Public Accounts Committee hearing: CQC inquiry
Our submission focuses on the progress the Care Quality Commission (CQC) has made and ongoing feedback we have received from trusts. We frequently survey their experience of regulation, and use the information gained from this in our evidence to the Committee.
Key messages from the submission include:
- We welcome the improvements made by the CQC over the last few years, which have been highlighted by the National audit Office (NAO) report.
- Last year the CQC published a new five year strategy which includes an ambition to implement a more risk-based and proportionate model of regulation and reducing the regulatory burden. We welcomed their thorough and extensive consultation on this. The CQC has started to make good progress with implementing this new approach, but there is no doubt that it faces an on-going challenge as it seeks to deliver its duties with reduced resources, align its activities with other NHS national bodies and keep pace with a fast moving health and care sector.
- As the NAO has pointed out, there is further work to be done to ensure that the regulator is providing value for money and operating an efficient inspection regime. In the course of embedding the next phase of their regulatory approach, we would urge the CQC to be realistic about taking on new responsibilities or expanding its role during this important period of change. Clarity as their approach develops is important given the level of resource that trusts dedicate to supporting regulatory processes. We are concerned to avoid uncertainty for providers in how they are regulated.
- The senior leadership team at CQC is aware of the challenges the organisation faces and we welcome this acknowledgement and their willingness to work together to address concerns that trusts raise. We will continue to work closely with the CQC and are pleased that they continue to engage and listen to trusts, incorporating our feedback into their work.
- We welcome the Committee’s sustained scrutiny as the CQC continues on its improvement journey.