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Clinical Service Accreditation “Making accreditation work” Clinical service accreditation “Making accreditation work” • What is UKAS? • What is accreditation? • Clinical Pathology Accreditation & UKAS • Meeting the requirements of the CQC • Changes to Pathology Accreditation: developing the standard. • How you can use the skills & services of UKAS About UKAS • UKAS is the sole accreditation body recognised by government to assess, against internationally recognised standards, organisations that provide certification, testing, inspection and calibration services • Additionally, UKAS’ role as a public authority is strengthened by recent European Union legislation (EU 765/08) effective 1/1/10 About UKAS • Private Company limited by guarantee 15 Members but no shareholders MoU with UK Government non profit-distributing • We operate in the public interest commercially aware but not commercially driven • We work to international standards open, transparent, consensual performance assessed internationally UKAS & CPA • UKAS became the owner of CPA with effect from April 2009. • Lord Carter’s report made several criticisms of CPA – e.g. “ impartiality and independence”; “% of accredited laboratories” and “relevance of CPA/ISO standards” • UKAS intends to address these criticisms in the coming 24 months and other areas of improvement indicated in the paper by Prof. P Furness Accreditation • According to Dorland’s medical dictionary: “A process that a healthcare institution or provider, or program undergoes to demonstrate compliance with standards developed by an official agency “ Accreditation “ Formal recognition that an organisation is competent to carry out specific tasks or types of task” • Impartial, independent assessment of competence against a set of (international) standards Accreditation • UKAS Accreditation can be applied in a number of ways:• Directly • Via Inspection • Via Certification • UKAS can offer advice on how best to apply one of the above three options to your particular scheme. Accreditation • Not all UKAS accreditation has to be to an ISO standard. • There is no business relationship of any kind between UKAS and ISO. • UKAS does not write standards, but is able to offer advice • The standards developed by the Royal College of Radiologists and SCOR are a good example of a “non-ISO” standard “ISAS”-Imaging Services Accreditation Scheme • The RCR and SCOR developed the standard and own the standard. • Does not replicate the requirements of other quality and regulatory agencies • Closely aligned to the DoH quality agenda as set out in the “Next Stage Review”, 2008. • Peer reviewed assessments, with Lay involvement • Includes annual web-based assessment tool Accreditation & the CQC • Accreditation is flexible in its approach- it can take into account various types of evidence, including quality of patient care • It need not be a “pass/fail” system. There are options to add-on additional “gradings” provide “quality metrics” • Standards may be revised when appropriate • Risk based approach to assessment • “Assessed once accepted everywhere” CPA further developments • Improve consistency between assessments • Use of Peer Assessors – employ assessors with expertise of working in medical laboratories • Generally update CPA procedures to ensure compliance with ISO17011 • Is it possible to reduce duplication of assessments ? CPA/HTA/HFEA? CPA further developments • Establish working groups with the main clinical stakeholders to work on revision of CPA standard. • Involvement of lay assessors/ patient input. • Define “what is quality in pathology laboratory?” Not just conformance to the ISO standard, but measures of patient experience, equipment and facilities, etc) • Develop “scopes of accreditation “ Making accreditation work • UKAS has the framework to accommodate all of the proposed schemes in this meeting. • Accreditation has the ability to deliver schemes that are in alignment with the CQC policy and objectives. • Accreditation schemes can take into account the quality of patient care, • The stakeholders (Royal College) own the standard and can develop it further. Making accreditation work • UKAS will be pleased to discuss your possible requirements for accreditation. • UKAS has the infrastructure and expertise to help establish accreditation schemes. • Use of UKAS results in a lower cost for the organisations subject to accreditation than establishing your own assessment organisation Thank you