- Audits should be performed according to the audit policy using standardised proposal and reporting templates, include a clear SMART (specific, measurable, achievable, realistic, timely) action plan with leads identified for each action, involve all stakeholders and be registered with the audit department.
- Re-audits should be scheduled and completed.
- Progress and results of audits should be presented at the clinical governance sessions and actions agreed. Learning should be shared across the network.
- The following audits should be mandatory at least annually across all relevant sites:
- % success of X operation.
- % infection post X operation.
- % complications post X treatment.
- % adherence to X national guidance.
- % adherence to X local policy.