New NHS inspection approach

Report
Future regulation
of NHS
commissioned
services postFrancis
Ann Farenden
14th October 2013
1
Our purpose and role
Our purpose
We make sure health and social care services
provide people with safe, effective, compassionate,
high-quality care and we encourage care services
to improve
Our role
We monitor, inspect and regulate services to make
sure they meet fundamental standards of quality
and safety and we publish what we find, including
performance ratings to help people choose care
We will be strong, independent, expert inspectorate that is always on
the side of people who use services
2
Asking the right questions about
quality and safety
Is the care:
Safe?
Effective?
Caring?
Responsive to
people’s needs?
Well-led?
3
Our new approach
Surveillance
4
Registration
A more rigorous test to
deliver safe, effective,
compassionate, highquality care
Legally binding
Named leaders held
accountable
5
Surveillance
Continuous monitoring to
identify failures and risk of
failure
“Smoke alarms”
Use local and national
information sources
Use qualitative information
from people
Surveillance
6
Expert inspections
Chief Inspectors of Hospitals,
Social Care, and General Practice
Expert inspection teams
Longer inspections, more time
talking to people
Intelligence used to decide when,
where and what to inspect
Inspectors using professional
judgement
7
Clear standards
Three levels:
Fundamentals of care
Expected standards of
care
High-quality care.
By law services must meet
fundamentals of care and
expected standards
8
Ratings
Ratings to help people choose
between services and to
encourage improvement
Ratings for providers, and for
separate services as well?
Ratings for each question?
o
o
o
o
o
Safe
Effective
Caring
Responsive to people’s needs
Well-led
9
Timeline
Sep
2013
Oct
2013
Dec
2013
Apr
2014
Start
inspections
of acute
hospitals
under new
approach
Department
of Health
consultation
on amends to
regulations
CQC
consultation
focusing on
changes to
the acute
hospital
model
New
regulations
and
registration
requirements
become law
Dec 2015
-- 2014/15 -- -- 2015/16 -Changes to
inspections
of adult social
care, and
mental health
and learning
disability
services.
Includes
ratings
Changes to
inspections
of community
healthcare
and
ambulance
trusts.
Includes
ratings
10
Inspections of
acute hospitals
11
Inspection teams
National and local inspection teams led by Chief
Inspector of Hospitals, Professor Sir Mike
Richards
Will include clinical and other experts, and trained
members of the public
Teams will be larger than they are now
12
Focus of inspections
Is the care safe, effective, caring, responsive to
people’s needs and well-led?
Inspections will look at eight key service areas
and others if necessary
Will use new surveillance indicators
After the inspections we will hold Quality
Summits with local partners to discuss inspection
findings/improvement action needed
13
Listening events
Will be held at the beginning of each inspection
Local people invited to share their
views/experiences of their hospital with the
inspection panel
14
Get involved
Find out more at www.cqc.org.uk
Join our provider reference group and online
community at www.cqc.org.uk/prg
Sign-up for our e-bulletin at
www.cqc.org.uk/newsletter
15

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