The accreditation programme takes from six to nine months from the time a service registers with the QNPICU. Accreditation is completed in three phases:
Phase 1: Self-Review
During this phase, the service will undertake a self-review, including a series of surveys for staff, patients and carers.
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 will take place over three months. A summary of the results from the self-review forms the basis of the discussion at the peer-review visit.
Phase 2: Peer-Review Visit by External Team
The peer-review visit takes places up to four weeks after you have completed your self-review. A team of four professionals (comprising of staff from other member services), a service user and/or carer representative, and a Network representative will undertake a peer-review visit. In addition to validating your self-review, the peer-review provides an opportunity for discussion, sharing of ideas and for the visiting team to offer advice and support.
Phase 3: Accreditation Decision
Information from the self- and peer-review is compiled into a summary report which is verified by the peer-review team and the service before being submitted to the Accreditation Committee (AC). The Committee makes a decision about the service’s accreditation.
There are three categories of accreditation status:
- Accreditation deferred
- Not accredited
Services that cannot achieve accreditation at the point of review but are expected to be able to do so in the near future are deferred for a time-limited period in which they must meet the necessary standards.
Accreditation is valid for up to three years, subject to satisfactory completion of an interim self-review.