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BNMS Organisational Audit

Enhance your NHS department's performance and compliance with a BNMS departmental  audit.

BNMS can support you in meeting UK accreditation requirements, such as those set by the Care Quality Commission (CQC) and other relevant bodies. Let us help you drive positive change, foster accountability, and achieve excellence in healthcare delivery.

Organisational Audit is a process of peer review of the structure and the delivery of service within a Department.

Identified Benefits of Organisational Audit

  • The self-appraisal document will flag defaults that may be corrected ahead of the visit.
  • Identification to the Head of Department of defaults for which he may be legally responsible but is unaware.
  • Education to the extent that the Standards refer to model practice. They highlight standards that may be regulatory or statutory and must be met, but provide a spectrum of good practice.
  • Peer Group reports from a Specialist Society or College may be tools to influence a cost conscious management or to add weight to a case.

By requesting a BNMS audit visit, your department can achieve improved outcomes, streamlined processes, and strengthened governance, all contributing to the delivery of high-quality patient care.   Following a BNMS audit  visit most departments identify that staffing level issues have been addressed, documentation has been extended or updated, communication within and beyond the Department has improved, model documents/protocols are borrowed/adopted from other sites etc, etc. The process has been found to be of significant benefit to audited departments.

The process and documents were reviewed by a working group of the Professional Standards Committee and the reviewed documents were published on 23rd March 2021

To undergo an invited external audit or to request more details, please contact the Chairman of the Audit and Standards Committee. The host department will be asked to:-

  • Complete the online QUANUM audit form available here. You may wish to complete the paper version first and input the answers to the online form afterwards  Link to paper form below.
  • All members of staff should complete an 'Organisational Audit' online pre-visit questionnaire, available here
  • Sign a Duty of Care/Contract, which defines the status of the survey and the conditions upon which it will be undertaken available for download here bnms_org_audit_duty_of_care_.pdf

Once the relevant documentation has been received BNMS will put together an expert team, tailored to meet the needs of your department  to conduct a  thorough audit aligned with national standards and best practices, focusing on patient safety, operational efficiency, and regulatory compliance.

The 'Final Report' should reach the host department within four weeks of the audit.

BNMS-UKAS position statement

BNMS and UKAS are collaborating on providing support and external assurance on the quality, reliability and safety of Nuclear Medicine Services.  The BNMS organisation audits and UKAS accredited complement each other and the position statement in the link below illustrates the processes involved and how they can be utilised depending on the type of 3rd party assurance your service requires.

Position Statement

View the announcement on the UKAS website here

Forms

Documentation required for the audit visit here

Duty of Care Contract here

QUANUM audit form here

Pre- visit staff questionnaire/ peer review here

Post - visit staff questionnaire/ here

 

 

© 2013 BNMS unless otherwise stated.
The BNMS is a registered as a company in England and Wales with number 08082786.  The BNMS is a charity governed by the rules of the Charity Commission for England and Wales - Registered Number 1150234.  Registered Office: The Royal College of Physicians, 11 St. Andrew's Place, Regent's Park, London NW1 4LE.
The British Nuclear Medicine Society is not able to give specific clinical advice to members of the public. If you are concerned about your scan or therapy please seek the opinion of a nuclear medicine clinician where you were seen or the clinician who referred you to the department or your GP.
Enquiries related to issues such as internships and work experience opportunities, should be directed to the relevant professional body e.g., for radiologists, this will be the Royal College of Radiologists.