the specialisation plan should address the concern amongst surgeons and policy makers in denmark that there were certain specialist services being delivered in potentially unsafe circumstances while it is too early to systematically evaluate the impact of these reforms it will be important for policy makers to use changes in the supply of hospital services to drive improvements in quality of care to help evaluate the success of the plan and monitor quality on an ongoing basis the dhma should seek that hospitals internally monitor data on the performance of individual clinicians alongside systemwide efforts already being undertaken to evaluate the performance of specialist hospitals