b'2. The Accreditation Team The President of the CAI will nominate a Council member to be the lead for Hospital Accreditations.Their title is Chair of Hospital Accreditation and they will report directly to the Training and Education Committee (Training Committee), to the College Council and to the President and Executive of the College as required.The role includes the scheduling of inspections over a 5-year period; a review of applications; attendance at the inspections, creation of reports and recommendations; overseeing any appeals and an audit of activity.Other members of the team will include members of the CAI Council, Directors of Training, members of the CAI Executive and administrative support from the Training Department. Representatives from the Faculties of the CAI may also be in attendance where appropriate for Intensive Care Medicine or Pain Medicine training inspection. Clinical inspectors need to be inducted and have a good knowledge of the current CAI Curriculum including the Training Regulations. They also need to be Fellows in Good Standing and involved in active clinical practice.3. The Accreditation ProcessA hospital accreditation may occur in the following circumstances:(a)A routine scheduled accreditation inspection as part of the five-year cycle;(b) An accreditation inspection of a new department;(c)An early site inspection triggered by urgent issues which include, but are not limited to, patient safety issues, urgent training issues, issues affecting the trainee or issues affecting the reputation of the CAI. These inspections may range from formal discussions with the tutor and head of department, to a full inspection;(d) A scheduled re-inspection arising out of concerns raised at a previous inspection.4. Scheduled InspectionAll sites accredited for the CAI SAT programme, will have a scheduled inspection every 5 years. The CAI will make contact with the Anaesthesiology Department in advance of this inspection and will forward all documentation to be completed. The completed documentation and any external reports (e.g. HIQA Health Information and Quality Authority, Medical Council, Department of Health etc) will be reviewed by the Chair of the Hospital Accreditation Team in advance of the inspection. This will follow with an onsite inspection by the accreditation team on a mutually selected date. The Chair of the Anaesthesiology Department (Department Chair) and College tutor(s) must be available on the day of inspection. The inspection will include meeting with the Department Chair, tutors, available consultant staff and specialist anaesthesiologist trainees, Post SATCSCST Fellowship trainees, international trainees, non-scheme trainees and senior hospital management. An inspection of all facilities and a walk around of the hospital will also be conducted.The Chair of the Hospital Accreditation Team will formulate a report, which will then be discussed at the next Training Committee meeting, and ultimately approved by the College Council.5. Accreditation inspection of a new DepartmentThe Chair of the Anaesthesiology Department of a hospital may apply to the CAI for consideration for accreditation for training. The department seeking accreditation must submit the application form and supporting documentation to the Training Department. All applications will initially be considered by the Training Committee. If the application is accepted, an onsite inspection by the accreditation team will follow on a mutually selected date. The Department Chair and College Tutor must be available on the day of the inspection. The inspection will include review of the documents and interviews with the Department Chair, tutors, consultant staff, Anaesthesiology NCHDs and senior hospital management. An inspection of all facilities (as outlined on the application form) will also be conducted.A report will then be brought to the Training Committee and subsequently to the College Council, who will take the final decision on approval of the site for training purposes. Allocation of trainees to a new site, will depend on annual intake and funding of training places.If the application is not accepted, the Training Department will communicate this to the Chair of the Anaesthesiology Department.140 Curriculum for the National Specialist Anaesthesiology Training Programme'