16 / 03 / 2016
NHS Confederation members are generally positive about the proposed direction of travel of the CQC's strategy, but have raised a number of significant challenges and concerns.
Our response says:
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- It is clear that significant efficiencies could be delivered through improved alignment across the national bodies and we welcome the regulator's acknowledgement of this in the consultation document.
- Our Mental Health Network continues to express concern that the new approach to regulation and inspection still feels more appropriate to the acute sector and calls for mental health expertise within the CQC to be enhanced.
- The CQC's most recent State of care report rightly highlighted how important strong leadership, effective staff engagement and cross-sector collaboration are to quality improvement.
- A more effective approach to data analysis is at the heart of a robust risk-based inspection model. There is clear potential for efficiencies around harmonisation of central data collections and use of information.
- The board of every provider is ultimately accountable for ensuring delivery of quality care and improvements.
- An appropriately designed 'shared view of quality' has the potential to both reduce the regulatory burden on providers and enable frontline staff to feel more engaged in the process.
- We have long endorsed a lighter-touch approach to regulation and inspection for providers that have demonstrated sustained high performance, while also recognising the need for a sliding scale of more active intervention for challenged organisations.
- Our members continue to express concern that the current inspection approach casts judgement on issues outside of their control. We advocate that regulation should evolve into an approach that adopts a broader perspective on health and care across a local area.