In recent years, I have reviewed psychological services in adult mental health and a cardiac rehabilitation service.  I have also reviewed the provision of practice learning opportunities in clinical psychology across three health communities for the Trent Workforce Development Confederation, and project-managed a county-wide review of psychological therapy services in Derbyshire.  Some of this work has been within the context of employment with the Derbyshire Mental Health Trust, whilst other projects have been on a self-employed consultancy basis. Whether a service review is initiated by service providers, Trust management, or by commissioners, it requires close partnership working involving all local stakeholders. Although a clinical psychologist by background, I have gained, initially through board-level work as Director of Research and Development, keen awareness of the wider organisational and multi-professional environment with which all services must engage. Costs and timelines are agreed at the outset in a review specification. Project components may include in-depth interviews, stakeholder workshops, research literature reviews, analysis of service data, and trouble-shooting meetings. It is usually best to include within the review specification a consultation on a draft report. Before you commission a service review, I can put you in touch with current and former client organisations.