b'6. Preparation for an Inspection visitIn advance of an accreditation inspection visit: (a)The Anaesthesiology Department will be provided with the required CAI accreditation form which assists the department in self-assessment of its performance, and may flag areas for further review;(b) Formal teaching and tutorial programmes should be made available;(c)Make available details of any other CPD programme being run by the Anaesthesiology Department;(d) All quality assurance and improvement programmes;(e) All research and audit activities;(f)All other clinical or academic activities relevant to the training of CAI trainees.The end of rotation Trainee Review of the Hospital will also be inspected. A programme for the accreditation inspection visit should be drawn up and submitted to the Chair of Hospital Accreditation, two weeks in advance of the visit.7. Outcomes from the Accreditation Inspection visitAt the end of the inspection visit, the Accreditation team will meet with the Department Chair and College Tutor(s) to discuss the visit, provide feedback and to discuss probable recommendations arising from the inspection. This will be an informal discussion only. The Chair of Hospital Accreditation will compile an inspection report and include recommendations, which will then be tabled for discussion at the next Training & Education Committee meeting.Any urgent issues needing immediate action will be dealt with by the College Executive. The Training Committee may make further recommendations or amendments to the report.The final report will be submitted for consideration by the College Council. The College Council is the final arbitrator of all hospital inspection reports. The final report and all recommendations will be sent to the Department Chair, tutor and senior management of the hospital.A final letter will be sent to the Department Chair, tutor and copied to the Chief Executive Officer of the hospital with one of the following outcomes:(a)Fully accredited site. All accreditation standards and criteria have been met. The training site is accredited for 5 years from the date of inspection and is recognised for training.(b) Accreditation not approved. This relates in particular to new applications or applications for a change in training status. Where accreditation is not approved, feedback will be provided about what improvements would need to be made for accreditation to be granted. A new application and a full re-inspection would be necessary to determine if the hospital could be accredited once all the improvements have been made.(c)Conditional accreditation. The hospital site is granted full accreditation subject to corrective recommendations in relation to standards being made in a specified timeframe. A part or full re-inspection may be necessary. Ongoing monitoring will be required from the Chair of Hospital Accreditation. Full reports must be provided to the Chair by the site on progress to achieving the goals set out. Where recommendations are met, the site will be fully accredited for 5 years from the original inspection date. Where the site is not meeting recommendations, the CAI will consider withdrawing accreditation.(d) Withdrawal of accreditation. The CAI may withdraw accreditation from a training site, if that site fails to, or is unable to comply with CAI accreditation standards, and where this is having a significant impact on quality of training and/or professional standards. A decision to withdraw accreditation from a training site, will be made by College Council. Withdrawal of accreditation may be by:(1) Reduction in training post recognition for a particular level (e.g. SAT 5/6);(2) Withdrawal of training recognition for a competency or module;(3) Global withdrawal of training.The College Council will consider any written appeals to reports or sanctions on training within 6 weeks.The full documentation for procedures for Hospital Accreditation can be obtained by specific request to the Training Department.Curriculum for the National Specialist Anaesthesiology Training Programme 141'