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Clinical Record Reviews

Invited clinical record reviews assist healthcare organisations by providing independent, expert advice on whether the management of a specific case or series of cases has met the expected RCS or specialty association standards.

This process has been designed to provide a fair, independent, professional review which will support - but not replace - existing local procedures for dealing with such issues.

Some example of where a clinical record review may be of assistance include:

Single case of concern review

Purpose: Providing an independent, external analysis of a single, index case. May be prompted by a patient complaint, a serious incident report or other, similar indicator.

Areas considered: Can include consideration of key questions posed by a complaint or the outcome of a local investigation.

Review arrangements: Case will be reviewed by two surgical experts, working together to produce a single report. Typically, the clinical records will be reviewed remotely as a desk-based exercise off site.

Typical cost: Approx. £3,000

Preparation time: Approx. 2 weeks.

Retrospective quality review

Purpose: Providing a view on the quality of care previously provided to patients by an individual surgeon or a surgical service. Looking at practice which is no longer being delivered, either because the individual has left the organisation or changed their scope of practice or because the service has been discontinued or reconfigured. Nb. For reviews of current standards of practice or for reviews that include interviews of key staff members, click hear to read about our reviews of individuals or services.

Areas considered: The review will provide a view on the standard of care provided to individual patients and, where possible, identify any common themes. Can advise on where steps need to be taken to offer patients further clinical care or fulfill the requirements of the duty of candour.

Review arrangements: Will normally include a one or two day review visit to look at cases on site. Usually includes a review of a representative sample of randomly selected cases.

Typical cost: From £12,000

Preparation time: Approx. 8 weeks.

How to request a clinical record review

To request a clinical record review, please complete and return an invited review request form.

Alternatively, if you would like to first discuss a situation which the invited review team may be able to assist with, please call us on 020 7869 6222 or email

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