Rushi Health
NABH Accreditation Consultants
9–18 months

NABH Full Hospital Accreditation (6th Edition)

The complete NABH standard, step by step.

Full Hospital Accreditation is NABH's flagship programme. The 6th Edition, in force from January 2025, has 10 chapters and 639 objective elements, including 105 core elements focused on patient safety.

  • Covers all 10 chapters of the 6th Edition
  • Pre-assessment and final assessment support
  • Builds a lasting quality culture
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What's included

Everything in the engagement

  • Programme planning and readiness review
  • Gap analysis against all 639 objective elements
  • Costed action plan and month-by-month project plan
  • Quality Manual, department manuals, policies and SOPs
  • Committee set-up with terms of reference and minute formats
  • Credentialing and privileging system for doctors and nurses
  • Training programme for all staff groups, with records
  • Quality indicators, clinical audits, incident reporting and RCA
  • Facility and fire safety, disaster plan and drills
  • Two mock assessments with written reports
  • Pre-assessment and final assessment support
  • Support to close non-conformities (one round)
How it works

Phase-by-phase plan

  1. 1

    Readiness & gap analysis

    Months 1–2

    All 10 chapters scored, with a costed plan and timeline.

  2. 2

    Quality structure

    Months 1–3

    Quality team, committees, organogram, scope of services.

  3. 3

    Documents

    Months 2–5

    Manuals, policies, SOPs, forms and registers for every department.

  4. 4

    Training & implementation

    Months 3–10

    Training, drills, credentialing, audits and indicators with trend data.

  5. 5

    Mock assessments

    Months 8–12

    Two practice assessments with fixes between them.

  6. 6

    Pre-assessment & final assessment

    Months 10–18

    Application, PA, fixes, FA and non-conformity closure.

Documents you will need

  • All statutory licences and their renewal dates
  • Hospital organogram and list of services
  • Staff files: qualifications, registrations, job descriptions
  • Equipment list with maintenance and calibration records
  • Outsourced service contracts
  • Any existing quality documents or audit reports

Not included in our fee

  • NABH application, assessment and accreditation fees
  • Assessor travel and stay, if charged by NABH
  • Infrastructure changes, equipment or software
  • Fees for obtaining government licences
FAQs

Common questions

What changed in the 6th Edition?
The 10-chapter structure stays, but objective elements were reduced to 639, grouped as Core, Commitment, Achievement and Excellence. There is more focus on patient-reported experience and clinical audit.
We are Entry Level certified. Do we have to move up?
Hospitals above 300 beds can no longer renew Entry Level after 1 October 2026 and need Full Accreditation. Others should check their eligibility; we can review your situation.
Why does it take up to 18 months?
Assessors check that systems actually run, not just that documents exist. You need months of indicator data, audit results and training records.
What happens after accreditation?
NABH runs surveillance and renewal assessments during the cycle. Our Annual Support Retainer keeps you ready for them.

Ready to get started?

Book a free 30-minute call. No obligation, no sales pressure.

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We are independent consultants and are not affiliated with or approved by NABH or QCI. Accreditation decisions are made solely by NABH. NABH fees are paid by the hospital directly to NABH.