Staff Credentialing & Training Logs
Section 1.1 of The Non-Clinical Operational Self-Audit Kit. The aim: every person delivering, assisting with, or supervising a treatment holds current, verifiable credentials, and you can produce the evidence within minutes of being asked.
Tick an item only once the evidence exists and is filed, not once someone has agreed to create it.
| Ref | Compliance criterion | Evidence to have ready on the day | Checked |
|---|---|---|---|
| 01 | A master Staff Credentialing Register exists, listing every practitioner, their role, and the treatments they are credentialed to perform. | Printed or digital register, updated within the last 30 days | |
| 02 | Each practitioner's professional registration (NMC, GMC, GDC, HCPC, or equivalent) is current and has been verified against the regulator's online register, with the verification date logged. | Screenshot or printout of the regulator search, dated and filed per practitioner | |
| 03 | JCCP registration status (where applicable) is current and the certificate number is recorded against the practitioner's file. | JCCP certificate copy and register entry | |
| 04 | Save Face accreditation (practitioner and/or clinic level) is current, with the renewal date visible and a reminder set at least 60 days before expiry. | Save Face certificate and internal renewal tracker | |
| 05 | Insurance certificates (medical malpractice and public liability) are in date for every practitioner and cover the specific treatments they perform. | Current insurance certificates, cross-checked against the treatment menu | |
| 06 | A training log exists per staff member covering foundation training, product-specific training, and CPD hours, each with dated certificates. | Individual staff training folders or digital equivalent | |
| 07 | Basic Life Support and anaphylaxis management training is current for all clinical staff, with certificate expiry dates tracked centrally. | BLS/anaphylaxis certificates and an expiry-date tracker | |
| 08 | DBS checks (where the clinic's policy or local authority requires them) are on file and within the renewal period set by clinic policy. | DBS certificates or online check confirmation | |
| 09 | A documented induction record exists for any practitioner who has joined the clinic within the last 12 months. | Signed induction checklist per new starter | |
| 10 | A designated person is named as responsible for maintaining the credentialing register, with their name and role clearly recorded. | Named responsibility recorded in the Statement of Operating Procedures |
Requirements vary by borough and licence type. This is an operational readiness tool, not legal, clinical, or regulatory advice. Confirm current requirements with your local authority licensing team before your inspection.
That's 10 of 107.
The full kit covers the rest of Section 1 (hygiene protocols, complaints and adverse incidents), plus patient photo consent and ASA rules in Section 2, and prescribing, PSDs and emergency cover in Section 3. Each item comes with the evidence to have ready on the day.
See the full kit