Audit within general medicine originated from a review of patient clin
ical records. The main effect of such activities was to lead to an imp
rovement of documentation and a realisation that audit could be perfor
med amicably. Once case note reviews had been established it was usual
ly necessary to progress to specific topic review. Such audits require
d more input of doctors' time, and to be performed properly needed the
support of committed audit staff and limited support from computer te
chnology. The primary aim of medical audit is to improve clinical care
. Although an important component it is not the primary purpose of aud
it to save money.