Care Quality Commission
CQC seeks views on proposed changes to how providers should pay their regulatory fees in 2018/19
We are seeking views on our new proposals for how we should calculate the fees that providers of health and adult social care must pay in order to be registered.
These proposals are based on what we have learnt and on changes to the health and care sectors, such as the creation of larger NHS trusts through mergers and acquisitions, and GPs collaborating in large-scale general practice.
Over the last two years (2016/17 and 2017/18), we have been increasing the fees that providers of health and adult social care in England must pay for being on our register, so that we can fulfil the government’s commitment to reduce grant-in-aid funding to public regulatory bodies.
We have now reached ‘full chargeable cost recovery’ for most providers we regulate, including NHS trusts, care homes, general practices and dental services, as planned.
The exception is providers of community adult social care (which includes care in people’s own homes). Our consultation sets out the third year (of four) towards ‘full cost recovery’ for this sector, which will reach this point by 1 April 2019, as agreed following our previous consultation.
This means that no sector apart from community adult social care will see any increases overall to their regulatory fees.
However, we are reviewing the structure of our fees scheme to ensure that fees are charged and distributed proportionately. The options that we are consulting on over the next three months could result in changes to what individual providers and services in three sectors are required to pay. Based on our calculations, we are proposing changes to the fees structure for the following sectors:
- For NHS trusts, by moving away from the current fee bandings, the proposals could see 75% of individual trusts paying reduced fees and the largest 25% seeing an increase.
- For NHS general practices, the proposals could see fees being calculated by registered patients (list sizes) rather than number of ‘registered locations’. Broadly, NHS general practice providers that have a below average list size could pay a lower fee, while those with a higher list size could pay a higher fee.
- For community adult social care providers, we are seeking views on the most appropriate metric that should be used to calculate fees. This could see around 70% of (mainly smaller) providers paying lower fees and around 30% higher fees.
Our consultation will run until midday on Thursday 18 January 2018.
Latest News from
Care Quality Commission
Sir David Behan announces intention to step down in the summer16/01/2018 12:20:00
Sir David Behan has announced his intention to step down as Chief Executive of CQC. He will continue in the role until the summer to allow the appointment process for a successor to take place.
Working together to reduce duplication in general practice12/01/2018 13:10:00
We have worked with NHS England, supported by NHS Clinical Commissioners, to develop a joint working framework. This will help us work more effectively together and reduce duplication in the regulation and oversight of general practice.
CQC responds to increased pressure on health and social care by pausing some routine inspections11/01/2018 15:20:00
CQC has taken the decision to pause some routine inspections of NHS acute services, GP practices and urgent care services planned for January.
CQC announces three new non-executive Board members08/01/2018 11:20:00
The Care Quality Commission (CQC) has announced the appointments by the Secretary of State for Health of three non-executive Board members – Sir John Oldham, Liz Sayce and Mark Saxton.
Healthcare websites and other non-NHS services to be awarded quality ratings for the first time by CQC03/01/2018 11:10:00
The Department of Health has confirmed that it will grant the Care Quality Commission (CQC) the power to rate even more healthcare services, such as those that offer medical advice and prescriptions from GPs online, so that this becomes the default way that the regulator presents the judgements from its inspections.