Abstract
Working for Patients (DOH, 1989) has provided considerable impetus to the development of medical audit. The Royal College of Psychiatrists (1989) Preliminary Report on Medical Audit defined and distinguished between clinical audit, peer review and performance indicators, and referred to some of the particular problems affecting the development of audit in psychiatric practice. There are special concerns for child and adolescent psychiatrists developing medical audit programmes because of the wide diversity of child and adolescent practice and the considerable variability of resources in the subspecialty. Nicol (1989) has described the initial concern of the National Child Psychiatry Section's Working Group on audit with the Korner Report (HMSO, 1982) and the proposals on performance indicators outlined by the DHSS in 1987.
Highlights
In ten casenotes no mention was made of response to ECT
The Royal College of Psychiatrists (1989) Preliminary Report on Medical Audit defined and distinguished between clinical audit, peer review and performance indicators, and referred to some of the particular problems affecting the development of audit in psychiatric practice
The audit group circulated child and adolescent psychiatrists in Scotland to request information about the extent to which individual clinicians were involved in medical audit
Summary
In ten casenotes no mention was made of response to ECT. Of the 40 who did have a mention, 19showed a good response, 14some improvement, five no change and two became manic. In a report to the Royal College of Psychiatrists, Pippard & Ellam ( 1980)gave details of their prospec tive study in the use of ECT.
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