registration linda hutchinson director of registration provider advisory group, 10 december 2009
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Registration Linda Hutchinson Director of Registration Provider Advisory Group, 10 December 2009. Objective - at all points of care. People experience services that meet essential standards of quality, protect their safety and respect their dignity and rights. Adult social care. NHS. - PowerPoint PPT PresentationTRANSCRIPT
Registration
Linda HutchinsonDirector of Registration
Provider Advisory Group, 10 December 2009
Objective - at all points of care
People experience services that meet essential standards of quality, protect their safety and respect their dignity and rights.
Registration
Single system of registration
Single set of standards
Strengthened and extended enforcement powers
1
2
3
Adult social care
NHS
Independent healthcare
Registration timeline(subject to legislation)
NHS trustsApril2010
Adult social care and independent healthcare providers (CSA)
Oct2010
Primary medical services (GP practices)
April2011
Dental practices and private ambulance services
April2012
The difference registration will make
All health and adult social care providers are meeting a wide range of essential standards of quality and safety
Standards are focused on what is needed to make sure people who use services have a positive experience - a direct result of what people said they wanted
A single regulatory framework across health and adult social care; people get safe and quality care no matter which part of the care system they experience and where
Benefits of registration
Earlier identification and swifter action to follow up concerns to remove poor practice
Reduction of unnecessary costs associated with regulation, releasing resources for other priorities
Services will be known to be providing essential standards of quality and safety; provider’s reputation benefits from increased compliance
A more efficient, speedy and user-friendly process, fewer appeals and tribunals
Managers, care professionals and clinicians will be able to compare their own performance; public and people using services will have clear, accessible and relevant information
Less regulation of process, more regulation of outcomes, will give providers and clinicians more scope for innovation for improvement and quality
CQC’s guidance about compliance
Our focus: The regulations mapped to 6 outcome headings:
Section 1: Involvement and information
Section 2: Personalised care, treatment and support
Section 3: Safeguarding and safety
Section 4: Suitability of staffing
Section 5: Quality and management
Section 6: Suitability of management
People focussed
Outcome based
Plain English
Registration: the cycle
Application made
Judgement made
Information capture
Judgement on risk
Regulatory response
Regulatory judgement
Information analysis
Application assessed
Completing
registration
Ongoing monitoring
of compliance
Judgement published
Applying for registration: what providers will need to do (NHS)
1 Prepare to applyIn December:
• We will invite you to obtain your application log-in and password
• You will need to complete your pre-registration form;.
• In the pre-registration form, you will need to:
decide who will complete your trust’s application form
tell us the ‘locations’ within your trust
2 Apply for registrationIn January:
• Submit your online application between 4 and 29 January 2010
details about providers and locations
declaration of compliance at each location
Applying for registration: what CQC will do
3 Assess applications• Screen for completeness and absence of confidential information
• Cross check declaration of compliance with other available information
• Request or seek further information if there is a risk of non-compliance
4 Make judgement• Using guidance, Judgement Framework and Setting the Bar to decide to:
register or register with conditions or refuse registration
• Notify trust of decision and give information about right to make representations and appeals
• Issue certificate
• Publish register
How we monitor compliance
We will hold a profile on each provider summarising all relevant information
As new information arrives, it will be added to the profile and inspectors will be alerted and will take action proportionate to the risk.
Information capture
People who use services, families
and carers
Other regulatory bodies and Information
Centre
Other bodies eg. Ombudsman,
commissioners
Providers through notifications and
other
Staff and other professionals
CQC Inspectors
New information can come from a variety of sources:
Information capture
People who use services, families
and carers
Other regulatory bodies and Information
Centre
Other bodies eg. Ombudsman,
commissioners
Providers through notifications and
other
Staff and other professionals
CQC Inspectors
• Third party voice – eg. LINKs
• Surveys health social care other people’s
• Direct voices from visits
• Individual voices from web
Active voice
Information capture
People who use services, families
and carers
Other regulatory bodies and Information
Centre
Other bodies eg. Ombudsman,
commissioners
Providers through notifications and
other
Staff and other professionals
CQC Inspectors
• Memorandum of understanding
• Information feeds
• Active discussions currently:NPSAMonitorADASSNHSLA
Working with others
Information capture
People who use services, families
and carers
Other regulatory bodies and Information
Centre
Other bodies eg. Ombudsman,
commissioners
Providers through notifications and
other
Staff and other professionals
CQC Inspectors
• Notifications
• Requests for further information
• Provider compliance assessments
• Quality accounts and other information in public domain
Providers
Information capture
People who use services, families
and carers
Other regulatory bodies and Information
Centre
Other bodies eg. Ombudsman,
commissioners
Providers through notifications and
other
Staff and other professionals
CQC Inspectors
• Staff surveys
• Direct voices from visits
• Individual voices from web?
Staff
Information capture
People who use services, families
and carers
Other regulatory bodies and Information
Centre
Other bodies eg. Ombudsman,
commissioners
Providers through notifications and
other
Staff and other professionals
CQC Inspectors
• Local relationships and knowledge
• Direct from people using services, families and carers
• Site visitsunannouncedplannedRandom
• Inspectors will review every profile against all quality and safety regulations at intervals determined by risk (inherent, situational, absence of data)
• These planned reviews of compliance may be as frequent as 3 monthly and will not be longer than 2 years
• Planned reviews may include site visits
CQC inspectors
Monitoring ongoing compliance
Judgement on riskUsing the Guidance about Compliance and
Judgement Framework:No concernMinor concernModerate concernMajor concern
Follow up enquiries will be targeted
Regulatory responseUsing the Setting the Bar framework:
• Translates minor, moderate or major concerns into regulatory action
• Takes account of the provider’s capacity to improve
• Action will be proportionate
Regulatory Judgement
Maintain registration
Improvement actions:
Improvement letter
Enforcement actions:
Statutory warning notice
Imposition or variation of conditions
Fines
Prosecution
Suspension of registration
Cancellation of registration
Objective - at all points of care
People experience services that meet essential standards of quality, protect their safety and respect their dignity and rights.