Devon teamCQC inspectors

2

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:

12

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

13

How it will look

Work in progress sketch

Search results

• Designed to help people start to evaluate and compare different options

14

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