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Devon teamCQC inspectors
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We make sure people get better care
Who are we improving care for ?
People who use services,carers and families
People in more vulnerablecircumstances
What we will do to achieve our priorities
Public and taxpayers
Focus on quality, and acting swiftly to help eliminate poor quality care
Our priorities
Making sure care is centred on people’s need and reflects
their rights
Who are we?
Registration and ongoing monitoring
Regular reviews of
performance Enforcement
Special reviews
and studies
Mental Health Act
visits
Publishing information
Why regulate?
People can expect services to meet essential standards of quality, protect their safety and respect their dignity and rights, wherever care is provided, wherever they live
People have a right to choice and to know that providers are held accountable
Scale of CQC regulated care
Primary medical services
9,000 locations
NHS Trusts
2800 locations
Independent healthcare
2,500 locations
Adult social care
24,000 locations
Independent ambulances
350 locations
Primary dental care
10,000 locations
Combined outpatients and inpatients
77.4 million
People using adult social care services
1.75 million
Dental appointments
36.4 million
The standards
Single system of registration
Single set of standards
Strengthened and extended enforcement powers
Parliament Dept of Health
Care Quality Commission (Registration)
Regulations 2009
Health and Social Care Act 2008
(Regulated Activities)
Regulations 2009
CQC
Registration timeline
NHS trustsApril2010
Oct2010
April2011
April2013
Adult social care and independent healthcare providers (CSA)
Primary dental care (dental practices) and independent ambulance services
Primary medical services (GP practices, walk-in centres and others)
April2012
Primary medical services (providing out of hours services)
How we gather evidence to monitor compliance
Looking at outcomes, a person’s experience of the care they receive
Involving people who use services in our reviews of compliance
Using a wide range of sources of evidence
Focusing on how care is delivered
Being targeted and responsive – taking swift action to follow up concerns
CQC in a changing environment – continued
We have had a critical external environment – but we are acknowledging mistakes and adapting to changing circumstances
CQC was set up as a risk-based regulator – but the public and providers want regular inspection across the board
We have committed to review and evaluate our model and are seeking additional funds from government
Refining our regulatory model
Since April 2010 CQC have registered NHS services and providers of independent health and adult social care, against our new essential standards
During this time, we have listened to challenges to our regulatory model
In response, we are seeking to strengthen and simplify our regulatory model to improve how we inspect and take action
Our approach will continue to be outcome-focused, responsive and risk-based but in addition to this we want to:
inspect most providers more often
target our inspections to focus on the relevant standards
take swift regulatory action to tackle non-compliance
Consultation on our proposals will begin on September 19th 2011
CQC intend to inspect all adult social care services, independent health care services, NHS acute hospitals and ambulance trusts at least once a year – this is our scheduled inspection programme
Scheduled inspections will focus on key standards; the choice of standards will depend on:
The type of care provided
The amount of information we hold on the provider
Scheduled inspections
Refining our regulatory model
Simplifying the bar – compliant or non-complaint CQC will no longer issue minor, moderate or major concerns – providers will be either compliant or non-compliant
Information for those who choose services
a summary of CQC’s judgement of compliance with essential standards and a provider’s compliance historyan update on improvements against compliance conditions or CQC’s recommendationsan alert when CQC intend to carry-out a planned or responsive review of the service information from people who have used the service
From autumn, the CQC website will provide improved, accessible, useful, up-to-date information for the public, including:
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How it will look
Homepage
• Consumer focused
• Clear about what we do/can offer the public
• Focused on ability to look up location level reports/see major action we’re taking
• Information for providers and corporate information clearly signposted
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How it will look
Work in progress sketch
Search results
• Designed to help people start to evaluate and compare different options
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How it will look
Work in progress sketch
Syndication
• Linking to places where we know people research health and social care decisions and to providers themselves
Work in progress sketch
no discussions have taken place with Google yet
Hot off the press
Health Select Committee findings- published 14 September 2011
•Bias to registration activity
•Inspector vacancies
•Budgetary constraints
•Caseloads
•Numbers of inspections
•Quality Risk Profile
•Reporting to other professional regulators
•Whistleblowing
•Registration
•Information
•Excellence Award
•Acting together- experts by experience