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Hospital accreditation

Accreditation of health services is a process through which services undergo external review against national and international standards in order to continuously improve quality of care.


The Southern Endoscopy Centre is accredited using the National Safety & Quality Health Service Standards developed by the Australian Commission on Safety & Quality in Health Care (ACSQHC). These standards were introduced in 2013 to provide consistent and independent assurance about the quality and safety of healthcare services across Australia. From January 2019 the 2nd Edition of the National Safety & Quality Health Service Standards will commence.

Our facility and staff are regularly audited for compliance with national infection prevention and control guidelines, Australian Standards for reprocessing of reusable instruments and the Australian Commission of Safety and Quality in Healthcare (ACSQHC) National Safety and Quality Health Service Standards.


Our comprehensive audit program ensures we meet all of the required NSQHS and ISO standards and identifies any improvements that can be made to ensure our excellent safety and quality record is upheld.

Quality commitment / statement

The Management and staff at the hospital are committed to:

  • Providing healthcare of a high standard using a risk focused, process approach, based on Best Practice and regulatory requirements;

  • Provide a timely, competitive, affordable and safe health care service that will encompass measurable and ongoing continual improvement, to our customers, as a basis of all practices.

  • Engage with consumers, customers, both internal and external to ensure we are identifying and meeting their needs effectively

  • Ensure that the Quality Policy is available to all interested parties

  • Regularly review and assess the effectiveness of our Quality Management System and implement improvements, which are based on ISO 9001:2015.

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