CQC responds to increased pressure on health and social care by pausing some routine inspections of NHS acute services, GP practices and urgent care services planned for January
The CQC has taken the decision to pause some routine inspections of NHS acute services, GP practices and urgent care services planned for January. This is in response to increased pressure on the health and care system as services cope with additional demand driven in part by a rise in respiratory illness and flu.
A normal inspection schedule is expected to resume in February but this will be subject to review based on close monitoring of system performance. Any inspections deferred during January will be rescheduled as soon as possible. Providers will be contacted directly about any changes to planned inspections.
Care Quality Commission regulating health and social care | The National Audit Office .
The report found that the Commission has completed its inspection and rating programme comprising more than 28,000 provider locations, which provides a benchmark of the quality of health and social care services. It has significantly reduced staff vacancies and is increasing its focus on cost savings. In addition, the Commission has improved how it measures its performance, and takes action to correct poor performance.
The report found that the Commission can secure further improvement, if it continues its current direction of travel. Its main challenge now is to develop its digital systems and capabilities to support its move to a more intelligence driven and risk based approach to regulation.
State of Care is the Care Quality Commission’s annual assessment of health and social care in England. The report looks at the trends, highlights examples of good and outstanding care, and identifies factors that maintain high-quality care.
This year’s report shows that the quality of care has been maintained despite a number of challenges. Most people are receiving good, safe care and many services that were previously rated inadequate have made the necessary changes and improved.
The CQC stress that the fact that quality has been maintained in the face of a number of challenges is testament to the hard work and dedication of staff and leaders. However, as the system continues to struggle with increasingly complex demand, access and cost, future quality is precarious.
The report makes the following points:
Health and care services are at full stretch
Care providers are under pressure and staff resilience is not inexhaustible
The quality of care across England is mostly good
Quality has improved overall, but there is too much variation and some services have deteriorated
To put people first, there must be more local collaboration and joined-up care
Reviewing the culture of NHS trusts and addressing disconnects between clinicians and managers within the organisation is key to improving care, a new CQC report has revealed. | Care Quality Commission | via National Health Executive
The document examines how a number of different trusts improved care and subsequently their CQC rating by making simple changes to how services were run.
During its study, the inspectorate found that engaging with staff and allowing for open and honest conversations was vital to making improvements to care delivery.
The CQC also discovered that successful trusts tended to make their chief executives and senior staff more visible by having them spend more time on the ‘shop floor’ – meeting staff and setting up regular channels of communication. The report also highlights the increasing challenges faced by trusts.
Read the results of the latest analysis, which looks at the experiences of adult patients in hospital | CQC
The results of the 2016 inpatient survey indicate that there have been small, but statistically significant improvements in a number of questions, compared with results dating back to the 2006, 2011 and 2015 surveys. This includes patients’ perceptions of:
the quality of communication between medical professionals (doctors and nurses) and patients
the standards of hospital cleanliness
quality of food
However, the results also indicate that the results of some questions have been less positive. This includes patients’ perceptions of:
being involved in decisions about their care and treatment
This report considers what the CQC knows about how effective it has been so far. The focus for this report is on the CQC’s main activities of registering, monitoring, inspecting and rating care services, enforcing against regulations and using their independent voice.