Devon team CQC inspectors

2 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 What we will do to achieve our priorities Public and taxpayers Focus on quality, and acting swiftly to help eliminate poor quality care Our priorities Making sure care is centred on people’s need and reflects their rights Who are we? Registration and ongoing monitoring Regular reviews of performance Enforcement Special reviews and studies Mental Health Act visits Publishing information

Why regulate? People can expect services to meet essential standards of quality, protect their safety and respect their dignity and rights, wherever care is provided, wherever they live People have a right to choice and to know that providers are held accountable

Scale of CQC regulated care Primary medical services 9,000 locations NHS Trusts 2800 locations Independent healthcare 2,500 locations Adult social care 24,000 locations Independent ambulances 350 locations Primary dental care 10,000 locations Combined outpatients and inpatients 77.4 million People using adult social care services 1.75 million Dental appointments 36.4 million

The standards Single system of registration Single set of standards Strengthened and extended enforcement powers Parliament Dept of Health Care Quality Commission (Registration) Regulations 2009 Health and Social Care Act 2008 (Regulated Activities) Regulations 2009 CQC

Registration timeline NHS trusts April 2010 Oct 2010 April 2011 April 2013 Adult social care and independent healthcare providers (CSA) Primary dental care (dental practices) and independent ambulance services Primary medical services (GP practices, walk-in centres and others) April 2012 Primary medical services (providing out of hours services)

How we gather evidence to monitor compliance Looking at outcomes, a person’s experience of the care they receive Involving people who use services in our reviews of compliance Using a wide range of sources of evidence Focusing on how care is delivered Being targeted and responsive – taking swift action to follow up concerns

CQC in a changing environment – continued We have had a critical external environment – but we are acknowledging mistakes and adapting to changing circumstances CQC was set up as a risk-based regulator – but the public and providers want regular inspection across the board We have committed to review and evaluate our model and are seeking additional funds from government

Refining our regulatory model Since April 2010 CQC have registered NHS services and providers of independent health and adult social care, against our new essential standards During this time, we have listened to challenges to our regulatory model In response, we are seeking to strengthen and simplify our regulatory model to improve how we inspect and take action Our approach will continue to be outcome-focused, responsive and risk-based but in addition to this we want to: inspect most providers more often target our inspections to focus on the relevant standards take swift regulatory action to tackle non-compliance Consultation on our proposals will begin on September 19 th 2011

CQC intend to inspect all adult social care services, independent health care services, NHS acute hospitals and ambulance trusts at least once a year – this is our scheduled inspection programme Scheduled inspections will focus on key standards; the choice of standards will depend on: The type of care provided The amount of information we hold on the provider Scheduled inspections Refining our regulatory model Simplifying the bar – compliant or non-complaint CQC will no longer issue minor, moderate or major concerns – providers will be either compliant or non-compliant

Information for those who choose services a summary of CQC’s judgement of compliance with essential standards and a provider’s compliance history an update on improvements against compliance conditions or CQC’s recommendations an alert when CQC intend to carry-out a planned or responsive review of the service information from people who have used the service From autumn, the CQC website will provide improved, accessible, useful, up-to-date information for the public, including:

12 How it will look Homepage Consumer focused Clear about what we do/can offer the public Focused on ability to look up location level reports/see major action we’re taking Information for providers and corporate information clearly signposted

13 How it will look Work in progress sketch Search results Designed to help people start to evaluate and compare different options

14 How it will look Work in progress sketch Syndication Linking to places where we know people research health and social care decisions and to providers themselves Work in progress sketch no discussions have taken place with Google yet

Hot off the press Health Select Committee findings- published 14 September 2011 Bias to registration activity Inspector vacancies Budgetary constraints Caseloads Numbers of inspections

Quality Risk Profile Reporting to other professional regulators Whistleblowing Registration Information Excellence Award Acting together- experts by experience