The contributors to this book examine the psychological dynamics, both individual and institutional, which can promote or obstruct the potential benefit of the audit. Focusing on psychotherapy services within the NHS, a setting where the culture of audit seems very much at odds with the culture of clinical practice, the book provides examples of success stories where clinical audit has been used to support a service's aims and aspirations. It draws conclusions that should be relevant to clinicians and managers across the range of the health care services.