[Clinic name]
Controlled document
[Address]
[Registration or licence number]
Spanish autorización sanitaria inspection checklist
1The authorisation
- Classify the centre and every unit against anexo I of RD 1277/2003.
- File before opening, and never treat a patient before the authorisation is granted.
- In Madrid, diary the renewal at least three months before the eight years run out.
- Ask for a modificación before a new owner, service or address.
2People
- A Director Técnico Asistencial in Madrid, or a responsable assistencial in Cataluña, named and qualified.
- A personal file for every health professional, with the official degree, under artículo 7.
- Colegiación and professional liability insurance on file where they apply.
- Every arrival and departure notified to the Consejería in Madrid.
3Records
- Every historia clínica identifies the professionals who took part.
- Records kept at least five years from discharge, and 15 years for key documents in Cataluña.
- Patients can see their record and receive a copy.
- Every change to an entry is recorded with its author.
4Consent and display
- Written consent for surgery, invasive procedures and notable risks.
- The información básica given before written consent, and recorded.
- The authorisation document and the staff list on display in Madrid.
- Complaint forms available in every private Madrid centre.
5What a Spanish autorización sanitaria inspector may ask
- Who is responsible for care at this centre? What to show, the Director Técnico Asistencial or the responsable assistencial, qualified, registered and named in the file.
- Which professionals work here, and what are their degrees? What to show, a current staff list and a personal file for each professional, with the official degree.
- Does the care you deliver match your authorisation? What to show, the authorised oferta asistencial, and what the centre actually does.
- Show me a historia clínica. What to show, a record that identifies every professional, with the consent and the reports in it.
- Where is the written consent for this procedure? What to show, the signed consent, and the información básica the patient received before it.
- Can a patient obtain a copy of their record? What to show, how a request is handled, and how fast.
- How do you use AI in care? What to show, where AI is used, and who decides.
AAppendix, Authorisation plan
- A.1Comunidad ______ Centre type ______
- A.2Units in the oferta asistencial ______
- A.3Responsible person ______ Colegiación number ______
- A.4Installation authorisation needed ______
- A.5Staff file complete on ______ Fee paid on ______
- A.6Application filed on ______ Decision due by ______
- A.7Opening date ______