There are three stages to the accreditation process.
The self-review stage is a 12 week period of data collection where your team will:
- Rate yourselves against each standard, stating whether you think you meet it or not
- Complete a brief audit of case notes
- Each complete a staff questionnaire
- Ask your acute colleagues to complete a questionnaire
- Ask patients and their carers to complete a questionnaire
All the documents and information needed for completing the self-review will be sent to you once we have agreed a start date.
When the self-review ends, we’ll send you a summary of the data telling you which standards you’re meeting.
You’ll be given 6-8 weeks between the self- and peer-review stages so that you can look through your data and begin to implement any changes.
A review team made up of at least 2 liaison professionals from other PLAN member services, a service user or carer representative and a member of the central PLAN team, will then visit your service to discuss the self-review data.
The data collected from both the self- and peer-review will then be used to write a report. The report will highlight your achievements, and outline any changes you’ll need to make to be ‘Accredited’.
You’ll then be given one month to make any changes before being presented to the PLAN Accreditation Committee (AC).
The AC is made up of professionals representing:
- Royal College of Psychiatrists’ Faculty of Liaison Psychiatry
- Royal College of Nursing
- Royal College of Physicians
- Royal College of Emergency Medicine
- A Patient and Carer Representative
Using your report and any further evidence you might have sent to show you’re meeting the standards, the AC will recommend an accreditation status for you. There are three main categories of accreditation status:
- ‘Accredited’ – for teams that meet:
- 100% of Type 1 standards
- 80% of Type 2 standards
- 60% of Type 3 standards
- ‘Accreditation Deferred’ – for teams that:
- Do not meet all Type 1 standards but show they will be able to
- Do not meet enough Type 2 or 3 standards but show they will be able to
- Do not meet a significant number of standards in one particular area, for example ‘training for acute colleagues’.
- ‘Not Accredited’ – for teams that:
- Do not meet the number of standards needed, and do not show they will be able to within a reasonable time
- Do not submit sufficient self-review data
Your team will be given time, guidance and support to reach Accreditation.
Review our accreditation process diagram
Review our typical PLAN timescales diagram