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Templates, RQIA

RQIA inspection checklist template

A RQIA inspection checklist with 17 items, taken from our RQIA hub and grouped the way the work is done. Read it in full below, and take the editable version by email.

Updated . Mapped to RQIA's published framework1.

CHK-INS-01Checklist

Templatev1.0, RQIA edition

[Clinic name]

Controlled document

[Address]
[Registration or licence number]

Document
RQIA inspection checklist
Reference
CHK-INS-01
Version
1.0
Owner
[Name, role]
Approved by
[Clinical lead]
Effective from
[Date]
Next review
[Date]
Regulator
Regulation and Quality Improvement Authority

RQIA inspection checklist

1Registration

  • Your certificate of registration is displayed and matches the services you provide.
  • Your statement of purpose and patient guide are current.
  • RQIA has been told of any change to the registered manager or provider.
  • Last year's areas for improvement each have evidence that they are met.

2Safe and effective care

  • Each doctor's GMC registration, indemnity, appraisal and responsible officer on file.
  • Enhanced AccessNI checks for every member of staff before they started.
  • Clinical records complete, secure and audited, with an action plan from the audit.
  • A patient register kept in line with Schedule 3 of the 2005 Regulations.

3Compassionate care and leadership

  • A consent policy in line with GMC guidance, and consent recorded for each patient.
  • An annual patient satisfaction survey, with a summary report and action plan.
  • Complaints recorded with investigation, outcome and action taken.
  • Policies indexed and reviewed at least every three years.

4What an RQIA inspector may ask

  • Can I see your clinical records for a sample of patients? What to show, records that are complete, secure and kept in line with legislation and GMC guidance.
  • How is informed consent obtained and recorded? What to show, a consent policy, and consent recorded for each patient.
  • How do patients know what treatment will cost? What to show, patient information that includes the cost of treatment.
  • How do you maintain confidentiality? What to show, roles, access controls and a record of who accessed what.
  • How have complaints been handled since the last inspection? What to show, a complaints record with each communication, investigation, outcome and action.

AAppendix, RQIA application tracker

  1. A.1Portal login received on ______
  2. A.2Service application submitted on ______
  3. A.3Statement of purpose and patient guide uploaded ______
  4. A.4Fee confirmed with RQIA ______ Paid by BACS on ______
  5. A.5Responsible person application submitted on ______
  6. A.6AccessNI case reference ______
  7. A.7Manager set up as delegated user on ______ Manager application submitted on ______
  8. A.8Bank letter on financial standing uploaded ______

Awaiting sign-off

[Name]

[Role], [registration number]

Signed [date], [time]

Questions

Has RQIA approved this rqia inspection checklist?

No. RQIA does not approve templates or software. This template is built from RQIA's own published standards and our guides, and your clinic adapts it, signs it off and owns it.

Can we use it as it is?

Use it as a starting point. Replace every part in square brackets with your clinic's own details, check it against your services, and have your clinical lead sign it off before it is used.

How do we get the editable version?

Enter your work email on this page and we send the editable document. The full template is on this page to read before you ask.

In wai, the records this checklist depends on are versioned and signed, from notes and letters to consent forms and the audit trail.

See the signed record behind this checklist on your own clinic, in a 15 minute video call.

Sources

  1. 1RQIA, 2026RQIA Provider Guidance 2026-2027, Independent Clinic, Private Doctor ServiceRead source

This is a template, not legal advice. RQIA does not approve templates or software, wai included.