Plans, priorities and delivery Keynote Care England: 14 November 2018 Summary   Care England’s annual conference is themed around ‘Logging On - Using data & technology’. The Care England 2018 conference, ‘Logging on’, will focus on the intelligent use of data and technology in the care sector and the ways in which it can further enhance the quality of care.   Andrea will attend the dinner the night before and therefore will receive a copy of your final speech. Ian will be speaking on ‘Plan’s, Priorities and Delivery’ which will include an overview of our work to date with State of Care but also a mention of our ‘use of technology in care’ blog which will be launching on the day of Ian’s speech. There will be around 250 people in the room Those people will be CEO’s, directors, senior management and sector trade press Ian will have 25 mins overall, so therefore we’ll keep the speech to 15 mins with 10 mins Q&A The audience are keen to hear how we will support tech and innovation Care England are particularly pleased that we will be launching our ‘Technology in Care’ series on our website Technology in Care will be an ongoing series with additional material being continually added Ian Trenholm, Chief Executive Care England 14 November 2018 1 1

Our purpose The Care Quality Commission is the independent regulator of health and adult social care in England. We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve. CQC has been on a journey over the last few years, establishing itself as a well-respected, credible and independent organisation. We have been willing to use that independent voice to highlight the quality of health and social care in England. Last month we published our latest State of Care report, which I’ll go on to talk about a little later, few would argue with the impact the report makes both inside and outside of Parliament Few would now argue with the need for regulation CQC is driven by it’s purpose; this purpose here. Our job is to ‘make sure health and social care services provide people with safe, effective, compassionate, high quality care and we encourage care services to improve’. My role as the new Chief Executive is to build on that strong base and take the organisation to the next stage of that journey. Strategy Slides - 24 May 2016 - MASTER

91% 70% 60% The overall picture of quality The quality of care across England has largely been maintained despite the challenges of workforce, demand and funding NHS acute hospital core services 60% good NHS mental health core services 70% good GP practices 91% good Adult social care services 79% good What do we know now? The overall picture of quality is mostly good. Most people are still getting good care and no there has been no overall deterioration in quality, when they can access it. This is despite challenges on workforce, demand and funding. The overall quality of care in the major health and care sectors has improved slightly (figure 1.5). As at 31 July 2018: 60% of NHS acute core services were rated as good, compared with 55% as at 31 July 2017 91% of GP practices were rated as good, compared with 89% as at 31 July 2017 70% of NHS mental health core services were rated as good, compared with 68% 31 July 2017 79% of adult social care services were rated as good, compared with 78% 31 July 2017 There were also small increases in the proportion of GP practices, adult social care services and NHS mental health core services rated as outstanding. Source: State of Care 2017/18 dated 11 October 2018. Data 31 July 2018

Care depends on where you live Good individual organisations What have we found? Care depends on where you live Good individual organisations Aligning incentives People’s experiences are not just about quality. Regionally, there has been greater variation in care across the country. This has led to good care being increasingly dependent on where people live and how well local systems work together.. It cannot be right that people’s care depends on where they live or the type of support they need. It cannot be an ‘integration lottery’. In our review of local health and care systems, we found that in too many cases, ineffective co-ordination of services was leading to fragmented care. Funding, commissioning, regulation and performance management all conspired to encourage a focus on individual organisational performance, rather than ensuring people got joined-up care based on their individual needs. Without incentives that drive leaders together, rather than push them apart, individual providers will increasingly struggle to cope with demand – with quality suffering as a result. We can only change the way services work together, by changing the way services are funded. 4 Source: State of Care 2017/18 dated 11 October 2018. Data 31 July 2018

There is a choice to make You can carry on doing the things you did before.. Versus Work together, collaborate – and choose to work together You can carry on doing the things you did before.. But the NHS has a mechanism for improvement, ASC doesn’t and therefore needs to make it happen We know that thinking beyond individual providers and being proactive equals better systems for people What the government has learnt is that when people come together, we are much more likely to get better value and more effective care for all The alternative then is – Choosing to work together Choosing to think outside the box Choosing to innovate beyond those boundaries Choosing to collaborate Choosing good system working to drive improvement… for people using services

Social care green paper is your opportunity What choice do you want to make? That brings me onto the social care green paper, out hopefully by the end of this year Knowing what we know from State of Care this year, and the volatility in quality and the market itself which still remains fragile.. What choice do you want to make? My challenge to you is that you need to work together as a collaborative group The solutions to this are not just about money Solutions are beyond money The solutions is about coordination You have a role in this If we want not only a green paper, but as white paper – we need to make this work 6

Our support for you - we want to make sure tech happens, together Our driving improvement series of work Our support for you: We want to become a 21st century regulator (we want to walk alongside you to ensure that tech happens – that you’re able to make the switch) Driving improvement series of work which is a series of providers talking to us and sharing their improvement story to inspire other providers Our beyond barriers work with the local system reviews, which has allowed us to delve deep into how a system responds to a older person and our technology in care series which launches today… The first topics have published are: Using surveillance in your care service This is a refresh of our 2014 information on surveillance in light of new data security regulations. Check the way you handle personal information meets the right standards This helps care providers understand the national standards their information systems must meet. It also signposts them to the Data Security and Protection Toolkit, which helps them measure how they comply. Find out if you need consent to use technology as part of someone's care This looks at the different types of consent providers might need to obtain from people in their care. There’s more to come so please do subscribe Lessons from our local system reviews 7

Thank you and questions? Visit our exhibition stand to carry on the conversation and pick up copies of the latest publications. You can find us at stand 20. www.cqc.org.uk enquiries@cqc.org.uk @CareQualityComm 8