Measure your team’s performance, and publish the results

So we measured our performance against two national databases (PICANET and CCAD). We demonstrated year on year improvement so that over the last five years our outcomes have been indistinguishable from other providers. We have an ECMO service that has better outcomes than other providors. But all that means nothing in the face of a review with pre-determined outcomes and an idiosyncratic use of statistics. So in a few months our children's cardiac and ECMO services will close, and the resultant blip in mortality will go unnoticed. So collect your data, publish it, but don't expect it to make any difference.