The emerging regulatory model

1. The emerging regulatory model Alan Rosenbach, Head of Strategy and Innovation SSRG Annual Workshop, 21 April 2009

2. Making care better

3. What is CQC? • Independent regulator of all health and adult social care - public, private or voluntary • Integrates the work of 3 former Commissions:

4. 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

5. 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

6. 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

7. Our aim • To make sure better health and adult social care is provided for everyone

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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

15. 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

16. 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

17. 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

18. 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

19. 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

20. 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

21. 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

22. CQC throughout England • Nine regions matching Government Office / SHA boundaries • 150 local areas matching PCT and Local Authority boundaries

23. CQC Timeline

24. Contact alan.rosenbach@cqc.org.uk www.cqc.org.uk