1. CQC matters: Regulating the safe and effective use of medicines
Sarah Billington
Head of Medicines Optimisation
October 2016 1 1

2. About CQC: 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.
Strategy Slides - 24 May MASTER

3. England’s population is 53m
Scope of CQC’s remit
Hospitals and clinics
245 NHS trusts
1,500 independents
Ambulances
10 NHS trusts
250 independents
Care homes and domiciliary care
12,500 providers
25,500 care homes
1.75 million people use adult social care
11 million NHS and 1.6 million independent inpatients
22 million dental patients per year (15m NHS, 7m private)
Primary medical services
9,000 providers
Primary dental care
8,000 providers
England’s population is 53m

4. The Medicines Team

5. Dispensing practices - summary
Around 1,100 general practices registered with us have been identified as ‘dispensing practices’*
We have so far rated around 700 of these (out of 4,800+ practices inspected and rated to 1 September 2016)
Dispensing practices have received the full range of ratings from inadequate through to outstanding, in broadly similar proportions to other practices.
* Numbers are approximate because CQC does not hold data on dispensing practice status, and the data has been matched from other sources

6. Overall ratings

7. Ratings by Key Question for dispensing and non-dispensing GPs

8. Inadequate and requires improvement: themes
Across 11 dispensing practices rated ‘inadequate’ and 52 rated ‘requires improvement’, requirement notices and enforcement have been applied covering issues such as:
Unsafe storage of medicines
Insecure storage of blank prescription forms
Lack of systems to ensure safe disposal of patient prescribed medicines
Inadequate processes for managing medicine alerts
Insufficient training for dispensary staff
Inadequate systems for assessing risk of supplying medicines to patients from external locations
Health and safety of the general dispensary environment
Failure to follow procedures in line with current guidance and legislation on storage, disposal, dispensing and administration of medicines
Failure to ensure staff administering vaccines were trained or authorised to do so

9. Ted’s talk The impact on patients of differences in services

10. Meet Ted

11. Ted’s experience of a service Requiring Improvement

12. Ted’s experience of a service Requiring Improvement

13. Ted’s experience of a service Requiring Improvement

14. Ted’s experience of a service Requiring Improvement

15. Ted’s experience of a service Requiring Improvement

16. Meet Ted

17. Ted’s experience of an Outstanding service

18. Ted’s experience of an Outstanding service

19. Ted’s experience of an Outstanding service

20. Ted’s experience of an Outstanding service

21. Ted’s experience of an Outstanding service

22. Ted’s experience of an Outstanding service
A systematic approach was taken to working with other organisations to improve care and outcomes
A comprehensive understanding of the performance of the practice was maintained

23. Helpful resources for practices
Make sure you’ve read our provider handbook, and understand the key lines of enquiry our inspectors will focus on
Read our mythbusters for tips and further guidance
Read our outstanding practice web tool kit and consider what would make care for people who use your services outstanding
Read our ‘What to expect from an inspection’ and case studies to understand what an inspection looks and feels like
Look through some ‘Examples of outstanding practice for GPs’. Visit: 23

24. What to expect from an inspection
Two weeks before we inspect
Letter will be sent unless we are responding to concerns
We’ll ask for some information in advance
Your inspector will be in touch to discuss with you what will happen on the day
We will send you a set of comment cards that your patients can complete to tell us their views before we inspect
On the day
We’ll ask you to give us a short presentation telling us what is good about your practice and the care it delivers
We want to talk to staff and patients to find out more
We’ll want to see evidence of a variety of things and we will need a room to go through this
We will follow the key questions and the key lines of enquiry 24

25. Feedback and the report
After the inspection
We’ll give you informal feedback and identify any immediate concerns straight away
We’ll write up our report and send to you for factual checking
We’ll quality assure your report by looking at it with other reports to ensure consistency of judgement
Publish the report on our website
If your report is outstanding or inadequate, we will send out a press release about it

26. Find all of the above and more at: www.cqc.org.uk/GPProvider
Find out more
Read the monthly bulletin for primary care providers
Sent to all providers and registered managers, or sign up through our website
Join our provider and public online communities
Visit our new guidance page for GP practices for GP practices
Find all of the above and more at:

27.
@CareQualityComm
Thank you 27