Metro North Allied Health
Credentialing and defining scope of clinical practice for external allied health professionals
Credentialing is the process used to make a determination about clinicians’ competence, performance and professional suitability to practice safely. Defining scope of clinical practice is a separate process that determines the support services, staff profile, minimum safety standards and
other requirements that ensure clinical services are provided safely and are appropriately supported.
*Some templates within these toolkits contain information that has been designed or adapted to meet local needs. If utilised outside Metro North HHS this toolkit should be considered alongside the overarching policies, implementation standards and guidelines.
Vaccine Preventable Diseases – changes as of 1 July 2016
Any external allied health professional applying for credentialing and defined scope of practice within Metro North HHS after 1 July 2016 is required to provide evidence of vaccination or proof that they are not susceptible
to specific vaccine preventable diseases (VPD).
- Proposal and local protocol for new service flowchart (PDF, 56kB)
- Credentialing external allied health practitioner flowchart (PDF, 62kB)
Proposal and Local Protocol for new service/practice
Use this form when a new service, intervention, or procedure is proposed for a facility which requires an allied health professional to engage in professional practice or clinical practice that isnot traditionally within the scope of their profession and/or has not traditionally been performed within QH/MNHHS.
The following forms should be used by external allied health professionals who are not employed by a Hospital and Health Service to apply for credentialing and defined scope of clinical practice within MNHHS facilities.
- New credentialing application (DOC, 207kB)
- New application attachments:
- Code of Conduct for the Queensland Public Service
- Employment Screening forms
- Mutual recognition application (DOC, 179kB)
- Re-application for credentialing (DOC, 208kB)
- Request for interim credentialing approval in an emergent situation (DOC, 159kB)
- Request for an appeal of a credentialing decision (DOC, 37kB)
- Request for an unscheduled review of credentialing (DOC, 289kB)
All applicants must provide at least one (1) professional referee report with their credentialing application (new, re-application and mutual recognition)
Professional supervision of credentialed AHP
All allied health professionals who are credentialed in MNHHS must participate in professional supervision appropriate to their scope of practice with the clinical supervisor named on their credentialing application.
Policy and procedures
The following documents provide the governing framework for credentialing and defining the scope of clinical practice:
- MNHHS Policy: Credentialing and Defining Scope of Clinical Practice for Nursing, Midwifery, Allied Health and Medical Personnel (PDF, 330kB)
- MNHHS Procedure for Allied Health credentialing and defining scope of clinical practice (DOC, 428KB)
- Health Service Directive (HSD) - Credentialing and defining the scope of clinical practice (PDF, 527kB)
- HSD Guideline for Credentialing and Defining the Scope of Clinical Practice and Professional Support for Allied Health Professionals (PDF, 130kB)
Allied Health Credentialing and Defining Scope of Clinical Practice Committee
AH Credentialing Committee
p: 3647 9526