Goals and methods of audit should be reappraised. Regions should define audit strategy.

EDITOR,—Both David Sellu and R A Fulton agree that audit is an essential part of medical practice and should be embraced by all.1 2 We would suggest, however, that it is far too early to conclude that “audit is not working” and that resources have been “largely wasted.” The simplest audits often result in the most useful change and can cost nothing. It is attitudes …