Free/Subsidised Health Clinic or Care Access Program
Assesses the commitment to community health through accessible, subsidized healthcare. This operationalizes *Iḥsān* by upholding the Maqasid of preserving life (*hifz al-nafs*), intellect (*hifz al-‘aql*), and dignity (*karamah*). Services are delivered without discrimination, preserving confidentiality (amanah) and modesty (haya/satr al‑‘awrah). It honors tawakkul with asbāb through evidence‑based care, while adhering to the prohibition of harm (*lā ḍarar wa lā ḍirār*) and self-destruction (Q 2:195). Spiritual support is optional, patient-led, and delivered with explicit consent, clear boundaries, and without delaying or substituting clinically indicated care.
| Metric | Clinic Access and Quality KPIs |
|---|---|
| Target | See Scoring Guidelines (e.g., Level 4: ≤7 days wait) |
| Frequency | Quarterly |
| Method | Data collection: Median wait time (days), DNA rates, Safeguarding/Medication incidents, Patient Satisfaction %, Subsidy utilization %. |
| Unit | Mixed |
Level 1: Initial/Ad-hoc
Nascent: Health-related assistance is provided on an informal, ad-hoc basis in response to individual requests. There is no formal program, budget, or dedicated resources.
Level 2: Developing
Developing: A defined program exists but operations are basic/inconsistent. Lacks formal clinical governance, defined subsidy models, or regular hours.
Level 3: Established
Established: A permanent, subsidized service is operational (min 1 session/week). Meets minimum CQC/regulatory safety standards. Has qualified staff, defined eligibility, and at least 30% subsidy/free access.
Level 4: Advanced
Managed & Improving: Service is managed with performance data (wait times ≤7 days, satisfaction ≥70%). Robust subsidy governance, mandatory training compliance (100%), and active PDSA cycles are in place.
Level 5: Optimizing
Exemplary & Leading: Model of excellence (Iḥsān) with high availability (≥3 sessions/week or multi-modal). Demonstrates equity reach (e.g., low-income focus), measurable health outcomes, and strategic NHS/public health partnerships.
Organisation Types
By Organisation Size
| Size | Applicability | Notes |
|---|---|---|
| Micro | exempt | Health clinics require clinical governance and CQC compliance that are entirely beyond the financial and operational capacity of micro charities. |
| Small | partial | Likely to use a partner model (e.g., hosting an NHS pop-up); requires the CQC checklist and partner SLA to limit liability, but the partner handles clinical SOPs. |
| Medium | full | N/A |
| Large | full | N/A |
| Major | full | N/A |
Applicable When
- The organization has a community outreach or social welfare mandate.
- The organization directly delivers healthcare services OR funds/partners via formal SLAs to secure subsidized access.
Not Applicable When
- The organization's mission is strictly limited to religious practices with no community service aspect.
- The organization does not provide or fund any clinical or health-related services.
Related Criteria
Discussion (1)
📋 **Version updated: 1.0.0 → 2.9.7** **Changes:** Full import from mizan-297.json
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