Speciality/Service Reviews ‐ A Model for Local Use

A model is proposed which can be used to review clinical specialities in NHS hospitals. This framework will enable General Managers to use local staff to review specialities without them first having to develop a model or process. The model consists of a series of headings and examples of questions to be answered. The aims of such a review are proposed; the advantages, practicalities and problems of selecting a local reviewer and involving clinicians in the process are discussed; some of the problems of analysing activity data are mentioned. Once the review has been completed a Discussion Document is proposed which aims to simplify the discussion between clinicians and management. In this way, it will be possible to reach a mutually agreeable strategy to tackle problems of the future.