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Learn about CQC's approach to assessing outcomes and how it applies to technology in care. Join the discussion on future challenges and working together to ensure technology supports high-quality care.
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Technology and regulation Dave James Head of Adult Social Care Policy, Care Quality Commission 2
Purpose of this session • To describe CQC’s approach to assessing outcomes and how this applies to technology in care • To prompt a discussion on our approach, future challenges and how we can all work together to ensure technology can be used to underpin high quality care
A quick show of hands • Do you think CQC is a barrier to technological innovation in adult social care?
Our purpose and role • We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve • Register • Monitor and inspect • Use legal powers • Speak independently • Encourage improvement • People have a right to expect safe, good care from their health and social care services
Ambition for social care: The Mum Test (or Anyone You Love test) Is it responsive to people’s needs? • Is it good enough for my Mum? Is it effective? Is it safe? Is it well-led? Is it caring?
Ratings based on outcomes OutstandingThe service is performing exceptionally well. GoodThe service is performing well and above minimum legal requirements. Requires improvementThe service isn't performing and may be in breach of legal requirements. InadequateThe service is performing badly, is in breach and we've taken action.
Technology in care • Technology is changing how care is provided & the benefits can be significant – technology can; • give people more control over their health, safety and wellbeing • Increase independence, decrease isolation • link to services which are important to people • enhance the effectiveness of care or treatment • help people communicate with families, professionals and staff • help staff to prioritise and focus their attention on people who need it most • capture and compare data, and share good practice with peers. • But technology and other innovations should never come at the expense of high-quality, person-centred care - the interests of the person using the service must be at the heart of any decision to use technology
Technology in care • Some questions that will help you prepare if you’re thinking about using technology to deliver care – CQC will want to know the answers too! • Involving people • Who will the technology affect and how? • How will you involve them in your plans? • What do they need to know to make an informed choice? Do they fully understand the implications of the new technology? • How have you involved your staff? What information and training do they need so they can be confident and competent? • Clarity of ambition • What outcome do you want to achieve? How will you measure it? • Safety and legal considerations • What are the practical and legal issues you need to think about before you introduce new technology? • What are the risks and how will you manage them, particularly during transition & early implementation? How will you keep people safe?
Closing thoughts • Risk that sole focus on outcomes might not always be enough – e.g. AI making clinical decisions • How we do assess the safety of the algorithms? • What is our role and what is the role of other agencies? • How do we stay on top of current developments? • Need to continue to engage and learn, asking; • “Is it new?” • “How does it affect quality?” • “Does it affect CQC’s methodology or scope of regulation?” • Answers will determine whether CQC will apply ‘Regulatory Sandboxing’ where implementation of technology can be tested against the regulations in a controlled way, to ensure that regulation achieves the best outcome for people using services. • See https://www.cqc.org.uk/guidance-providers/all-services/technology-care for more info
A quick show of hands • Do you think CQC is a barrier to technological innovation in adult social care?
