CQC pauses some routine inspections in light of winter pressures

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.

More detail at CQC

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Care Quality Commission regulating health and social care

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.

CQC State of Care report

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

 

See also Health Foundation response to CQC State of Care Report

 

Driving improvement: case studies from eight NHS trusts

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

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The CQC has published ‘Driving improvement: case studies from eight NHS trusts’.

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 more at National Health Executive

Full report: ‘Driving improvement: case studies from eight NHS trusts’.

CQC seeking views on their next phase of regulation

The CQC is consulting on a further set of proposals which will help shape the next phase of regulation of health and social care in England.

light-bulb-1002783_1920For the next eight weeks, anyone with an interest is encouraged to have their say.

The proposals include:

  • Changes to the regulation of primary medical services such as GPs and dentists and adult social care services such as care homes and home-care services.
  • This includes the frequency and intensity of inspections and how the CQC monitor, provide and gather intelligence.
  • Improvements to the structure of registration and the definition of ‘registered providers’.
  • Further information on how the CQC will monitor, inspect and rate new models of care and large or complex providers.

Take part in the new consultation

CQC Adult inpatient survey 2016

Read the results of the latest analysis, which looks at the experiences of adult patients in hospital | CQC

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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
  • information sharing when leaving hospital
  • waiting times
  • support after leaving hospital

The full overview is available here

Impact of care quality commission

The Care Quality Commission has published Review of CQC’s impact on quality and improvement in health and social care

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Image source: http://www.cqc.org.uk/

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.