD sessions overall; and (2) which MCD-related outcomes they had observed in their daily work after the MCD sessions (n = 22). Table 13 provides an overview of the most important results of the Euro-MCD questionnaire at T0 and T1, by means of the outcomes as described in the fixed-choice questions.