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


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


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

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.

NHS acute hospitals report

The Care Quality Commission has published The state of care in NHS acute hospitals: 2014 to 2016: findings from the end of CQC’s programme of NHS acute comprehensive inspections.


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

The report has been derived from three years’ worth of CHC inspections into the quality of care being provided by NHS acute hospitals. It finds that most hospitals are delivering good quality care and looking after patients well, however, some trusts have blind spots about the quality of care they are delivering in a particular core service, even in some trusts rated good overall.

Related: CQC right to say care is at risk due to unprecedented pressure on hospitals | NHS Providers

A review of the way NHS trusts review and investigate the deaths of patients in England

A year after a review commissioned by NHS England uncovered failings at Southern Health Foundation Trust, the CQC look at how acute, community and mental health trusts across the country investigate and learn from deaths of people who have been in their care.


Image source: CQC

The report focused on five key areas:

  1. Involvement of families and carers
  2. Identification and reporting
  3. Decision to review or investigate
  4. Reviews and investigations
  5. Governance and learning

Read the full overview here

Read the full report here

The State of health care and adult social care

The Care Quality Commission (CQC) has published The state of health care and adult social care in England 2015/16.

This annual report provides an overview of health and social care in England looking at trends, highlighting examples of good and outstanding care, and identifying factors that maintain high-quality care.

It finds that most services provide people with good care, but variation exists. Some care services are closing, increasing pressure on other services including GPs and hospitals.  The report highlights that the sustainability of the adult social care market is approaching a tipping point.

Additional links:  CQC press release | Health Foundation