We write in relation to the recent article written by Peter Degeling on integrated care pathways. The claim that '30 clinicians walked out of a recent presentation' in Swansea is entirely false.

We write in relation to the recent article written by Peter Degeling on integrated care pathways. The claim that '30 clinicians walked out of a recent presentation' in Swansea is entirely false.

Swansea Trust invited Professor Degeling to speak on the 19 January..The aim was to review the trust's clinical governance and explore the feasibility of moving towards a focus on.clinical pathway.

The target audience was medical managers, consultants, senior nurses, senior and middle managers. A total of 87 people attended the morning session, 36 of whom were consultants, with or without management roles, where Professor Degeling presented his vision for clinical governance using Pathways..The presentation was well received and their was active engagement from all disciplines. No staff walked out.

The afternoon was always planned around a smaller audience although Professor Degeling.might not have understood this.

There has been overwhelming support for the implementation of the concept both at the event and subsequently and, since the meeting, the.trust has made significant progress in implementing this approach.

J P Calvert, Medical Director and Liz Rix, director of nursing, Swansea Trust

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