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Benefits, Costs, and Application for UKAS Accreditation in Neurophysiology Services, Study notes of Physiology

The official position statement of the association of neurophysiological scientists (ans) and british society of clinical neurophysiology (bscn) regarding ukas accreditation via the iqips scheme for neurophysiology services. The benefits of accreditation, the cost structure, and the application process. It also provides suggestions for reducing the financial burden and gaining buy-in from trust managers.

What you will learn

  • How much does it cost to register and apply for accreditation under the IQIPS scheme?
  • What are the benefits of UKAS accreditation to the IQIPS standard for Neurophysiology Services?

Typology: Study notes

2021/2022

Uploaded on 09/12/2022

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The Association of Neurophysiological Scientists (ANS) & British
Society of Clinical Neurophysiology (BSCN)
Official Position Statement on UKAS Accreditation via the IQIPS
scheme June 2019.
(Email communication to members circulated on 2nd July 2019)
Improving Quality in Physiological Services (IQIPS) is an accreditation scheme covering the
8 core physiology disciplines; Audiology, Cardiac Physiology, Gastro-Intestinal Physiology,
Vascular Science, Urodynamics, Ophthalmic & Vision Science, Respiratory & Sleep
Physiology and Neurophysiology. The IQIPS scheme is managed and delivered by the
United Kingdom Accreditation Service (UKAS) and has run since 2012. The observed
standards were developed and are maintained by the professional bodies of the physiology
disciplines, the Accreditation Clinical Advisory Group (ACAG).
The path to gaining accreditation starts by reviewing the resources and standards (which
cover 4 domains) that are published on the UKAS website; these can be used to assess and
improve your service without any financial cost. Preliminary registration with UKAS can then
be undertaken. This provides a support package that includes the use of theTraffic Light
Ready (TLR) web-tool, preparation support, access to Linked In forum, 2 places at a
preparation for accreditation workshop and estimate of fees; this is a cost effective means of
compiling the necessary evidence and further closing any gaps between the standards and
current practice. The Registration stage attracts an annual fee of £500+VAT and most
registrants spend less than a year at this stage. Registrants then progress via an application
for assessment and accreditation. The cost for this is £1500+VAT, however if your
application is within a year of registering then it is reduced to £1000+VAT.
Accreditation is a process of continual quality improvement and once this is achieved a four-
year cycle of improvement and reassessment follows; this attracts an annual fee, an estimate
of which can be provided by UKAS on request.
Clearly this involves a significant investment of time, resources and finances; however there
are approaches that can alleviate some of this burden;
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The Association of Neurophysiological Scientists (ANS) & British

Society of Clinical Neurophysiology (BSCN)

Official Position Statement on UKAS Accreditation via the IQIPS

scheme – June 2019.

(Email communication to members circulated on 2nd^ July 2019) Improving Quality in Physiological Services (IQIPS) is an accreditation scheme covering the 8 core physiology disciplines; Audiology, Cardiac Physiology, Gastro-Intestinal Physiology, Vascular Science, Urodynamics, Ophthalmic & Vision Science, Respiratory & Sleep Physiology and Neurophysiology. The IQIPS scheme is managed and delivered by the United Kingdom Accreditation Service (UKAS) and has run since 2012. The observed standards were developed and are maintained by the professional bodies of the physiology disciplines, the Accreditation Clinical Advisory Group (ACAG). The path to gaining accreditation starts by reviewing the resources and standards (which cover 4 domains) that are published on the UKAS website ; these can be used to assess and improve your service without any financial cost. Preliminary registration with UKAS can then be undertaken. This provides a support package that includes the use of the Traffic Light Ready (TLR) web-tool, preparation support, access to Linked In forum, 2 places at a preparation for accreditation workshop and estimate of fees; this is a cost effective means of compiling the necessary evidence and further closing any gaps between the standards and current practice. The Registration stage attracts an annual fee of £500+VAT and most registrants spend less than a year at this stage. Registrants then progress via an application for assessment and accreditation. The cost for this is £1500+VAT, however if your application is within a year of registering then it is reduced to £1000+VAT. Accreditation is a process of continual quality improvement and once this is achieved a four- year cycle of improvement and reassessment follows; this attracts an annual fee, an estimate of which can be provided by UKAS on request. Clearly this involves a significant investment of time, resources and finances; however there are approaches that can alleviate some of this burden;

  1. A Neurophysiology service does not have to be accredited all at once; accreditation can be gained for individual elements (e.g. an EEG or EMG/NCS service) or one location rather than all delivery locations. Extensions to scope can then be used to bring in further locations or activity.
  2. Three of the four domains are generic, and the work involved in completing these can be shared if your service makes a joint application with other Physiology Services within your Trust (which in itself can reduce the cost).
  3. Raising awareness with and getting buy-in from your Trust’s Board and managers could be critical in gaining the required finances and resources. For instance, this could be achieved by inviting your Chief Executive, Medical Director or Head of Governance to a local Clinical Governance meeting where UKAS accreditation to the IQIPS standard is promoted. ANS wholly endorses UKAS IQIPS scheme and encourages all Neurophysiology Services to start on the journey to accreditation. The benefits and motivators are clear;
  4. Improved patient care that is evidenced based
  5. It is a kite-mark of good quality for your department as it shows engagement in a process of continual quality improvement.
  6. UKAS accreditation to the IQIPS standard is recognised by commissioners and CQC inspectors, and furthermore may reduce the inspection activities of the latter.
  7. The process of gaining accreditation can be used as leverage for making a change, e.g. to gain backing for improvements to your service
  8. Accreditation is endorsed by NHS England and the Chief Scientific Officer
  9. It is mandatory for all Physiology services associated with a Genomics Centre.