We are pleased to relaunch the BNMS organisational audit tool in the form of QUANUM. It is suggested that Nuclear Medicine Departments aim to complete the use of the audit tool twice in a 5 year cycle. The first audit should take the form of an internal departmental audit. The second audit should be an invited external audit carried out by BNMS. Satisfactory completion of two audit cycles (one internal, one external) will lead to the award of a BNMS Certificate of Departmental Accreditation.
Organisational Audit is a process of peer review of the structure and the delivery of service within a Department.
BNMS Auditors are bound by standards agreed by BNMS Council. The process has been found to be of significant benefit to audited departments.
To perform the internal department audit please download the required form Complete this locally and this will highlight areas that need improvement/updating.
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:-
- An 'Organisational Audit' self-appraisal questionnaire.
- Sign a Duty of Care/Contract, which defines the status of the survey and the conditions upon which it will be undertaken
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.
Following such visits 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.
Standards for BNMS Auditors
BNMS Auditors must be members of the BNMS. Training consists of:
• An induction day.
• Apprenticeship on an audit visit
The Department of each auditor will have been audited or have an audit planned
• Auditors must act with integrity with regard to commercially sensitive issues
• Auditors are bound by the constraint of absolute confidentiality with regard to an Audit visit
• Before leaving the department the Audit Team must identify all negative findings that may be included in the final report.
The 'Final Report' should reach the host department within four weeks of the audit.
Forms for download.
The documents below are available as PDF files.
Duty of Care Contract