Credentialing is the process used to make a determination about a clinician’s competence, performance and professional suitability to practice safely. Defining scope of clinical practice is a separate process that determines the support services, staff profile, minimum safety standards and other requirements that ensure clinical services are provided safely and are appropriately supported.
Please be aware that some of the templates within these toolkits contain information that has been designed or adapted to meet local needs. If utilised outside Metro North Health this toolkit should be considered alongside the overarching policies, implementation standards and guidelines that apply in that location.
Proposal and local protocol for new service or practice
From January 2023, the Metro North Health Practitioner Credentialing and Defining Scope of Clinical Practice Committee will consider individual applications for new extended scope practice where the practice has been endorsed by the local or Metro North Safety and Quality Committee or other relevant facility or Metro North clinical governance committee.
Health Practitioners seeking to undertake a new extended scope practice should contact the facility Safety and Quality Unit in the first instance to determine the governance process for approval of a new practice/service.
This process replaces the previous Proposal and local protocol for new service form.
The following forms should be used by identified(see HP Credentialing procedure for definitions) external health practitioners to apply for credentialing and defined scope of clinical practice within Metro North Health facilities.
All applicants must attach at least one professional referee report with their credentialing application (new, re-application and mutual recognition)
Vaccine preventable diseases
Any external allied health practitioner applying for credentialing and defined scope of practice within Metro North Health after 1 July 2016 is required to provide evidence of vaccination or proof that they are not susceptible to specific vaccine preventable diseases (VPD). For more information please refer to the Queensland Health Mandatory Vaccinations.
Professional supervision of credentialed health practitioner
All allied health practitioners who are credentialed in Metro North Health must participate in six-monthly professional supervision appropriate to their scope of practice with the clinical supervisor named on their credentialing application.
The below form should be submitted to the Profession-specific manager and Metro North Health Practitioner Credentialing and Defining Scope of Clinical Practice Committee
Policy and procedures
The following documents provide the overarching governing framework for credentialing and defining the scope of clinical practice:
If you would like a copy or further information about the MNHHS Credentialing policy and procedure, please contact the allied health profession-specific manager at the local facility.