"By establishing a minimum national standard for general practice we are seeking to guide practices in a positive direction by identifying what they should be doing to enhance the safety of their patients and practice team." -- Tim Malloy, College President

What is the Foundation Standard?

The Foundation Standard represents what is considered to be the legal, professional, and regulatory requirements for general practice. Foundation Standard is included as the entry level criterion for general practices in the Ministry of Health’s Integrated Performance Incentive Framework (IPIF) and in the PHO Services Agreement. This requires PHOs to ensure that all of their Contracted Providers (practices) meet the Foundation Standard by no later than 1 July 2017.

The benefits of Foundation Standard

  • Practice meets legal regulatory and professional standards
  • Quality assurance for patients and staff
  • Enhances clinical processes    
  • Increase medical knowledge base
  • Online assessment tool - QA2QI
  • Contributes to continuing professional development (CPD points)


A collaboration between the College’s membership, PHOs and international colleges; the Foundation Standard was developed in 2013 as the entry-level standard for general practices. The programme requires the practice to provide evidence of meeting standards set by the College, followed by a reassessment cycle every three years. 

Read the Foundation Standard guide.


Quality Assurance to Quality Improvement (QA2QI) is the assessment tool that Foundation practices use to upload and submit evidence. PHOs also use this tool to assess and track practice progress. 

Foundation governance

The College collaborates with PHOs to oversee the assessment process. The College provides the Standard, QA2QI, moderates, audits and ultimately awards the certificate to the practice. The PHO affiliated with the practice handles enrolment, support and assessment of evidence submitted. 

Learn how the College audits and moderates the programme.


To register for the Foundation Standard assessment, please get in touch with your affiliated PHO.