[Clinic name]
Controlled document
[Address]
[Registration or licence number]
NHRA inspection checklist
1The licence
- Licence current, and the renewal started in the three months before it expires.
- A responsible director named, and every professional licensed by NHRA.
- Services running match the services licensed.
- Fees paid on time, since a late fee is charged at double.
2Before the survey
- Application Readiness Assessment Form sent in English, three months before the survey.
- Accreditation fee paid, since logistics start only after payment.
- Every document collated electronically for submission before the visit.
- A central room for the survey team, with internet access and parking.
3Medical records
- Five records a physician inspector could read cold, signed and timed.
- Consent recorded to NHRA's April 2026 policy.
- Referrals, investigations and the treatment plan on every record.
- A retention schedule, with archived records logged on every access.
4Safety and patients
- An incident policy, process and form that every member of staff knows.
- A named lead who reports sentinel events within five working days.
- A complaints route patients can find, in Arabic and English.
- Last year's Quality Improvement Plan updated and sent.
5What an NHRA inspector may ask
- Walk us through how a patient is admitted, seen and followed up. What to show, the pathway, and a record that shows it happened.
- Show me this patient's medical record. What to show, a complete record, with the diagnosis, investigations, treatment plan and consent.
- How do patients give consent, and in which language? What to show, what the patient was told, when they agreed, and who witnessed it.
- How do you report and learn from incidents? What to show, the policy, the form, the last sentinel event report and what changed after it.
- Who can see patient records, and how is that controlled? What to show, roles, access levels and an access log.
- How do you hear from patients, and what do you do with it? What to show, complaints, feedback and the changes they led to.
- How do you use AI in care? What to show, where AI is used, and who decides.
AAppendix, Survey day plan
- A.1Date ______ Lead surveyor ______ NHRA coordinator ______
- A.2Survey room ______ Internet and parking ______
- A.3Opening presentation by ______
- A.4Interview list and times ______
- A.5Area guides ______
- A.6Document runner for same-day submissions ______