1. 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

2. 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 MASTER

3. 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 %
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 Data 31 July 2018

4. 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 Data 31 July 2018

5. 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

6. 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

7. 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

8. 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.
@CareQualityComm 8