Technical guidance · 11 min

Running an accreditation self-evaluation

A requirement-level method for testing scope, implementation and outcomes before submitting evidence.

A self-evaluation is a controlled account of how the organisation meets each requirement across the proposed scope, where the evidence can be tested and where gaps remain. It is not a promotional narrative or a rewritten standard.

Freeze the proposed scope first

Name the accountable legal entity and list every site, trading name, language, learner group, programme type and delivery mode to be included. Record exclusions and explain shared or outsourced functions. Without this boundary, conclusions cannot be sampled or published accurately.

Work requirement by requirement

For each published requirement, identify the process owner, describe the operating control in plain language and link current evidence by identifier, version, period and location. Cross-reference existing documents; do not create a second policy system inside the self-evaluation.

Test design, implementation and outcome

A policy or procedure shows intended design. Sampled records, observation and interviews test whether people follow it. Monitoring and outcome data indicate whether the control works. State which of these functions each source serves and investigate contradictions instead of selecting only favourable evidence.

Build a representative internal sample

Sample across material variation: large and small sites, classroom and online delivery, different languages and levels, permanent and contracted staff, current and recent periods, routine activity and exceptions. Record the population, selection rationale and limits; a convenient sample cannot support a scope-wide conclusion.

Record gaps without disguising them

Classify the position against each requirement as demonstrated, partly demonstrated, not demonstrated or not applicable with reasons. For a gap, distinguish the immediate correction from the action needed to address its cause, assign ownership and retain evidence after the revised control has operated. Never manufacture retrospective records.

Authorise and maintain the record

The responsible leadership should review the conclusions, unresolved risks, proposed scope and evidence access before submission. Date and version the self-evaluation, control later amendments and update it when material changes make a conclusion or evidence reference inaccurate.