11.   An appropriate level of quality assurance and audit, including proactive audit of current activities against best practice, is essential for effective risk management.

12.   This may suit the trend to treat education as a local activity but quality assurance needs a comparison with broader standards.

13.   This is in contrast to that information which can be challenged and questioned which has to be made publicly available in support of quality assurance.

14.   Management plans and schemes of quality assurance need time and care in being put together.

15.   On the other hand to be slower than other schools in developing schemes of quality assurance may bring credit for prudence.

16.   Personal ideas, however, cannot -- any more than can experience, intuition and vision -- provide a reliable base for quality assurance.

17.   Management will move at the same pace, absorbing as proactively as possible those contributions to continued improvement which, regardless of their source, focus on quality assurance.

18.   A further possible area of confusion is the terminology associated with quality assurance.

19.   User access to modules, software approval and quality assurance facilities are all based on packages.

20.   Differences between clinical medicine and public health in their views on quality assurance are also illustrated.