All Specialised Burn Care Services in England and Wales have to operate function within one of the four Burns Clinical Networks.  Services are expected to actively engage in Network meetings and support training, service development, audit and clinical events.

All services have to submit an agreed minimum dataset to the approved National Burns Clinical Data Registry for all patients within six weeks of discharge from the burns service.  

It is vitally important that burn services manage and treat sufficient patients with burn injuries to ensure that all members of the burns multi-disciplinary team maintain their clinical competencies associated with burn care.  Therefore, the ODNs review activity information on behalf of NHS England to ensure activity levels meet a specific level relevant to the burn service's designation.

It is the responsibility of all Burns Clinical Networks in England and Wales to conduct regular mortality and morbidity audits.  All Networks hold a Regional M&M audit meeting at least once a year. This is the mandatory, upper level of audit for burns and all burn services present all mortality cases.  

Since 2015, the Nationcal Burns Clinical Networks Oversight Group (which consists of Network Clinical Directors, Network Lead Nurses, Network Lead Therapists and Network Managers from each of the four Burns Clinical Networks)  run an annual National M&M audit meeting.  Although this is not mandatory, all the Burns Clinical Networks agreed that this additional tier of scrutiny is an excellent example of good clinical governance and a tremendous learning opportunity for burns professionals. 

Both Regional and National meetings invite independent Chairs to lead the day and provide feedback and recommendations.