1. The emerging regulatory model SSRG Annual Workshop, 21 April 2009 Alan Rosenbach, Head of Strategy and Innovation

2. Making care better

3. What is CQC? Independent regulator of all health and adult social care - public, private or voluntary Integrates the work of 3 former Commissions:

4. The difference we make Build on the best work of the former Commissions A complete picture of health and social care services and how they’re working together Common quality standards for the first time – fairer, more transparent, easier to compare one provider with another

5. Our vision High quality health and social care which: supports people to live healthy and independent lives helps people to make informed decisions about care Responds to individual needs

6. Our definition of high quality care safe outcomes - people get the right treatment they need and are well cared for a good experience promotes healthy independent living available when needed good value for money

7. Our aim To make sure better health and adult social care is provided for everyone

8. Our work Make judgements about the quality of care based on evidence Intervene in response to the judgement OR Make our judgements available to public, providers, commissioners

9. What we judge Local Authorities and Primary Care Trusts who arrange services for their communities Organisations providing care Services and pathways of care The protection of the rights of people detained under the Mental Health Act

10. How we get there Promote and protect the rights and interests of people who use services Ensure essential common quality standards Ensure health and adult social care services work together better Promote improvement across all services, including commissioning Be independent and produce high quality information Work together with commissioners, providers and people who use services

11. Our evidence What people using services, carers and the public tell us (individual feedback, national surveys) Information used in managing health and social care services Information from other organisations, e.g. regulators Information from inspection and investigation

12. Our activities New registration system (HCAI from April ‘09, wider system from April ’10) Wider range of enforcement powers – tough, fair, proportionate Periodic review Special review Comprehensive Area Assessments Protect rights of people held under Mental Health Act Influence policy

13. Our registration system Central plank of our regulation of health and adult social care Essential standards of quality Means providers are building a firm foundation to deliver care Guidance on compliance shows how to get there Tailored for different services NHS providers registered for HCAI from April 2009 All health and social care providers from April 2010

14. Our enforcement powers Enforcement –A new, wider range of powers –Includes fines, public warnings, specific conditions attached to registration, closure of a service, e.g. hospital ward, deregistration if necessary (last resort) –Aim is to bring about improvements in services –2009-10 applies to HCAI registration only –2010 applies to all health and adult social care providers

15. Our reviews Periodic review –Provides information on the performance or organisations providing care and those commissioning publicly funded care Special reviews –Provide information on particular services, pathways of care or themes where there are particular concerns about quality

16. Our role in Comprehensive Area Assessment We provide information about the performance of regional areas in improving health and and adult social care Our information is put alongside information from other regulators to give an overall regional picture Helps improve understanding of what needs to be done to tackle inequalities

17. Our protection of the rights of detained people Se protect the rights of people detained under the Mental Health Act We supplement the monitoring of the Mental Health Act by checking that essential quality standards are being met for people We use our powers of enforcement to take action where mental health services are failing people

18. Our policy and influencing work We use our knowledge and experience of health and adult social care to inform government policy and local approaches to care We make sure that the voices of people who use services are heard

19. Our information Independent Fair Accurate Easy to get hold of Can be trusted Helps people to judge the quality of their local health and adult social care services Helps providers to compare their performance with others

20. Our work and human rights Human rights are at the heart of our work We promote and protect the rights and interests of all who use services Our guidance on how providers should meet common essential quality standards means we can act against providers who fail to protect human rights

21. Our public involvement Governance Engagement programmes –designing how we work –inspection and review –deciding what we focus on Looking at how the system involves people

22. CQC throughout England Nine regions matching Government Office / SHA boundaries 150 local areas matching PCT and Local Authority boundaries

23. CQC Timeline DateEvent July 2008Health and Social Care Act 2008 passed October 2008 CQC a legal entity. Publish HCAI and enforcement policy for consultation December 2008 Publish consultation on assessments in 2009/10 Jan-Feb 2009 Registration process for HCAI (NHS Trusts only) April 2009 Registration and enforcement for HCAI (NHS Trusts only) April 2010Full registration system (all providers) April 2011 (planned)Registration of Primary Care providers

24. Contact alan.rosenbach@cqc.org.uk www.cqc.org.uk