Delivering high quality care in General Adult Psychiatry requires a coordinated approach from a multidisciplinary team (MDT). Weekly ward rounds are an important forum for reviewing a patient’s progress and developing a personalised care plan for the week ahead. These plans need to be well structured and documented so that key clinical tasks can be completed by team members in a timely manner. Poor communication leads to delays in care and can result in a prolonged hospital stay. In general medicine, structured ward rounds have been shown to improve patient safety while promoting efficient use of time and resources. Checklists help to reduce omissions and variations in practice while strengthening team communication and performance.