Operational review: beyond the numbers game.

The first response to operational review is, traditionally, an examination of productivity indicators and a rationale for their defense. This paper describes the creative approach chosen by one hospital setting with specific reference to the occupational therapy department. The focus was placed on outcome for the child and productivity measurement. Results of the review for the occupational therapy department were positive and established a precedent for parts of the presentation when the review continued throughout the hospital. Occupational therapy managers are encouraged to become more innovative in the effective management of their departments, continuing to develop and build leadership skills for the future.