Governance & Quality Assurance

This document outlines our clinical governance, quality assurance systems, and operational framework.

Provider Information

Provider organisation: Mashdel Healthcare

Legal status: Independent healthcare provider

Service location: Colchester, Essex

ICO registration: Registered

GDPR compliant: Yes

1. Overview of the Service

Mashdel DiagnostiX provides specialist neurodevelopmental diagnostic and screening procedures for children, young people, and adults using validated tools including individual patient assessment, developmental history, and DIVA-5.

The purpose of the service is to provide safe, timely, person-centred neurodevelopmental assessment and post-assessment support that improves outcomes for service users and families.

2. Service Users

3. Governance Structure

Registered Manager

Holds legal and operational responsibility for compliance with the Health and Social Care Act and regulations.

Clinical Lead

A Registered Clinical Psychologist holds clinical accountability for diagnostic integrity, overseeing MDT meetings, NICE alignment, and clinical risk.

Multidisciplinary Team (MDT)

No diagnostic outcome is issued without appropriate clinical oversight and MDT governance, including defined Terms of Reference, recorded attendance, and escalation pathways.

4. Quality Assurance

Safe Recruitment

Training and Competence

Staff complete mandatory training including safeguarding, information governance, and the Oliver McGowan programme.

Clinical Audit

Assessment reports are audited by the Clinical Lead for safety, tool usage, clinical reasoning, NICE adherence, and diagnostic rationale.

5. How the Service Meets Regulatory Expectations

Safe

Safe recruitment, competence checks, clear systems for recording concerns, secure records, incident reporting and learning.

Effective

Recognised tools (individual patient assessment, developmental history, DIVA-5), MDT decision-making, supervision, NICE and NHS frameworks.

Caring

Person-centred care, listening, clear explanations, family inclusion, dignity and respect.

Responsive

Clear pre-assessment information, adjustments, post-diagnosis guidance, feedback and complaints used for improvement.

Well-led

Clear leadership, Registered Provider and Clinical Lead accountability, policies, governance meetings, quality checks.

6. Complaints and Escalation

Clear complaints process: acknowledged within 3 working days, investigated, responded to within 28 days. Duty of Candour applies.

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