1. Why Accreditation, why IQIPS?
Jane Deans MSc HAD
Assessment Manager

2. Definition:
Accreditation is the independent verification of an organisation's competence to provide services such that the users have confidence in the outcomes

3. Accreditation is: A continual process, not an event
A proven tool for building and maintaining a culture of quality
A formal third-party assessment against an Accreditation Standard

4. An accreditation scheme:
CUSTOMER
Accreditation Body
Accreditation Standard
Assessment Team
Assessment & Accreditation Process

5. Accreditation process:
Pre – Application
> Traffic Light Ready (TLR)
> Prep workshops
Traffic
Light
Ready
Formal Application to UKAS
Pre-assessment & contract review
Web
Based
Assessment
Initial assessment (web-based assessment)
Initial assessment (on-site assessment visit) .
Provisional & Final Decision
(Grant of Accreditation)
Annual maintenance & Re-assessment

6. How long does it take? From formal application to accreditation:
Shortest = 4 months
Longest = 40 months
Average = 14.7 months

7. Success in accreditation:
Stage 1: The standard is understood

8. Success in accreditation:
Stage 2:
The service is well prepared for accreditation

9. Success in accreditation:
Stage 3: The service is well delivered

10. The 8 physiological disciplines:
Audiology Cardio Physiology Gastro-intestinal Physiology Neurophysiology Respiratory Physiology Urodynamics Vascular Sciences Ophthalmic & Vision Sciences

11. The 4 Domains: Clinical: rapid and accurate diagnosis and/or treatment
Patient experience:
service that is patient focused
Facilities, resources & workforce:
competent resources
Safety:
safety for patients and staff

12. Evidence: Say what you do - document it Do what you say, consistently
Show that what you are doing is effective, accurate, safe, patient-focused, efficient, timely, accessible, sustainable

13. Ways of providing evidence:
Electronically via the web-based assessment tool
Face-to-face discussions during the on-site assessment visit
Observation/witnessing of activities, behaviours, signage and written material during the on-site assessment visit

14. Preparation, preparation, preparation!
Tips for success:
Preparation, preparation, preparation!
Ensure senior clinical and managerial leadership with sustainable funding source
Identify a skilled Co-ordinator/Project Lead/Quality Manager
Set up and empower a project team (skill mix) involving as many as possible
Gain wide local support for quality - avoid accreditation as being seen as a ‘top down’ initiative!

15. Tips for success:
Undertake regular gap analysis / self-assessments (TLR)
Review all current policies, procedures and record keeping arrangements – develop your Quality Management System
Provide training to all staff
Review local patient/service user involvement
Establish a comprehensive quality improvement programme - including a comprehensive internal audit/monitoring plan

16. Where are we now?

17. TLR – registered services:

18. Accredited services:

19. Neurophysiology services:

20. THANK YOU Jane.deans@ukas.com IQIPSCustomerService@ukas.com
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