Requests for extensions and appeals

General practices and accrediting agencies can use this form to submit a request for the following:


  • Additional time for assessment process;
  • An extension to their period of accreditation awarded, either in advance of the expiry date or retrospectively;
  • Appeal a decision by the Commission;
  • Appeal against an approved accrediting agency.


All applications will need to provide a strong rationale accompanied with evidence and documentation in compliance with the requirements outlined in Advisory GP23/02: Requests for extensions and appeals.


Following the submission of a request, the Commission will review all the evidence submitted, collect further evidence from the general practice’s accrediting agency if required, and may seek advice from other relevant parties such as the General Practice Accreditation Coordinating Committee, prior to determining the outcome of the request.


Requests can take 10 to 20 business days to be processed, dependent on the type of request submitted, evidence provided, and the need to seek further information.


For more information, please contact the Safety and Quality Advice Centre: AdviceCentre@safetyandquality.gov.au or call 1800 304 056.

Select
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This is the unique identifier issued by the Commission.

State or territory:*

The person completing this form must have the legal authority and delegated responsibility of the practice.

Phone
Accrediting agency:*
Type of request:*

The circumstances and requirements for each type of request are outlined in Advisory 23/02: Requests for extensions and appeals.

Type of request (AA):*

The circumstances and requirements for each type of request are outlined in Advisory 23/02: Requests for extensions and appeals.

The rationale must meet the definition of an extenuating circumstance in Advisory GP23/02: Requests for extensions and appeals.

The rationale must be accompanied by evidence that the relevant accrediting agency did not comply with Commission specified policies, processes and/or directions relating to the assessment conducted.

Evidence required for each type of request is outlined in Advisory 23/02: Requests for extensions and appeals.


General practices and accrediting agencies must determine what kind of evidence will be submitted. It is not intended that evidence be exhaustive, but it should be conclusive.

Drag and drop files here or

The Commission will only consider applications submitted within five months of a general practice’s current accreditation expiry date.

Leave blank if self-assessment not required by accrediting agency.

Leave blank if self-assessment documentation has not been submitted.

Leave blank if schedule is unknown.

Leave blank if initial assessment has not been completed.

Has the general practice been accredited before?

This is the date the general practice last completed an on-site assessment under the NGPA Scheme.

Please specify how many days/weeks/months (e.g., 1 month)

This is the total number of General Practitioners (GPs) involved in the delivery of health care in the general practice, regardless of employment or contractual relationship. Each General Practitioner is counted only once. Format: Number (e.g., 4)

For the purposes of this form, FTE is defined here as "the number of hours worked by a GP in the practice. One FTE is equivalent to 38 hours per week"


FTE is calculated by the total number of hours worked by all GPs in the practice per week over GP headcount, for example: 3.5.

This is the total number of other clinical (e.g. practice nurse) and administrative staff (e.g. practice manager, receptionist) who support the delivery and administration of health care in the practice. Each person is counted only once. Format: Number (e.g., 1)

For the purposes of this form, FTE is defined here as "the number of hours worked by support staff in the practice. One FTE is equivalent to 38 hours per week".


FTE is calculated by the total number of hours worked by all support staff in the practice per week over support staff headcount, for example: 3.5.

Please include dates of communication between the general practice and the accrediting agency regarding any issues relevant to this request.

Have you discussed this submission with your accrediting agency?*

I acknowledge I have read Advisory 23/02: Requests for extensions and appeals and the general practice meets the criteria to apply for approval.


Applications that do not meet the criteria of the Advisory will not be considered.

I acknowledge and consent to the Australian Commission on Safety and Quality in Health Care seeking information from the contracted accrediting agency relating to the general practice's assessment.

The Australian Commission on Safety and Quality in Health Care collects personal information when the information is necessary for, or directly related to, the Commission’s functions or activities. All personal information is held and treated in accordance with the Australian Privacy Principles under the Privacy Act 1988 and the Commission’s Privacy Policy.


By submitting this form, I agree that I have obtained consent to provide this information to the Commission.

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