Care Quality Commission

3. Care Quality Commission • the Government's independent regulator of health and adult social care services. • Health and Social Care Act 2008 • a new, single registration system that applies to all health care and adult social care services: • Hospitals • Dentists • Care homes • Care service providers • GPs (w.e.f April 2013) • If a provider carries out a ‘regulated activity’ as defined by the Act they are required to register. • Essential standards of quality and safety that apply across the health care and adult social care sector.

4. DCS - Doctors consultation services • These services involve doctors working in premises, or a room, designated for medical consultation. • Often the doctor will complete medical consultations, including physical examination and simple physiological measurement (such as blood pressure tests). • They will discuss diagnosis and treatment options and may prescribe medicines for the person to take at home. • There may be other healthcare professionals, for example nurses, supporting the work of the doctor.

5. DTS - Doctors treatment services • These services involve doctors working in premises, or a room, designated for minor medical treatments as well as medical consultation. • Often the doctor will complete medical consultations, including physical examination and simple physiological measurement (such as blood pressure tests). • They will discuss diagnosis and treatment options and may prescribe medicines for the person to take at home. • They will also undertake minor invasive investigations or procedures, such as conscious endoscopy, in a treatment room designed for this purpose. • There may be other healthcare professionals, for example nurses, supporting the work of the doctor.

6. Focus is on the outcomes of care • Not so much on the policies, systems and processes • CQC will focus on standards which influence the outcomes patients' should experience.

7. 16 essential standards (+ 12) There are 16 core essential standards of quality and safety, plus 12 non-core standards re. other legal requirements, covering 19 separate regulations, all of which come under six main areas of care: • Involvement and information • Personalised care, treatment and support • Safeguarding and safety • Suitability of staffing • Quality and management • Suitability of management.

8. Involvement and information • Outcome 1: Respecting and involving people who use services • Outcome 2: Consent to care and treatment • Outcome 3: Fees

9. Personalised care, treatment and support • Outcome 4: Care and welfare of people who use services • Outcome 5: Meeting nutritional needs • Outcome 6: Cooperating with other providers

10. Safeguarding and safety • Outcome 7: Safeguarding people who use services from abuse • Outcome 8: Cleanliness and infection control • Outcome 9: Management of medicines • Outcome 10: Safety and suitability of premises • Outcome 11: Safety, availability and suitability of equipment

11. Suitability of staffing • Outcome 12: Requirements relating to workers • Outcome 13: Staffing • Outcome 14: Supporting workers

12. Quality and management • Outcome 15: Statement of purpose • Outcome 16: Assessing and monitoring the quality of service provision • Outcome 17: Complaints • Outcome 18: Notification of death of a person who uses services • Outcome 19: Notification of death or unauthorised absence of a person who is detained • or liable to be detained under the Mental Health Act 1983 • Outcome 20: Notification of other incidents • Outcome 21: Records

13. Suitability of management • Outcome 22: Requirements where the service provider is an individual or partnership • Outcome 23: Requirement where the service provider is a body other than a partnership • Outcome 24: Requirements relating to registered managers • Outcome 25: Registered person: training • Outcome 26: Financial position • Outcome 27: Notifications – notice of absence • Outcome 28: Notifications – notice of changes

14. How the CQC will check that GP Practices are meeting the essential standards • using information provided by practices as well as existing information from a variety of sources: • patients – own website, NHS choices, Patient Opinion, Local Involvement Networks (LINks)/local Healthwatch. • information shared by other bodies – such as the police, the GMC or local commissioners. • information from the Quality and Outcomes Framework (QOF). • Planned inspections – an inspector will visit GP premises. • Inspections triggered by concerns. • Follow-up inspections – these check that requested improvements have been made

15. GP Partnerships • Where an activity is provided by a partnership, all partners must be included in the registration. • If an existing partner leaves or a new partner joins, this creates a new partnership, which is a new legal entity requiring a new registration.

16. GP Partnerships • Registered manager • of good character • physically and mentally able to perform their role • has the necessary qualifications, skills and experience to manage the regulated activity. • Nominated individual • Main point of contact with CQC – probably Practice Manager

17. CQC registration timetable • Feb 2012 – plan for registration • July 2012 - On-line registration begins • Sept 2012 – April 2013 – submissions within 28 day windows • April 2013 onwards - CQC monitoring of standards will begin. Currently expect inspections once every two years