It takes around six to nine
months from the time a service registers with the MSNAP programme
to point of accreditation.
The three phases of accreditation
During this phase, the service undertakes a
series of activities, including distributing staff, referrer, carer
and patient questionnaires, completing a review of case notes, an
organisational checklist and an audit of the environment.
These enable the multi-disciplinary team to
review their local procedures and practices against the standards
and, if necessary, to make the changes required to achieve
accreditation. The self review period is three months.
A summary report of the results from the self
review forms the basis of the discussions at the peer review
Peer review visit by an external
The peer review visit takes places 4 to 8
weeks after completion of the self review. A team,
generally of four people, comprising 2 professional or clinical
reviewers from other MSNAP member services, a service user
and/or carer representative, and usually a member of the MSNAP
Project Team undertakes a peer review visit.
In addition to validating the self review
data, the peer review provides an opportunity for discussion,
sharing of ideas and for the visiting team to offer advice and
Information from the self and peer review is compiled into a
summary report which is verified by the peer review team and host
team before being submitted to the Accreditation Committee
The AC includes nominated representatives from
the Royal College of Psychiatrists, Royal College of Nursing,
College of Occupational Therapists, British Psychological Society,
Alzheimer’s Society and also service user and carer
The Committee makes a recommendation about the
service’s accreditation to the Royal College of Psychiatrists’
Special Committee for Professional Practice and Ethics
(SCPPE), as the awarding body.
There are 4 categories of accreditation
- Accredited as excellent
- Accreditation deferred
- Not accredited
Services that cannot achieve accreditation at
the point of peer review are deferred for a time limited period in
which they must meet the necessary standards.
Accreditation is valid for up to two
years, subject to satisfactory completion of an annual self
For a more detailed description of our
accreditation process click here.
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