This article describes the work in a peer review group. We wanted to find ways in which peer review groups could be used as a part of quality assurance, to find if they violate confidentiality and to test their value in relation to the amount of time involved. We also wanted to evaluate the possibility of examining the activities of a practice on the basis of a predetermined schema and to find a way to describe the development of the psychoanalytical process acceptable for external interested parties, such as the medical profession in general, medical authorities and insurance companies.