Credentialling
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Credentialling

Policy

The credentialling process assigns clinical responsibilities to health practitioners based on their training, qualifications, experience, and fitness to practice. Credentialling clinical staff helps ensure they are working within their scope of practice and at the required level of expertise. The main focus of credentialling is patient safety.

All clinical staff hold verified and appropriate professional qualifications that are kept current for the duration of their employment.

Checking credentials

The practice manager verifies the credentials submitted by all clinical staff during the recruitment process to ensure they hold the appropriate credentials for their role. Staff also supply proof of any new credentials achieved during their employment.

Ongoing checks are carried out:

 

Information required

Documentation

All health professionals supply evidence of:

  • professional registration
  • professional education and training history (certified copies of medical or nursing degrees are required)
  • college and professional association memberships
  • employment history
  • references verifiable at source.

Documentation for specific clinical responsibilities

Qualifications and education specific to the clinical responsibilities of the position:

  • Clinicians
  • Nurses
  • Locums
  • Summary of practice since registration, and activity log
  • Objective data on clinical audits and outcomes related to that activity
  • Evidence of teaching, training, and research

Declarations

Any previous denial, suspension, termination, or withdrawal of the right to practice in another organisation:

  • Any criminal investigations or convictions
  • Any physical or mental condition, including substance abuse, that could affect ability to practice safely
  • Consent for the organisation to verify claims made in the documentation provided and to obtain reference checks from all previous employers

See also Continuing Professional Development for information about supporting clinical staff working towards more credentials.

Practising Certificates

All registered clinical staff hold a current practising certificate in accordance with the Health Practitioners Competence Assurance Act 2003.

Clinical staff are responsible for keeping their practising certificate up to date and may not work without evidence of current certification.

The practice manager and nurse manager or senior nurse are responsible for managing staff practising certificates. This includes checking certificates are up to date and monitoring clinicians who are practising under conditions on their APC.

See also Staff Training.

Page Information

Last reviewed February 2025
Next review November 2027
Topic type Core content
Approved By: Key Contact
Topic ID: 8304

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