Rationale

There needs to be a multi-agency and multidisciplinary process for recording, collating analysing, reporting, and acting upon variances. Grouped variations may indicate where service re-design and improvement is required. Systems should be in place to allocate resources appropriately.

All variance from planned care needs to be monitored, reported, acted upon, and reviewed at:

• local service management level, including senior members of the care team, and
• NHS board and local authority directorate level.

In accordance with the GIRFEC principles and the Healthcare Quality Strategy, the views of children, young people and their parents/carers need to be reflected in this process.