Clinical Governance

 The Gap Audit is an independent, evidence-based assessment of how effectively an organisation’s governance systems, workforce capability and frontline practice work together to identify and manage risk. Powered by the Medecs Governance Intelligence System, it gives Boards and Executive Leaders a clear picture of current capability, systemic gaps and priority improvement areas. 

 The Gap Audit is designed for NDIS providers seeking greater assurance over clinical governance, workforce competency and organisational risk. It is suitable for providers of different sizes and structures, including smaller not-for-profit organisations, growing providers and larger multi-site services delivering medication support, complex healthcare or high-intensity supports. 

The assessment examines 40 Governance Capability Statements across four integrated Governance Pillars:

• Governance & Clinical Leadership
• Workforce Capability & Competency Assurance
• Medication Safety & Complex Healthcare Governance
• Executive Governance & Organisational Assurance

Together, these pillars examine whether governance expectations are understood, implemented and visible in frontline practice.

Medecs applies its proprietary Governance Capability Assessment Framework to organisational evidence and structured governance conversations. Each of the 40 Governance Capability Statements is assessed using defined evidence requirements, a governance maturity scale, professional assessor judgement and clinical-governance moderation. This provides a consistent and evidence-based assessment rather than a general opinion or policy review.

 An NDIS certification audit is conducted by an approved quality auditor as part of provider registration. The Medecs Gap Audit is an independent governance and workforce capability assessment that helps leaders understand how governance arrangements are working across their organisation. It does not replace an NDIS certification audit, accreditation process or regulatory review. 

 No. The Gap Audit does not certify compliance, determine regulatory breaches or provide legal or clinical advice. It examines governance capability, available evidence alignment and organisational assurance against relevant expectations, helping leaders identify areas of strength, potential exposure and matters requiring further attention before risks become more serious. 

 Medecs reviews a representative selection of governance, workforce, clinical and operational evidence. This may include policies, procedures, registers, training and competency records, participant-related records and other evidence relevant to the agreed scope. Structured conversations with Executive Leadership, Operational Management and frontline support workers help determine whether documented systems are understood and applied in practice. 

 Your organisation appoints a key contact, provides the requested representative evidence and makes the relevant leaders, managers and frontline workers available for structured conversations. Evidence should be accurate, current and supplied within the agreed timeframe. Where evidence is unavailable, this is considered within the assessment rather than replaced through assumption or verbal assurance. 

 All 40 Governance Capability Statements can be assessed through organisational evidence, structured governance conversations and professional assessor judgement. None requires a premises inspection or direct onsite observation. Online delivery also minimises disruption and expense, enables national access and allows participants to contribute efficiently. An onsite visit is not used to replace missing governance evidence. 

 The Gap Audit is ordinarily completed within a 30-calendar-day assessment window, subject to the organisation providing evidence and making relevant personnel available as agreed. The commencement date, evidence schedule, governance conversations and executive debrief are confirmed during onboarding. 

 The organisation receives an Executive Governance Report presenting governance maturity findings, priority risks, workforce capability gaps and areas requiring improvement. It includes evidence-based findings, leadership and organisational assurance insights, and a prioritised improvement roadmap. Medecs also conducts an Executive debrief to explain the findings and support informed governance decisions. 

 Yes. Where requested, Medecs can separately scope support responding to the identified governance, workforce capability and clinical improvement priorities. This may include advisory support, workforce capability development or a longer-term governance assurance partnership. Implementation is not automatically included in the Gap Audit and remains subject to an agreed scope and fee. 

 Pricing reflects provider size, staff and participant numbers, locations, service complexity and the evidence requirements of the assessment. A typical smaller, single-location provider starts from approximately $7,500 plus GST, while larger or multi-site organisations receive tailored pricing based on scope. The most effective way to establish a cost is to:
 PLEASE REQUEST A PROPOSAL

 Begin by selecting Request a Governance Gap Audit Quote and providing some initial information about your organisation and services. Medecs will review the information, clarify the proposed scope and provide a tailored quotation. Organisations wanting to discuss suitability first can select Request a Meeting with the Governance Director.