For more than a decade psychiatrists have paid lip service to the idea that peer group medical audit might be valuable, but few have initiated regular audit meetings. This could be due partly to fear of criticism from colleagues and partly to a feeling that we can well do without additional, possibly time wasting, meetings. We in the Department of Psychiatry of the Royal South Hants Hospital have held monthly audit meetings for the last three years. We would like to report our experience of these, as we have found them to be supportive rather than threatening—despite our initial apprehension—and we believe that they have resulted in improvements in our service.