DECEMBER 2025
EDITION 41
Clinical Governance Standard
District Wide Accreditation from January 2027
he Instead of separate assessments at different times, accreditation to the National Safety and Quality Health Service (NSQHS) Standards , the National Clinical Trials Governance Framework , and the National Safety and Quality Primary and Community Healthcare Standards will happen concurrently across the district during one dedicated week. Why are we making this change? This is about working smarter, creating consistency and efficiency while maintaining our commitment to excellence in patient care. The benefits of adopting a district-wide approach include: From 1 January 2027, Northern Sydney Local Health District (NSLHD) will take a major step forward in how we approach accreditation. We’re moving from facility or service-based Short Notice Assessments to a district-wide Short Notice Assessment model. What does this mean?
Y our paragraph text Much of the accreditation process will feel the same-assessors will still visit sites and conduct short notice accreditation assessments. There will be big changes behind the scenes: some coordination activities will happen at a district level, supported by teams across the district carefully preparing to manage multiple assessors across NSLHD simultaneously. Next steps Facility/service-based assessments continue until 31 December 2026, so staying ‘always ready’ remains essential More information will be shared over the coming months about any process changes A District-Wide Accreditation Transition Working Group with representation from facilities and services across the district, is already driving this transition Want to know more? Contact your Clinical Governance Unit OR Victoria (Tori) Pacey, National Standards Accreditation and Project Manager: Victoria.Pacey@health.nsw.gov.au What is included? Accreditation assessments to the NSQHS Standards , the National Clinical Trials Governance Framework , and the National Safety and Quality Primary and Community Healthcare Standards . There will be no changes to assessments for other accreditation schemes. Other accreditation schemes remain unchanged. Royal North Shore, Hornsby Ku-ring-gai, Ryde, and Mona Vale Hospitals, Mental Health, Drug and Alcohol Services, and Primary and Community Health. Services not previously assessed individually, including Virtual Care, Hospital in the Home, PARVAN, and Voluntary Assisted Dying. What does this mean for you?
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