Step five of the change cycle is to review the change to decide on next steps. This is within the “Improving for Quality” domain of the Quality Management System.

Why: Regular reflection is vital throughout a change cycle to ensure that the change is achieving desired outcome. In addition, a formal review point after the testing step is completed is needed to ensure a clear decision is made and momentum is maintained.

What: The review point is a decision on whether to:

• Adopt: the change has achieved its aim so can be implemented in the test location.
• Adapt: the change shows some merit but further work is needed, therefore there is a need to return to an earlier part of the change cycle to better understand, design or test the change further.
• Abandon: the change has not achieved the aim or cannot be continued due to other factors (eg, different external context) and therefore should be abandoned.

How: How the review step is achieved:

Decisions at the review point are usually made by the service provider, informed by the qualitative and quantitative data and analyses gathered throughout steps 1-5.