Response to CQC strategy consultation

Londonwide LMCs responded to the CQC’s strategy consultation before the closing deadline of 4 March 2021. Key points from the response are summarised below, group around the strategy’s four themes, and the full response can be read here.

 

1. People and communities

The CQC’s summary statement on this theme:

“We want to be an advocate for change, ensuring our regulation is driven by people’s experiences and what they expect and need from health and care services, rather than how providers want to deliver them. This means focusing on what matters to the public, and to local communities, when they access, use and move between services. Working in partnership, we have an opportunity to help build care around the person: we want to regulate to make that happen.”

Our response:

  • While we absolutely support the focus on people and their needs, the involvement of communities and the specific intention to enable the voice of marginalised, disadvantaged etc people to be heard. However the proposals are very high level and lack detail on how these principles would be implemented in day-to-day practice.
  • People’s ‘wants’ vs their ‘needs’ have to be considered in the context of financial and resource constraints GP practices are operating within. Practices and regulators also need to be mindful that certain patients or patient groups may be more vocal that others about what they perceive their wants to be. 

 

2. Smarter regulation

The CQC’s summary statement on this theme:

“We will be smarter in how we regulate. We’ll keep pace with changes in health and care, providing up-to-date, high-quality information and ratings for the public, providers and all our partners. We’ll regulate in a more dynamic and flexible way so that we can to adapt to the future changes that we can anticipate – as well as those we can’t. Smarter use of data means we’ll target our resources where we can have the greatest impact, focusing on risk and where care is poor, to ensure we’re an effective, proportionate, and efficient regulator.”

Our response:

  • We fully support the CQC's intention to move away from a rigid inspection regime into a more flexible, targeted and dynamic approach, which is built on positive relationships between providers and inspectors.
  • We wish to see regulation moving away from a tick box approach to a developmental one. As the CQC sees it as part of their role to enable and encourage quality improvement, we wish to see them offer support for learning and sharing best practice. 

 

3. Safety through learning

The CQC’s summary statement on this theme:

“We want all services to have stronger safety and learning cultures. Health and care staff work hard every day to make sure people’s care is safe. Despite this, safety is still a key concern for us as it’s consistently the poorest area of performance in our assessments. It’s time to prioritise safety: creating stronger safety cultures, focusing on learning, improving expertise, listening and acting on people’s experiences, and taking clear and proactive action when safety doesn't improve.”

Our response:

  • Openness and honesty about failures and challenges should not result in practices being supported to learn and improve, rather than being subjected to significant criticism and/or regulatory sanctions as is often the case at present.

 

4. Accelerating improvement.

The CQC’s summary statement on this theme:

“We will do more with what we know to drive improvements across individual services and systems of care. We’ll use our unique position to spotlight the priority areas that need to improve and enable access to support where it’s needed most. We want to empower services to help themselves, while retaining our core regulatory role. The key to this is by collaborating and strengthening our relationships with health and care services, the people who use them, and our partners across health and care.”

Our response:

  • We always support the need for GP practices to improve where it is necessary, which is in accordance with the relevant regulatory and contractual requirements they are bound by.
  • We also appreciate the importance of collaboration and support when it comes to quality improvement.
  • Having said that, we believe it is important for the CQC as the regulator to recognise that it is not realistically possible for any provider to continue to improve perpetually, for standards to continue to be raised and for expectations to continue to increase.
Last updated : 24 Mar 2021

 

NHS letter to help people without an NHS number access the Covid-19 vaccine and register with a GP (23 Jul 2021)

On 23 July 2021 NHS England and NHS Improvement and Public Health England issued a useful letter which advises people without an NHS number, including people who are migrants, how...
Read more »

LMC elections - voting closing on 27 July (21 Jul 2021)

Elections are taking place for LMCs in Bexley, Ealing, Greenwich, Merton and Redbridge this year. If you are a GP working in one of these LMC areas please ensure you...
Read more »

Access for undocumented patients (21 Jul 2021)

Londonwide LMCs and London’s individual LMCs continue to share information about enabling patients to register for general medical services with GP practices and for Covid-19 vaccinations, regardless of immigration status...
Read more »

Londonwide LMCs summary briefing: Health and Care Bill 2021 (21 Jul 2021)

Innovation: working together to improve health and social care for all. Full draft text of the Bill. Timing The Health and Care Bill received its first reading on 6 July...
Read more »

NHS 73rd anniversary video (20 Jul 2021)

The health service has accomplished a lot, especially in the past year. We have made this video to recognise the momentous efforts made by GPs, practice staff and others working...
Read more »

Tips of the Month July 2021 (20 Jul 2021)

We provide weekly tips based on common queries which come through to us from London GPs and practice teams. These are shared via social media and collated for...
Read more »

GP Data for Planning and Research suspended until tests met (20 Jul 2021)

On 19 July NHS Digital announced it is setting three tests for the data collection associated with the GP Data for Planning and Research project (GPDfPR).These tests are: The...
Read more »

Reminder: Londonwide LMCs mask wearing poster for practices (19 Jul 2021)

Reminder: Londonwide LMCs mask wearing poster for practices Practices can download and...
Read more »

Face covering requirements in practices (16 Jul 2021)

NHS England confirmed on 15 July 2021 that Public Health England’s infection prevention and control (IPC) guidance still applies to patient-facing healthcare settings, ahead of the law around mask wearing...
Read more »
Next Page »