title: Reviewing a service--discovering the unwritten rules.
abstract: In our previous article we looked at the history of quality development and discussed how the implementation of clinical governance provides the opportunity to begin the cultural shift necessary to underpin quality in the modern NHS. This article begins an explanation of the model of quality improvement followed by delegates to the Clinical Governance Development Programme by looking at the service review process delegate teams undertake.
authors.forename: R
authors.initials: R
authors.lastname: Cullen
authors.forename: S
authors.initials: S
authors.lastname: Nicholls
authors.forename: A
authors.initials: A
authors.lastname: Halligan
mesh_terms: D003625:Data Collection; D006801:Humans; D007857:Leadership; D008332:Management Quality Circles; D008485:Medical Audit / Q000458:organization & administration*; D017146:Models, Organizational; D015279:Organizational Culture; D016730:Program Development; D013192:Staff Development; D013222:State Medicine / Q000592:standards*; D006113:United Kingdom