Transcript Registration

Helping to make care
better
Cynthia Bower, CEO
National Care Association Conference
11 November 2009
Our Role
We make sure people get better care
Who are we improving care for ?
People who use services, carers and families
People in more vulnerable circumstances
Public and taxpayers
Our priorities
Ensuring care
is centred on
people’s needs
Championing
joined up care
Acting swiftly to help
eliminate poor
quality care
Promoting high
quality care
Regulating
effectively in
partnership
What we will do to achieve our priorities
Registration
and ongoing
monitoring
Enforcement
Regular reviews
of performance
Special reviews
and studies
Mental Health
Act visits
Publishing
information
Operating principles
• Involve users to focus on
what is important to them
• Expertise and
independence
• Promote equality, diversity and
human rights
• Engage with those providing and
commissioning care
• Ensure regulation is proportionate,
targeted, consistent, evidencebased, transparent and accountable
2
Influencing the future of social care
We are actively contributing to the current debates on social care:
We gave written evidence to the Health Select Committee Inquiry on the
future of social care, including personalisation and more effective,
consistent and user-friendly services
We responded to the Department of Health consultation on eligibility
criteria, to achieve more fairness and consistency for people seeking
support
We contributed views to the Green Paper Shaping the Future of Care
Together consultation about the future provision, arrangement and
funding of social care, including the proposed establishment of a National
Care Service
What did we say?
Personalisation still has a long way to go – people still need to be
put first
Note the impact of the recession on quality
Funding should be fair, simple and sustainable
Support universality: information, advocacy, national assessment
Need clarity about care and support for all people, not just people
aged 65 and over
Our new registration system: standards, dignity, rights
Registration -what’s changing?
A single way of judging quality
New system
Old system
Organisations
Standards/
requirements
Enforcement
National Minimum
Standards (ASC and
PVH) - different
regulation and NMS for
each setting
Care Standards Act 2000
enforcement action limited to
statutory notices and
closures
NHS providers are not
registered
Standards for Better
Health considered as part
of annual health check
Limited enforcement powers
for NHS providers
All providers of health
and adult social care
registered with CQC
Single set of essential
standards of quality and
safety for all settings
Strengthened and extended
range of enforcement
powers for providers from all
sectors
Providers of adult
social care (ASC)
registered
Private and voluntary
healthcare (PVH)
providers registered
The difference registration will make
All health and adult social care
providers are meeting a wide range of
essential standards of quality and
safety
Standards are focused on outcomes - what
is needed to make sure people who use
services have a quality experience - a direct
result of what people said they wanted
A single regulatory framework across
health and adult social care, making it
easier to compare one provider with
another
Timeline for Adult Social Care and
Independent Healthcare
Registration timeline
Subject to legislation
January 2010
NHS trusts (incl PCT provider trusts)
apply to be registered
April 2010
NHS trusts are registered
April 2010
Adult social care (CSA-registered); Private
& Voluntary healthcare (CSA-registered)
apply to be registered
Adult social care (CSA-reg); Private &
Voluntary healthcare CSA-reg) are
registered
Private ambulance services, prison health
services, independent midwifery, dental
practices are registered
Primary medical services are registered
October 2010
April 2011
April 2012
Preparing for Registration
From December, subject to legislation
Preparing for registration – what you
can do now
• Check your own internal reporting and audit systems
• Consider what evidence you already hold and what you need to
create
• Consider evidence on outcomes
• Be aware of activities in other sectors as they come into new
registration system
We monitor compliance continuously
Prepare for
registration
Pre
application
Completing registration
Application
Received
Application
Assessed
Judgement
Made
Registration
goes live
Judgement
Published
Ongoing Monitoring of Compliance
Information
Capture
Analyse
Information
Judgement
on Risk
Regulatory
Response
Regulatory
Judgement
Quality & Risk Profile
The published Register of Providers will be accompanied by a process of Ongoing
Monitoring of Compliance. This is now in the planning stages.
CQC plans to maintain an up-to-date profile on each registered provider
New information can be uploaded to their profile at any time
Information can reach us from a number of external sources e.g.
- people who use services, their families and carers
- partner organisations such as the Ombudsman, commissioners
- statutory notifications
- staff & other professionals
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Fees
oAdequacy, Fairness, Simplicity and Evolution
oWe are now consulting on our proposed fee structure for NHS trusts
for the first year of registration
oIn early 2010 we will consult on fees for Adult Social Care and
Independent Healthcare for the period Oct 2010-March 2011
oIn late 2010 we will consult on a long term system of fees to come
into effect for all providers including all dental practices and primary
medical care
Acting swiftly
Analysing risk
Making judgements
Our assessors will regularly
review provider profiles
We will take proportionate action
They will use the guidance about
compliance to assess any risks
We will take account of the
provider’s capacity to improve and
work with the provider to achieve
this end
We will take action swiftly when
we need to
If non-compliance is more
serious, then we may take
enforcement action
Conclusion
We all share the benefits of registration that
Is more dynamic and responsive
Identifies sooner causes of concern
Protects and promotes equality, diversity and human rights
Makes use of relevant information from other organisations and
people who use services
Reduces unnecessary regulatory burdens and costs
Increases compliance
Increases credibility