Invited Review Service
This high quality expert service aims to
support NHS mental health providers and independent sector
organisations to resolve concerns about individual, team and
service quality and performance.
A standardised approach to invited reviews has been developed,
which combines a comprehensive knowledge of current standards and
guidelines for high quality services with a wide range of clinical
experience and skills. Following the review, we will provide
recommendations that are salient and achievable.
Professor Rob Poole is the Specialist Adviser for Remediation
and was appointed in July 2013.
We provide independent, professional advice when concerns have
been identified in areas such as:
- Clinical service organisation (this can include for example,
service configuration, resources, workload issues)
- Clinical team functioning
- The clinical practice of individual clinicians or teams
There are broadly three types of review that can be set up:
Service review – the IRS will provide an expert
opinion in relation to identified concerns about a specific
clinical service. This will normally involve examination of
relevant documentation, a site visit and meetings with relevant
individuals in the service.
Individual/Team review – the IRS will provide
an expert opinion on identified individual/team functioning where
the employer believes that concerns about clinical practice can be
resolved through external professional advice that is credible to
all parties. This will normally involve a site visit, meetings with
relevant individuals and examination of documentation.
Case note review – in this type of review the
IRS will provide an independent expert opinion on whether the
assessment and clinical management of patient(s) is within the
range of acceptable practice using approved/evidence based
documents to benchmark the clinical practice that is being
assessed. These documents include: Good Psychiatric Practice, CR154
(February 2009), Good Medical Practice, General Medical Council
(2009) and any other faculty specific guidance.
How can an Invited Review help?
The IRS can help in cases where severe difficulties have been
Cannot be rectified by internal processes,
Do not meet criteria for the formal involvement of
We aim to provide a limited number of clear and implementable
recommendations to improve the quality of patient safety and
Who can commission an Invited Review?
The IRS will only accept commissions for an Invited Review from
the Medical Director and/or the Chief Executive of bodies that
provide mental health care. However, terms of reference (ToR) can
be developed with less senior managers (normally medical managers)
and the tasks related to organising the review can be delegated to
other members of staff.
Is an Invited Review appropriate?
The Invited Review Service will not conduct a review if:
- A GMC Fitness to Practice investigation is underway.
- We do not have consent from doctors who may be subject to
- The Police or Counter Fraud service is involved.
- The Medical Director or CEO has not commissioned the
For more information on the Academy of Medical Royal Colleges'
‘Operating principles for managing invited reviews within
healthcare’, please see
How to contact us
The IRS encourages early confidential discussion where an
Invited Review is under consideration. The initial approach should
be made to the IRS manager, Lucille Shackleton, by the
organisation’s Medical Director with the knowledge of the Chief
Professor Poole and will help draft terms of reference for
Invited Reviews. We believe that identification of appropriate
terms of reference is an essential element of a high quality
Phone: 020 3701 2583
Interested in becoming a Member of an Invited Review
If you have an interest in the work of the IRS, and you are a
Consultant Psychiatrist of at least five years standing, who is a
Member or Fellow of the College, then please click here for
further information on the role.