These reports have been produced by dedicated healthcare professionals who made the time above and beyond their clinical commitments to convene in order to address shared operational challenges in providing the best possible care to NHS users. The recommendations and their implementation are intended to provide helpful guidance to NHS staff dedicated to improving the delivery of services. Some of the recommendations may be adopted as national policy and incorporated into the work of national programmes or pathway improvement work. Otherwise, these recommendations are for local review and implementation where they will enhance patient care or performance.