On the day briefing: The state of health care and adult social care in England 2016-17
The Care Quality Commission has published The state of health and adult social care in England 2016/17, an annual assessment of quality performance, trends, and themes amongst all providers that are registered with the CQC.
All providers that are registered with the CQC have now been inspected therefore providing a baseline view of quality across health and social care.
The CQC concludes that most people are still receiving high quality care. While some providers have been successful at improving care despite the mounting pressures, there are signs quality is deteriorating in some services and staff are showing signs of strain. Among trusts who rating rose upon re-inspection, common factors include strong visible leadership, engaged staff, clear vision and values, strong collaboration with local partners, and active involvement of patients and families in care.
The briefing highlights points that are most relevant to our members, including our media statement at the end of the briefing.
Key messages from the briefing include:
- Increasing complexity of demand means that the entire health and social care system is at full stretch, with pressures especially noticeable where sectors connect and people transition between services.
- NHS staff have worked hard to protect and maintain quality, and many services originally rated as inadequate have used their CQC inspection reports to improve. However, too much care still needs improving and some providers have seen quality deteriorate including acute hospitals and mental health services.
- Staff resilience is a growing concern given sustained pressures from rising demand and workforce shortages.
- Significant risks remain of a ‘tipping point’ in adult social care, where deterioration in quality would outpace improvement and gaps between need and provision would widen – in some areas this has worsened, in others it has reduced. We need a long-term sustainable solution for the future funding and quality of ASC.
- Fines for delayed transfers of care levied by the NHS on local authorities are causing tensions that are impeding more collaborative working to resolve problems.
- Better care requires more joined up services and better partnership working to address fragmentation of services and build care more seamlessly around people’s needs. Cultures of safety, openness and transparency, with leader who apply equality and human rights thinking to quality improvement and actively involve patients, carers and families in these processes, are leading the development of new ways to deliver care more effectively.