1. ACSA review visit briefing from *Hospital Name*

2. Introduction to the Organisation
A brief overview of the organisation and its recent history (e.g. when became a foundation trust, local events, etc)

3. Location

4. Patient Population and Demographics

5. Staff and facilities overview

6. Statistics Numbers regarding staff, etc. Recommended inclusions:
# of anaesthesia staff,
# of core anaesthesia staff, trainees, etc.
# of nurses
# of patients treated
# of obstetrics deliveries per year.

7. Level of activity

8. Management Structure

9. Clinical Governance Who is responsible?
Meetings – how often and who attends?
Mechanisms for learning from experience and making changes
Audits/QI Project participation

10. Safety Record Examples of how Critical Incident reporting is used
Learning from mistakes and near misses and making changes
Implementation of changes and measuring the impact of changes

11. Preassessment
Describe how it works, patient information and communication relating to this.

12. Key Achievements
Achievements or practices that the department is particularly proud of