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The new inspection and regulation landscape

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The new inspection and regulation landscape

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    1. The new inspection and regulation landscape National Young Persons Substance Misuse Treatment Forum Peter Burkinshaw, National Programme Lead, Standards & Inspection

    2. Overview Introduction to the inspectorates The Care Quality Commission & Ofsted Comprehensive Area Assessment Registration Consultation and Q&A

    3. The inspectorate methodologies

    4. The inspectorates and the sector

    5. CQC

    6. CQC- regulatory toolbox Registration system Enforcement action Assessment and review So what are the tools at CQCs disposal for realising its aims and bringing this improvement about? They can be broadly explained under five headings: - The New registration system, Taking enforcement action when things go seriously wrong Assessments and reviews of providers, commissioners, and services or pathways, Providing accessible information for people who use services, for the public, and for the system And using what we know what were finding out about the system to influence policy debates, both about health and social care and about social policy more widely. Ill now go on to say a little more about each of these. So what are the tools at CQCs disposal for realising its aims and bringing this improvement about? They can be broadly explained under five headings: - The New registration system, Taking enforcement action when things go seriously wrong Assessments and reviews of providers, commissioners, and services or pathways, Providing accessible information for people who use services, for the public, and for the system And using what we know what were finding out about the system to influence policy debates, both about health and social care and about social policy more widely. Ill now go on to say a little more about each of these.

    7. Contact For more information, visit the website: www.cqc.org.uk You can find out more about what we do and keep up to date with our latest news by visiting our website, www.cqc.org.ukYou can find out more about what we do and keep up to date with our latest news by visiting our website, www.cqc.org.uk

    8. The new Ofsted the Office for Standards in Education, Children's Services and Skills Came into being on 1 April 2007 To: inspect and regulate care for children and young people, and inspect education and training for learners of all ages. You can find out more about what we do and keep up to date with our latest news by visiting our website, www.cqc.org.ukYou can find out more about what we do and keep up to date with our latest news by visiting our website, www.cqc.org.uk

    9. Key inspection and assessment methods: Annual Performance Assessment (APA) Joint Area Review (JAR) Enhanced Youth Inspection (EYI) TellUs Survey - focussed on Every Child Matters outcomes Inspection & regulation of Young Peoples Social Care Providers You can find out more about what we do and keep up to date with our latest news by visiting our website, www.cqc.org.ukYou can find out more about what we do and keep up to date with our latest news by visiting our website, www.cqc.org.uk

    10. & Substance Misuse APA indicators: Substance misuse related admissions to hospital: ages under 20 Substance misuse: the proportion of young people with identified substance misuse needs who receive specialist assessment within five working days and, following the assessment, access the early intervention and treatment services they require within 10 working days Proportion of those in substance misuse treatment who are aged under 18 NI 115- Substance misuse by young people The percentage of young people reporting either frequent misuse of drugs/volatile substances or alcohol, or both. (Tellus2) You can find out more about what we do and keep up to date with our latest news by visiting our website, www.cqc.org.ukYou can find out more about what we do and keep up to date with our latest news by visiting our website, www.cqc.org.uk

    11. The future regulation landscape- CAA Comprehensive area assessment First reports: Autumn 2009 The latest iteration of the Audit Commissions function: an evolution of its Comprehensive Performance Assessment main business of the Audit Commission Audit Commission appointing 40 CAA leads Based on intelligence of all 6 inspectorates CAA will also replace Ofsteds Annual Performance Assessment and Joint Area Review.

    12. The future regulation landscape- CAA Intended to be: an innovative way of drawing together information to show how well residents are being served by their local public services to give people a clear and impartial assessment of how successfully local organisations are working in partnership provide a lever on the partnership of organisations that commission and provide services Area Assessments Evidence file (NTA input) Award red and green tags

    13. The future regulation landscape- CAA

    14. For more information, subscribe to

    15. Registration From April 2010: Registration under the Health and Social Care Act 2008. Key function of CQC Registration flows from activity rather than type of provider. 18 registration requirements across both health and social care. Risk based and proportionate Fees for registration- sliding scale based on size capacity and charitable status

    16. Registration- time line Consultation on scope last summer. Consultation response released yesterday and consultation on requirements and wording of scope launched Consultation on Registration Guidance has commenced. April 2010- Registration commences

    17. Registration It will cover: NHS Trusts and services providing the 14 regulated activities Services previously registered under the Care Standards Act 2000 Same for Childrens services and adult healthcare Childrens social care will remain with Ofsted

    18. Registration + substance misuse Tier 4 accommodation together with intensive treatment.for people recovering from addiction. Treatment of disease, disorder or injury The definition covers care or treatment for a mental disorder, by or in a multidisciplinary team containing any of the healthcare professionals listed in paragraph A.103. This includes counselling and psychotherapy services, where carried out by those professionals. The term mental disorder is defined to mean any disorder or disability of the mind, including dependence on alcohol or drugs.

    19. Registration + substance misuse cont The policy is to not include services that are not carried out by or in a multidisciplinary team containing healthcare professionals as set out in paragraph A.103. .. ..except some counselling and psychotherapy services, and social worker or psychologist services that are not provided within multidisciplinary teams.

    20. Registration + substance misuse under review refining definitions for community based (non-residential) drug and alcohol services, where we have identified the risk and think that system regulation can address them.. Therefore more may come into the scope ( in 2011?) Counselling and psychotherapy: ..some areas are relatively risky and should be within the scope of registration.. but some found to have less inherent risk, with little to be gained from system regulation. ..lack of clarity and difficult to distinguish between the range of counselling and psychotherapy services.

    21. 18 requirements- here are the 10 highlights Care and welfare of service users Assessing and monitoring the quality of provision Safeguarding vulnerable service users Respecting and involving service users Records Competence and suitability of workers Effective management of workers Cooperating with other providers Provision of information Financial position

    22. Have your say @ http://www.dh.gov.uk/en/consultations/liveconsultations/dh_096991 Until the 29 May 2009

    23. The future regulation landscape- transitional phase End of three year programme of joint Healthcare Commission and NTA reviews Possible substance misuse topic based reviews will fit into the new landscape The NTA S&I Team about to enter into a phase of review and reconfiguration

    24. What do want for the future? What would you like to see registration achieve? If there is a topic based review of substance misuse in the future, what would you like it to address?

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