This Standard Operating Procedure (SOP) outlines the governance, oversight, and assurance processes necessary to maintain clinical safety, service quality, and staff competency within the Integrated Access Partnership (IAP). It establishes a structured framework for the review and escalation of any concerns relating to patient safety, including staff performance, incidents, complaints, and other sources of assurance. This SOP ensures that all relevant issues are appropriately identified, reviewed, and escalated through defined pathways, promoting continuous learning and improvement across the service.