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CQC – listening and improving regulation

CQC – listening and improving regulation. 28 September 2011. Dame Jo Williams Chair, CQC. Where we are now. Since launch in April 2009 we have introduced a new and radically different regulatory system for health and adult social care in England

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CQC – listening and improving regulation

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  1. CQC – listening and improving regulation 28 September 2011 Dame Jo Williams Chair, CQC

  2. Where we are now • Since launch in April 2009 we have introduced a new and radically different regulatory system for health and adult social care in England • We have registered the NHS (April 2010), independent health and adult social care (October 2010), and in dental and independent ambulance services (April 2011) • We have implemented a complex piece of legislation against a series of inflexible Parliamentary deadlines • We have developed and rolled out new systems, processes, methodology, guidance, new ways of public reporting • We are still processing high volumes of new providers and variations to existing registrations • GP registration on hold until April 2013

  3. CQC’s lifecycle – a five-year programme Phase 1 - legacy HCC, CSCI, MHAC CSA until Sept 2010 Phase 2 Design and build From April 2009 Phase 3 Registration Apr 2010-13 Phase 4 Implement and review Ongoing Phase 5 Optimising the model April 2014 onwards…

  4. CQC – what CQC does and does not do • CQC’s role • Register – inspect – enforce – publish • CQC registers care providers then checks whether they are meeting essential standards • If not, we take action – they must put problems right or face enforcement action • We publish what we find as quickly as possible • We share what we know with our partners • We put a premium on users/ whistleblowers • What CQC does not do • Wedo not make assessments of commissioning – although we can comment on shortcomings via themed reviews and investigations • We don’t assess quality above essential standards • We promote improvement by focusing on non-compliance

  5. Regulations - minimum standards vs. improvement • Role of regulation is context specific – resources affect quality of care • Therefore if your role is to offer assurance around essential standards – a minimum bar for market entry – finite resources will be focused on poor quality • That does not mean to say that minimum standards are the opposite to improvement, rather they are a lever to gradually improve the standard of care over time

  6. Palette of Regulation Inspection Analysis Voices • Scheduled inspections • Themed inspections • Responsive inspections • Themed reviews • Quality Risk Profiles • Other data sources • Website feedback • Telephone or written feedback • Third party feedback • Whistleblowing • Safeguarding

  7. Consultation on regulatory model • Simplifying and strengthening model: • Inspecting services more often – once a year • More targeted inspections • Continued risk-based regulation and focus on outcomes • Continued scheduled, responsive and themed inspections • Continued unannounced inspections

  8. Consultation on regulatory model (ii) • Significant changes we would like your views about: • Judgements: compliant or non-compliant • Consider impact on people after judgement of non-compliance • Regulatory response based on significance of non-compliance and impact on people • More transparent enforcement process • Compliance report to refer to warning notice for non-compliance where appropriate Consultation closes on 9 December

  9. Sharing information on the quality of residential care From autumn, the CQC website will provide improved, accessible, useful, up-to-date information for the public, including: • a summary of CQC’s judgement of compliance with essential standards and a provider’s compliance history • an update on improvements against compliance conditions or CQC’s recommendations • information from people who have used the service • improved ways to support the public, and staff working within services, to tell us about their experiences

  10. How the new website 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 10

  11. Dilnot Commission recommendations • Capping the lifetime contribution to adult social care costs that any individual needs to make • Means-tested support should continue for those of lower means and the asset threshold for those in residential care increased from £23,250 to £100,000 • Better information and advice • A new national assessment system • Portable assessments • Advice and information for carers as well as improved carers’ assessments

  12. Thank you • Care Quality Commission • www.cqc.org.uk • Tel: 03000 616161

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