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SOPPA
Comprehensive Accreditation Manual

Foundation, Governance
& Accreditation Process.

This document establishes the foundational governance framework, guiding principles, accreditation lifecycle and outcome definitions for all SOPPA Fellowship Centre Accreditation activities.

Objectives & Principles Accreditation Lifecycle Outcomes & Decisions
Complete Manual Series

Accreditation Manual Structure

The Accreditation Manual is developed as a series of detailed operational documents. Each part is complete in its own domain while together forming the official SOPPA Accreditation Manual.

1

Foundation, Governance & Accreditation Process

Objectives, principles, committee structure, lifecycle & outcomes

YOU ARE HERE
Policy Standard

Objectives of Accreditation

The SOPPA accreditation framework serves five fundamental objectives that guide every decision and standard.

Standardise National Training

Standardise perioperative medicine fellowship training across all centres nationally.

Ensure Patient Safety

Uphold the highest standards of patient safety across all accredited fellowship programmes.

Promote Educational Excellence

Drive the highest standards of teaching, supervision and competency-based education.

Continuous Quality Improvement

Support a culture of ongoing quality improvement in all accredited centres.

Recognise Committed Institutions

Formally recognise institutions committed to excellence in perioperative medicine.

Policy Standard

Guiding Principles

These six principles form the philosophical foundation of every accreditation standard, decision and review throughout the Manual.

Competency-Based Education

Training designed around measurable competencies, not time served alone.

Education Over Service

Educational quality always takes precedence over service delivery pressures.

Transparency

All standards, processes and decisions are open, documented and explainable.

Consistency Across Centres

Standards applied uniformly to every institution regardless of geography or affiliation.

Evidence-Based Decisions

Every accreditation decision grounded in documented evidence and defined criteria.

Respect for Fellow Wellbeing

Fellow safety, welfare and professional development are non-negotiable priorities.

Policy Standard

Governance Structure

Accreditation shall be overseen by the SOPPA Fellowship Accreditation Committee, with final approval vested in the SOPPA Executive Committee unless amended by SOPPA regulations.

Accreditation Committee

Executive Committee

Committee Responsibilities

The Fellowship Accreditation Committee is responsible for the following:

Maintain and update accreditation standards
Review institutional applications for accreditation
Nominate qualified site visitors for each review
Recommend accreditation decisions to the Executive Committee
Monitor annual declarations from accredited centres
Recommend suspension or withdrawal of accreditation where necessary
Policy Standard

The Accreditation Lifecycle

Every institution progresses through a structured 14-stage lifecycle — from initial interest through to ongoing three-year re-accreditation.

1. Expression of Interest Institution contacts SOPPA
2. Formal Application Submission of completed forms
3. Administrative Scrutiny Initial review of application
4. Document Completeness All materials verified
5. Clarification Stage Queries resolved with applicant
6. Site Visit Planning Dates, team & logistics
7. Site Visit On-site review conducted
8. Committee Deliberation Evidence reviewed by panel
9. Recommendation Committee decision formulated
10. Executive Approval Final authority endorses decision
11. Membership Activation Institutional membership live
12. Website Publication Listed on SOPPA portal
13. Annual Monitoring Yearly declaration cycle
14. Re-accreditation Three-year renewal cycle
Policy Standard

Accreditation Outcomes

Four possible outcomes are defined for every accreditation review. Each carries specific implications and required actions.

ACCREDITED

Meets Standards

The institution fully meets all accreditation standards set out across the Manual.

Certificate issued & published

WITH RECOMMENDATIONS

Minor Deficiencies

Standards substantially met with minor areas requiring targeted improvement.

Corrective action monitored

DEFERRED

Major Information Missing

Significant gaps in documentation or evidence that prevent a determination.

Re-review after compliance

NOT ACCREDITED

Standards Not Met

The institution does not meet the required standards for accreditation at this time.

Fresh application after improvements

Accreditation Manual Navigation

Explore Faculty & Programme Standards

The Manual covers all faculty governance chapters — Fellowship Director, Core Faculty, Development, Capacity, Mentorship and External Faculty.