Unwarranted variation in clinical practice is an area of increasing interest owing to the costs and harms of too much or too little health care. Effective systems to detect and minimise unwarranted variation in clinician practice are crucial to ensure clinicians in increasingly multidisciplinary healthcare workforces are supported to practise to their full potential. Such systems are limited in English general practice settings, with implications for the efficiency and safety of care. Continuous, risk-based, consultation peer review provides a mechanism to detect and minimise unwarranted variation in clinical practice, and a potential methodology to support clinicians to practise efficiently and safely. |