Table 2

Actual example of how criteria are rated on Manchester scales of appropriateness and necessity

It is appropriate and necessary for the records to show that the patient with angina, who is still symptomatic on two drug therapy, was offered treatment with a third drug if:Appropriateness scaleNecessity scale
1. Not offered referral to a cardiologist1 2 3 4 5 6 7 8 91 2 3 4 5 6 7 8 9
2. Offered referral to a cardiologist1 2 3 4 5 6 7 8 91 2 3 4 5 6 7 8 9