NHS Providers submitted a response to the CQC consultation on the next phase of its regulatory approach. Our response covered the following key points:

• We welcomed the launch of CQC’s new strategy for 2016-2021 last year, which followed on from an extensive engagement and consultation process. The strategy committed the CQC to reforming its regulatory approach, including becoming intelligence-driven and taking a risk-based approach to inspections.
• We are supportive of the general approach outlined in the consultation document which we believe that, if implemented appropriately, should enable the CQC to achieve the ambitions set out in its strategy document.
• Implicit throughout the proposals in the consultation is the presumption that the new approach to regulation will result in a reduction of the burden imposed on providers, but we would urge the CQC to closely and robustly monitor this throughout its implementation and continued use. Maintaining close engagement with those inspected as the new approach is rolled out will be essential to ensure its success.
• Key to the successful implementation of the new approach will be training for CQC inspection teams to ensure they are fully equipped to deliver it, demonstrating the reliability of insights gained through the new intelligence model and improving relationships with providers at the local level.
• Working more closely with arm’s length bodies and other parts of the system will be essential to achieve better alignment, reduce burden and facilitate ‘one version of the truth’ when assessing provider performance.
• We have long argued for a ‘period of grace’ for trusts which take over struggling services or other providers with the aim of improving patient care and making efficient use of available resources. We therefore strongly welcome the recognition of the need to ensure the new regulatory approach supports rather than penalises these trusts whilst recognising safety.
• Finally, trusts have been charged with the challenge of radically transforming how care is delivered at pace and scale in the face of rising demand and continued resource constraints. With this in mind, we would like to see the CQC demonstrate a clear focus on streamlining the burden and complexity of regulation on providers to ensure resources are not diverted away from patient care.
• The emergence of new models of care and the changing landscape will make it imperative for the CQC to ensure that its regulatory and inspection regime keeps pace with these developments.
• It is imperative that the CQC avoids further increases to provider fees as it seeks to implement the new approach and redoubles its efforts to demonstrate that it is delivering value for money.

Download our full response below.