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The emerging regulatory model
SSRG Annual Workshop, 21 April 2009
Alan Rosenbach, Head of Strategy and Innovation
Making care better
What is CQC?
• Independent regulator of all health and adult social care - public, private or voluntary
• Integrates the work of 3 former Commissions:
The difference we make
• Build on the best work of the former Commissions
• A complete picture of health and social care services and how they’re working together
• Common quality standards for the first time – fairer, more transparent, easier to compare one provider with another
Our vision
• High quality health and social care which:
• supports people to live healthy and independent lives
• helps people to make informed decisions about care
• Responds to individual needs
Our definition of high quality care
• safe
• outcomes - people get the right treatment they need and are well cared for
• a good experience
• promotes healthy independent living
• available when needed
• good value for money
Our aim
•To make sure better health and adult social care is provided for everyone
Our work
• Make judgements about the quality of care based on evidence
• Intervene in response to the judgement OR
• Make our judgements available to public, providers, commissioners
What we judge
• Local Authorities and Primary Care Trusts who arrange services for their communities
• Organisations providing care
• Services and pathways of care
• The protection of the rights of people detained under the Mental Health Act
How we get there
• Promote and protect the rights and interests of people who use services
• Ensure essential common quality standards • Ensure health and adult social care services
work together better• Promote improvement across all services,
including commissioning• Be independent and produce high quality
information• Work together with commissioners, providers
and people who use services
Our evidence
• What people using services, carers and the public tell us (individual feedback, national surveys)
• Information used in managing health and social care services
• Information from other organisations, e.g. regulators
• Information from inspection and investigation
Our activities
• New registration system (HCAI from April ‘09, wider system from April ’10)
• Wider range of enforcement powers – tough, fair, proportionate
• Periodic review• Special review• Comprehensive Area Assessments• Protect rights of people held under Mental
Health Act• Influence policy
Our registration system
• Central plank of our regulation of health and adult social care
• Essential standards of quality• Means providers are building a firm foundation
to deliver care• Guidance on compliance shows how to get
there• Tailored for different services• NHS providers registered for HCAI from April
2009• All health and social care providers from April
2010
Our enforcement powers
• Enforcement – A new, wider range of powers– Includes fines, public warnings, specific
conditions attached to registration, closure of a service, e.g. hospital ward, deregistration if necessary (last resort)
– Aim is to bring about improvements in services
– 2009-10 applies to HCAI registration only– 2010 applies to all health and adult social
care providers
Our reviews
• Periodic review– Provides information on the performance or
organisations providing care and those commissioning publicly funded care
• Special reviews– Provide information on particular services,
pathways of care or themes where there are particular concerns about quality
Our role in Comprehensive Area Assessment
• We provide information about the performance of regional areas in improving health and and adult social care
• Our information is put alongside information from other regulators to give an overall regional picture
• Helps improve understanding of what needs to be done to tackle inequalities
Our protection of the rights of detained people
• Se protect the rights of people detained under the Mental Health Act
• We supplement the monitoring of the Mental Health Act by checking that essential quality standards are being met for people
• We use our powers of enforcement to take action where mental health services are failing people
Our policy and influencing work
• We use our knowledge and experience of health and adult social care to inform government policy and local approaches to care
• We make sure that the voices of people who use services are heard
Our information
• Independent
• Fair
• Accurate
• Easy to get hold of
• Can be trusted
• Helps people to judge the quality of their local health and adult social care services
• Helps providers to compare their performance with others
Our work and human rights
• Human rights are at the heart of our work
• We promote and protect the rights and interests of all who use services
• Our guidance on how providers should meet common essential quality standards means we can act against providers who fail to protect human rights
Our public involvement
• Governance
• Engagement programmes– designing how we work– inspection and review– deciding what we focus on
• Looking at how the system involves people
CQC throughout England
• Nine regions matching Government Office / SHA boundaries
• 150 local areas matching PCT and Local Authority boundaries
CQC Timeline
Date Event
July 2008 Health and Social Care Act 2008 passed
October 2008CQC a legal entity. Publish HCAI and enforcement policy for consultation
December 2008Publish consultation on assessments in
2009/10
Jan-Feb 2009Registration process for HCAI (NHS
Trusts only)
April 2009Registration and enforcement for HCAI
(NHS Trusts only)
April 2010 Full registration system (all providers)
April 2011 (planned) Registration of Primary Care providers
