Imagig Services Accreditatio Scheme (ISAS) Deliverig quality imagig services
What is ISAS? The Royal College of Radiologists ad The College of Radiographers have developed the Imagig Services Accreditatio Scheme (ISAS) to help diagostic imagig services esure that their patiets cosistetly receive high quality services delivered by competet staff workig i safe eviromets. The Uited Kigdom Accreditatio Service (UKAS) delivers ad maages ISAS o behalf of the Colleges ad carries out assessmets for accreditatio agaist all elemets of the ISAS Stadard. UKAS accreditatio gives formal thirdparty recogitio that a imagig services provider has demostrated their orgaisatioal competece to deliver high quality imagig services. Further iformatio about the accreditatio process ca be foud throughout this brochure ad olie www.isas-uk.org Services ca choose either a direct or a staged pathway to accreditatio. The staged pathway recogises the attaimet of key milestoes i the assessmet process. Accredited imagig services give the people usig them, the patiets ad their relatives, cofidece i their diagosis. The accreditatio assessmet team is made up of traied assessors, exteral peers ad a lay perso led by a UKAS Assessmet Maager, who together take a holistic approach to determie a service s overall ability to cosistetly deliver the best possible service to its patiets ad users....[isas] A established service accreditatio programme offers a clear way to demostrate a provider s ability to deliver specific services of assured quality. Professor Erika Deto, FRCP, FRCR Natioal Cliical Director for Diagostics, NHS Eglad Stadards eed to be formulated to promote the likelihood of the service beig delivered safely ad effectively, to be clear about what has to be doe to comply, to be iformed by a evidece base ad to be effectively measurable. 2 Robert Fracis QC, Chairma, Mid Staffordshire NHS Foudatio Trust Public Iquiry
Why should imagig services gai accreditatio? Accreditatio improves cliical goverace stadards, raises the level of competecy ad ehaces the credibility of the service amogst patiets ad assures those who fud the services. High-quality care is the corerstoe for good medical practice ad both NHS ad idepedet providers are seekig recogitio of their stadards. Imagig services ca expect accreditatio to: Support a focus o patiet safety ad care Raise local stadards ad support cotiuous improvemet Act as leverage for chage, staff motivatio ad sharig good practice Provide third party cofirmatio of good practice Ehace efficiecy ad value for moey Icrease cofidece i the service UKAS accreditatio providig valuable iformatio to regulators CQC recogises the potetial value of cliical service accreditatio ad peer-review schemes as iformatio sources to support its ispectios. Such schemes have the potetial to provide useful itelligece ad provide idepedet assurace that accredited services meet stadards. ISAS is recogised by CQC ad has bee approved for use withi CQC hospital ispectio methodology. With ISAS accreditatio patiets will ot oly have a better ad safer experiece of our service but will also have assurace that this will be so. Natioal Cliical Lead for Service Improvemet, Blackpool Teachig Hospitals NHS Foudatio Trust 3
ISAS your key to deliverig quality imagig services The ISAS stadard is clearly laid out ad easy to uderstad. It covers key aspects of a imagig service s performace across four quality domais: Cliical to promote the service s role i rapid ad accurate diagosis ad treatmet Patiet experiece to esure that service delivery is patiet-focused ad respectful of the idividual ad their specific requiremets Facilities, resources ad workforce to esure that adequate resources are provided ad used effectively to offer a safe, efficiet, comfortable ad accessible service Safety to esure that services provide the highest level of safety for patiets, staff ad others who come ito cotact with the service. Spread across these four quality domais are 33 key stadard statemets each of which addresses a key aspect ecessary for the provisio of a idepedetly recogised, high quality diagostic imagig service. Each stadard statemet is accompaied by detailed professioal guidace o what is required i order to achieve it. As expected i healthcare, the accreditatio process is rigorous. However, all services that have achieved ISAS accreditatio believe that it is worthwhile ad that it has stregtheed their service. Now we have bee accredited agaist the ISAS Stadard, we have a high degree of cofidece that we will comply with all other regulatory requiremets, icludig the Care Quality Commissio s registratio requiremets. Chief Executive, 4 Ways Healthcare Ltd 4
Iformatio, support ad advice about ISAS If you are woderig whether your service already meets the ISAS Stadard or should use it i cojuctio with accreditatio as a ageda for improvemet, there is a wide rage of support ad advice available from UKAS to help you assess your curret performace ad, if ecessary, to develop ad improve. Iformatio is available both olie ad i hard copy to help you fid out more about ISAS ad prepare for accreditatio. Visit www.isas-uk.org to discover more about the scheme ad access tools such as: The ISAS Stadard Route map to UKAS accreditatio for ISAS Icludes tips to support the pre-applicatio stages (egagemet ad preparatio) ad highlights key milestoes i the assessmet jourey. Fid out more from the Colleges The Royal College of Radiologists ad The College of Radiographers ca provide iformatio ad potetially visit your service to discuss ISAS, how it could work for you ad the beefits it will brig. If you have ay questios, or would like to arrage a visit, please cotact colleges-isas@sor.org cotiued overleaf Case studies ad testimoials from accredited imagig services Imagig services that have achieved accreditatio share their varied experieces. We thought we already did a lot brilliatly! However, ISAS helped us to improve ways further ad will esure that we will cotiue to improve. Head of IT ad Commuicatios, The Cobalt Uit Appeal Fud (Chelteham Imagig Cetre) 5
We strive to provide high quality care to our patiets each ad every day. Our ISAS award provides additioal assurace to everyoe usig the hospital that they are receivig high quality, safe ad effective services. Chief Executive, West Suffolk Hospital NHS Trust UKAS Self-assessmet Tools Traffic Light Ready (Free) This easy-to-use olie tool uses a traffic light scorig system to help you assess the curret performace of your imagig service agaist the ISAS Stadard. Available for free o request (oe logi per orgaisatio) from imagigcustomerservice@ukas.com Traffic Light Ready diagostic versio (part of a refudable package*) This cotais the ISAS Stadard ad supportig documets (detailed commetaries ad idicative implemetatio ad moitorig evidece) i additio to a questioaire to help seior maagers carry out a detailed gap aalysis ad develop a pla for achievig accreditatio. *O paymet of a fee, the imagig service ca register with UKAS to gai full access to this additioal self-assessmet tool. This fee will be fully refuded to imagig services that submit a formal applicatio for accreditatio to UKAS withi 12 moths of accessig the refudable package. The package also icludes etitlemet for two service represetatives to atted the preparatio for accreditatio workshop at UKAS Feltham office (see below). UKAS Workshops Preparatio for Accreditatio Workshop (Fee payable for idividual attedees or as part of a refudable package) If your imagig service iteds to make a formal applicatio for accreditatio you may fid it useful to sed a represetative to a 1-day preparatio for accreditatio workshop. The workshop will provide iformatio o the ISAS Stadard, what the accreditatio process ivolves ad how to preset evidece. These regular workshops are held at the UKAS office i Feltham. Workshop dates, programme, form ad details of fees ca be foud o the ISAS website www.isas-uk.org Local preparatio for Accreditatio Workshop (Stadard fee payable for orgaisatio + VAT plus expeses) UKAS ca host a local workshop with the seior team ad the exteded local implemetatio team. ISAS is ot a sigle, 'tick-box' accreditatio exercise. It is a o-goig, dyamic process ad, i partership we ca assure ourselves, our Trust, our commissioers ad most importatly our patiets that we are a forward lookig ad forward movig service. Imagig Services Maager, West Suffolk Hospital NHS Trust 6
Top tips for ISAS success Get to kow the accreditatio stadard so you uderstad the size of the task Take advatage of all the pre-applicatio iformatio, advice ad pre-applicatio workshops Covee a core multi-discipliary team who really wat to achieve accreditatio ad make sure your seior maagemet ad staff uderstad the beefits ad are supportive Assig a project lead with quality maagemet experiece ad dedicated time Develop ad implemet a project pla with realistic time frames ad update staff o the progress Network with other ISAS participators Udertake regular gap aalysis to fid your service s stregths ad weakesses Establish a quality improvemet programme that icludes a comprehesive iteral audit pla Review local patiet/service user focus Review documetatio ad record-keepig arragemets Liaise with your Assessmet Maager throughout the accreditatio process to stay o track Remember that this process will improve your service both for your patiets ad for your staff Our experiece was that iitially we completely uderestimated the amout of work ivolved i the whole process. So has it bee worth it for us? Yes, defiitely. We have developed ourselves ad stregtheed our relatioships with our users (both cliicias ad patiets). We have made a huge step chage i how we challege our ow practice ad the evidece we use to demostrate our good practice. We have improved our documetatio beyod measure, ad have examied critically all of our processes. Cosultat Paediatric Radiologist, Great Ormod Street Hospital for Childre NHS Trust 7
www.isas-uk.org UKAS The Uited Kigdom Accreditatio Service (UKAS) is the UK s atioal accreditatio body appoited by Govermet to assess, agaist iteratioally agreed stadards, orgaisatios that provide coformity assessmet services such as certificatio, testig, ispectio ad calibratio. UKAS is a o-profit-distributig private compay, limited by guaratee. It is idepedet of govermet but operates uder a memoradum of uderstadig with the govermet through the Secretary of State for Busiess, Iovatio ad Skills. For more iformatio about UKAS please visit www.ukas.com Tel: +44 (0) 1784 429000 Email: ifo@ukas.com The Royal College of Radiologists The Royal College of Radiologists (RCR) has over 9,000 Fellows ad members worldwide, represetig the specialties of cliical ocology ad cliical radiology. The RCR sets ad maitais the stadards for educatio ad traiig i additio to leadig ad supportig practitioers throughout their career. For more iformatio about the RCR please visit www.rcr.ac.uk The College of Radiographers The College of Radiographers is the professioal body for radiographers ad all o-medical members of the workforce i diagostic imagig ad radiotherapy i the UK. It is resposible for their professioal, educatioal, public ad workplace iterests. The College's objects are directed towards educatio, research ad other activities i support of the sciece ad practice of radiography. For more iformatio about the College please visit www.sor.org UKAS has bee appoited by the RCR ad CoR to deliver ISAS accreditatio. UKAS B15 03/2016 v2