Ever since the publication of Lord Carter’s first pathology services reports back in 2006 and 2008, and now NHS Improvement, there have been ongoing pressures for pathology services to consolidate, reconfigure and modernise in order to improve quality, patient safety and efficiency. It is recognised by The Royal College of Pathologists1 that measures to reduce unwarranted variation and ways of supporting closer collaboration and networking could support optimal provision of pathology services. However, the focus should be on the value delivered, ensuring that quality remains high while cost savings are achieved by seeking efficiencies. This is where user confidence in pathology services must be maintained.
Increased user confidence in pathology services is achieved through demonstration by laboratories that they have reached accreditation standards and regulatory compliance. Key to demonstration of quality and competence in medical laboratories i