Transcript Slide 1

The emerging regulatory model
Alan Rosenbach, Head of Strategy and Innovation
SSRG Annual Workshop, 21 April 2009
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
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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 2008
CQC a legal entity. Publish HCAI and
enforcement policy for consultation
December 2008
Publish consultation on assessments in
2009/10
Jan-Feb 2009
Registration process for HCAI (NHS
Trusts only)
April 2009
Registration and enforcement for HCAI
(NHS Trusts only)
April 2010
Full registration system (all providers)
April 2011 (planned)
Registration of Primary Care providers
Contact
[email protected]
www.cqc.org.uk