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IQILS standards

We are currently working towards Improving Quality in Liver Services (IQILS) accreditation.

What is accreditation?

Accreditation is a supportive process of evaluating the quality of clinical services against established standards.
Accreditation promotes quality improvement through highlighting areas of best practice and areas for change, encouraging the continued development of the clinical service. Accreditation is a voluntary process for services to engage in.
Having developed standards with a multi-professional group of clinicians, managers and patient representatives, services participating in IQILS accreditation work to an accreditation pathway which involves self-assessment and quality improvement against the standards. Accredited services submit evidence annually to demonstrate that they are continuing to meet the standards and have a 5-yearly on-site assessment carried out by our experienced assessment team.

The accreditation standards have been put together in collaboration with the liver community and are aligned to the CQC's key lines of enquiry (KLOE). The framework used is based on the British Standard Institution's (BSI) specification for accreditation of clinical services.


The standards cover all aspects of a high-quality liver service and are organised into six domains:

  • leadership and operational delivery
  • person-centred care
  • risk and patient safety
  • clinical effectiveness
  • workforce
  • systems to support service delivery.

To support services to go through the accreditation journey, the standards are split into two levels. Level 1 are the initial standards to improve service quality and the level 2 standards further enhance this. Accreditation assessments are based on services meeting all of the level one and two standards and meeting set evidence requirements.

Full accreditation IQILS standards - level one and two

Domain 1: Leadership and operational delivery

1.1 The service has an operating plan which is reviewed annually

1.2 There is a comprehensive service description available on the organisation's website

1.3 The service has a leadership team that is visible, approachable and communicates regularly

with all staff members

1.4 The service works collaboratively across health and social care boundaries

Domain 2: Person centred care

2.1 The service embeds principles of shared decision-making with patients

2.2 Patients/carers are encouraged to feedback on their experience

2.3 The service strives to improve as a result of feedback, complaints and concerns

2.4 The service supports person-centred care

2.5 The service has a documented procedure for patient scheduling

2.6 The service reviews and acts on did not attend (DNA) rates

2.7 The service has a procedure for managing patients being transferred in/out from other


Domain 3: Risk and patient safety

3.1 The service sets and monitors safety improvement targets

3.2 The service has a procedure and reporting system for recording and investigating incidents,

adverse events or near misses

3.3 The service uses incidents, adverse events and near misses to improve care

3.4 The service has a risk management policy and communicates this to staff members

Domain 4: Clinical effectiveness

4.1 The service monitors clinical performance

4.2 The service has a quality improvement plan based on the clinical metrics

4.3 The service has a research register

4.4 The service participates in local and national audit programmes

Domain 5: Workforce

5.1 A workforce skillmix review is undertaken a minimum of once a year, or whenever there is a

significant change in the service

5.2 The service has an appraisal process for staff members

5.3 The service has training plans and development opportunities in place for staff

5.4 There is a service-specific orientation and induction programme

Domain 6: Systems to support clinical service delivery

6.1 The service assesses its facilities and equipment

6.2 There is a process for document management and control


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'In recent times, I have utilised admissions to Richardson for respite direct from my fracture clinic, even at weekends. I have never worked anywhere with this efficiency before - it is reassuring and invaluable for the patient.'

Patient, Lowson / Starling Wards, Richardson Hospital