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Variations in the way care is accessed or delivered, and in clinical outcomes, can be highly informative. It may be that such variations are warranted or expected (for example, the surge in telehealth at the outset of the pandemic, or in the number of infection-related deaths) or may reflect person-centredness and individual choice. However sometimes variations may be ‘unwarranted’ and unveil weaknesses in the quality of care, or worse still, herald the risk of harm.

Effective governance at board level means knowing what you need to know, and clearly communicating this.