We have introduced and now offer three specifically dedicated programs of clinical excellence for acute stroke , endoscopy services, and maternity care. All are based on established standards of care; all allow individual hospitals to develop a program best suited for local care requirements and resources. Our guidance is hands on and assistive, never obstructive or interfering. We have revolutionised the way surveyors interact with the customer. Our success has been driven by their passion for quality and patient safety.