CQC Consultation Briefing Part 1
Part 1 of the consultation deals with the challenges to the regulatory approach raised by new models of care and further integrated services being developed as part of the Five Year Forward View and Sustainability and Transformation plans.
The delivery of these plans often involves the restructuring of services delivered by new organisational forms. Such collaborative working between providers creates challenges for CQC as the regulatory system under the Health and Social Care Act is based upon registering, inspecting, and rating a provider for the services under its control; services provided on a collaborative basis present a challenge to this system and, furthermore, the inspection and rating system tends to attribute concerns (in terms of poor inspection findings and ratings) to the providers of the services where those concerns materialise, even though the cause of those concerns may lie in shortcomings in other parts of the local health system.
It is therefore encouraging the CQC are looking at how they can adapt their regulatory system to most effectively regulate new models of care and complex providers. To date, the consultation is a very broad one on the principles CQC will apply in developing its approach to regulating the changing landscape of care provision. The details will be set out in a further consultation in the Spring.
In terms of the principles, these are, broadly, fairly general statements which one would expect of a responsible regulator. It is worth highlighting, however, that one of the principles makes it clear that CQC "will not penalise providers that have taken over poor services because they want to improve them".
The consultation also makes a few other points to bear in mind in relation to the development of new models of care as follows:
As mentioned, the consultation at this stage, is very much focused on broad principles and further details of how CQC will regulate new models of care will be forthcoming in a further consultation in the Spring. In the meantime, if you wish to discuss the implications of the regulatory framework on any developing models of care, please contact: Carlton Sadler or Vincent Buscemi
|Continue reading the CQC Consultation briefing|
|Part 1: "Regulating New Models of Care and Complex Providers"|
|Part 2: The New Assessment Framework|
|Part 3: "Registering Services for People with Learning Disabilities"|
|Part 4: Next Phase of Regulation – NHS trusts|