Gap assessment
A structured walk-through of your facility against every standard and indicator, scored on the official Assessment Scoring Matrix. You receive a clear gap list and a prioritised corrective action (CAPA) plan.
NORTH guides hospitals, laboratories and clinics across Khyber Pakhtunkhwa from first gap assessment to licence. We build the policies, records, committees and training that HCC KP assessors check, then rehearse the survey with your team before the real one.
All 83 RED indicators tracked to closure before survey day.
ROM96%HIC93%FMS88%MOM85%From 29-bed community hospitals to specialist centres with more than 50 beds, our work spans every hospital category HCC KP licenses.
Each service is mapped to the standards and indicators in your category's manual, so every document, register and training record has a clear purpose on survey day.
A structured walk-through of your facility against every standard and indicator, scored on the official Assessment Scoring Matrix. You receive a clear gap list and a prioritised corrective action (CAPA) plan.
Hospital-specific policies, SOPs, forms, logs and registers. Each is coded, version-controlled, tied to its indicator and approved by your management.
Committee formation, agendas, minutes, annual training calendars, training packs, attendance and pre/post tests.
A full rehearsal under assessment conditions, staff interview drills, a 30-day readiness checklist and on-site support during the HCC KP visit.
Internal audits, refresher training, CAPA closure and renewal preparation, so compliance holds between surveys.
Formal written responses to HCC KP findings that set out the requirement, the evidence, the root cause and the corrective action taken.
Patient rights charters, consent forms, education leaflets and notices in clear English and Urdu, as the standards require.
HCC KP gives a provisional licence of 90 days to implement the MSDS. We plan that window from day one so nothing is left for the final week.
The facility registers with HCC KP and submits its licence application.
HCC KP delivers MSDS training and issues a 90-day provisional licence.
The MSDS is implemented across every department.
Weak areas are found and closed before the real visit.
HCC KP assessors score the facility against its manual.
The same indicator number means different things in each manual. Every document NORTH writes is numbered to your category, never copied across.
RED indicators carry 100% weightage and must be fully met. YELLOW indicators allow partial compliance. Source: HCC KP MSDS manuals.
We work to the current official manual for each facility type. Select one to open it on the HCC KP website.
Send us your facility's name, district and bed count. We will confirm which manual applies and arrange your gap assessment.