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The Royal College of Psychiatrists Improving the lives of people with mental illness


How accreditation works

It takes around six to nine months from the time a service registers with the Memory Services National Accreditation Programme to the point of accreditation. 


The three phases of accreditation

Self review

During this phase, the service undertakes a series of activities, including distributing staff, referrer, carer and patient questionnaires, completing a review of case notes and an organisational checklist.


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 visit. 


Peer review visit by an external team

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 support.


Accreditation decision

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 (AC). 


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 representatives.


There are 3 categories of accreditation status:

  • Accredited
  • 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 interim review. 


For a more detailed description of our accreditation process click here.

MSNAP, 21 Prescot Street, London, E1 8BB   Tel: 020 3701 2656   Fax: 020 3701 2761   Email: Disclaimer
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