Safe delivery of care in acute hospitals inspection programme

The focus for our inspections are the factors that contribute to the safe delivery of care.


Summary

Our inspections are unannounced and focus on:

  • key indications of the delivery of care
  • fundamentals of care
  • management of safety and risk
  • clinical governance structures within the NHS board
  • leadership and culture
  • standard infection control precautions and transmission-based precautions for infection prevention and control

We will inspect against:

  • Health and Social Care Standards (2017)
  • Infection Prevention and Control Standards (2022)
  • Healthcare Improvement Scotland Quality Assurance Framework (2022)
  • and any other standards that become relevant during the course of the inspection.

Our hospital methodology lists the relevant:

  • national standards
  • guidance
  • best practice

We will also consider the deliver of care in line with the Health and Care (Staffing) (Scotland) Act (Acts of the Scottish Parliament, 2019)

How we inspect services

We will identify any areas where NHS boards need to take action. We call these ‘requirements’. Find out more about requirements on our terminology page

The NHS board must prioritise the requirements to meet national standards.

Following an inspection, the NHS board will create an improvement action plan. We will publish our inspection and the action plan on our website.

We will report our findings under our Quality of Care Framework domains and quality indicators

Letters to boards

We inform NHS boards about issues identified by our Safe Delivery of Care inspections. This helps them address issues around patient safety ahead of future inspections.

Safe Delivery of Care Inspections of acute hospitals – Findings letter to NHS boards: November 2022

Safe Delivery of Care Inspections of acute hospitals – Findings letter to NHS boards: April 2022