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Standards & Accreditation for Occupational Health Services. Paul J Nicholson. Scope. Background Developing the standards Definitions The scope and aims The standards The accreditation process . Background. 2006 – Department of Health Standards for Better Health

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Presentation Transcript
  • Background
  • Developing the standards
  • Definitions
  • The scope and aims
  • The standards
  • The accreditation process

2006 – Department of Health

Standards for Better Health

  • Require a rigorous approach to assessment and accreditation of providers of NHS services.

2008 – Lord Darzi’s Report

High Quality Care for All: NHS Next Stage Review

  • Confirmed Government support for provider accreditation schemes in the NHS.

2008 – Dame Carol Black’s Report

Working for a Healthier Tomorrow

working for a healthier tomorrow
An integrated approach to working age health should be underpinned by:the inclusion of occupational health and vocational rehabilitation within mainstream healthcare; clear professional leadership;clear standards of practice and formal accreditation for all providers; a revitalised workforce; a sound academic base; systematic gathering and analysis of data; and a universal awareness and understanding of the latest evidence and most effective interventions. Working for a healthier tomorrow
improving health and work changing lives
The production of agreed common standards will facilitate the development of an accreditation scheme for health, work and well-being services

We believe there is a strong desire for some form of national accreditation system across OH & VR services

We are committed to funding a project to support the delivery of an accreditation system for OHS and support its first year of operation.

Improving Health and Work: Changing Lives
developing the standards
Developing the standards
  • Faculty of Occupational Medicine led
  • 47 people represented 35 organisations
    • Occupational medical & nursing professional bodies [AOHNP(UK), RCN, SOM]
    • Commercial OH providers [including COHPA]
    • Employer representative bodies [BITC, CBI, CIPD, EEF]
    • Worker representative bodies [Unite, USDAW]
    • NHS Plus / HSE / DETINI
key milestones
Key milestones



Pilot web tool


body chosen




& piloting


1st draft



  • Standard
  • Minimum requirement
  • Accreditation
  • Registration

A standard is something considered by an authority or by general consensus as a basis of comparison in measuring or judging adequacy, quality, etc

  • Minimum requirements relate typically to existing professional guidance
    • They must be met to satisfy the standard
    • They are intended to be well-defined and easy to understand

Accreditation is a self-assessment and external peer assessment process used to accurately assess level of performance in relation to established standards and to implement ways to continuously improve the healthcare system

International Society for Quality in Health Care (ISQua)

accreditation vs registration
Accreditation vs Registration

Accreditation is a voluntary process

Registration is a statutory process with which providers must comply “to assure people who use health and adult social care of standards of safety and quality, regardless of provider, and to enable independent and strong enforcement where there are unacceptable services”.

Care Quality Commission (CQC)

the scope of the ohs standards
The scope of the OHS standards
  • The standards apply to broad-based clinical occupational health services, be they:
    • in-house services in the public and private sectors
    • commercial occupational health providers from single handed providers to large organisations
  • They do not apply to non-clinical services, e.g. occupational hygiene, ergonomics, etc.
  • They reflect existing professional guidance
  • Enable OHS to identify the standards of practice to which they should aspire
  • Credit good work being done by high quality OHS, providing independent validation that they satisfy standards of quality
  • Raise standards where they need to be raised
  • Help purchasers differentiate OHSthat attain the desired standards from those that do not
the standards
The standards

13 standards are grouped into 6 domains:

  • Business probity
  • Information governance
  • People
  • Facilities and equipment
  • Relationships with purchasers
  • Relationships with workers
the standards17
The standards

Business probity

A1 Conduct business with integrity

A2 Maintain financial propriety

Information governance

B1 Maintain adequate OHCRs

B2 Implement systems to protect confidentiality


C1 Ensure staff are competent

C2 Ensure appropriate supervision

the standards18
The standards

Facilities and equipment

D1 Conduct business in safe, accessible and appropriate facilities

D2 Ensure that medical equipment is safe and appropriate

D3 Ensure that medicines are handled appropriately

Relationships with purchasers

E1 Deal fairly with purchasers

E2 Be customer focused

Relationships with workers

F1 Ensure that workers are treated fairly

F2 Respect and involve workers

standard a1 an ohs must conduct its business with integrity
Standard A1An OHS must conduct its business with integrity

Minimum requirements:

The following minimum requirements apply to all OHS:

A1.1 An OHS must only publish information about services which is factual and verifiable

The following additional minimum requirement applies to all OHS except single-handed practitioners:

A1.2 An OHS must take reasonable steps to ensure that all of its staff are honest and trustworthy

The following additional minimum requirement applies to an OHS that

outsources work to another organisation:

A1.3 An OHS must maintain systems to check the qualifications of and monitor the standard of work that is outsourced to third party providers

customer survey
Customer survey

E1.1 An OHS must provide purchasers & potential purchasers with clear & user-friendly information on fees

E1.2 An OHS must agree with purchasers the extent and scope of any business continuity planning that is required to protect service delivery

E1.3An OHS must agree with customers, at the outset, the processes for referrals to the OHS, case management and reporting of cases of occupational disease and any onward referral of workers for further investigation

E2.1 An OHS must be in touch with individual purchasers to understand their culture, values & needs based on reliable and recent information

E2.4An OHS must use formal & informal methods to regularly seek information about customer satisfaction from purchasers & referring managers

assessment accreditation
Assessment & accreditation

Register for information

Register as a user / input OHS details

Upload evidence against minimum requirements

Perform self-assessment / develop action plans

Apply for accreditation


Will include an attestation to:

  • meeting eligibility criteria
  • providing true and contemporaneous information
  • complying with all applicable laws and regulations and
  • having appropriate insurances

Must be signed or co-signed by at least one registered health professional

assessment accreditation24
Assessment & accreditation

At least once

every 5 years

what happens if an ohs fails
What happens if an OHS fails?
  • It depends on what the challenges are
  • Clear recommendations
  • Timescales for improvement
  • Direct support from the SEQOHS office to attain full accreditation

We want services to pass,

it’s a supportive process

web based tool
Web-based tool
  • Online self assessment tool
  • Evidence record for external audit
  • Knowledge management system
knowledge management system
Knowledge Management System

Knowledge Management System


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how do i find out more

How do I find out more?


Hard copy:

Faculty of Occupational Medicine

6 St Andrews Place

Regent’s Park

London NW1 4LB

how do i find out more29
How do I find out more?


FOM Winter Conference:

1st December 2010

Royal College of Physicians

Regent’s Park



SEQOHS will have its own web address