Care Quality Commission
CQC supports five-year vision for general practice in England
The Care Quality Commission (CQC) has welcomed the General Practice Forward View, published today (Thursday 21 April 2016) by NHS England.
The report sets out the vision for general practice over the next five years, including increased investment in the sector; expanding and supporting GPs and wider primary care staffing; reducing practice burdens and helping them to release time; developing the primary care estate and investing in better technology, and; providing a major programme of improvement support to practices.
Today’s plans reveal a shared commitment between NHS England, the General Medical Council (GMC) and CQC to reduce the workload and duplication associated with the combined regulation of general practice in England at professional, service and commissioning levels.
In a ‘statement of intent’, the three organisations describe the approach they are taking together to improve the experience of regulation, both from the perspective of general practices and of GPs individually.
This includes improving how information is gathered, shared and accessed between organisations and with practices; aligning regulatory and commissioning processes as much as possible, and; streamlining oversight, regulation and contract management. A 'programme board' will be established between these and other organisations to take this work forward.
The joint commitment follows and supports CQC’s consultation in January 2016 on its wider plans to build on its current regulatory model over the next five years. This will include strengthening how it uses data to inform its work, developing a single view of quality with providers, and targeting and tailoring its inspections to where it has the greatest concerns about care.
The Forward View adds that practices rated as good and outstanding – currently the vast majority – will move to a maximum interval between inspections of five years, subject to the provision of transparent data, available to CQC, NHS England and clinical commissioning groups; and also to CQC remaining assured that the quality of care has not changed significantly since the previous inspection. Where CQC has concerns, it may revisit sooner.
CQC will publish its final strategy document with the full details in May 2016, which will outline further details about how it will develop its regulatory approach.
Professor Steve Field, Chief Inspector of General Practice at the Care Quality Commission, said: "The Forward View sets an inspiring vision for the future of general practice, which quite rightly, acknowledges the irreplaceable role that GPs have within the NHS.
"We know that GPs are under increasing pressure with limited resources, increasing patient demand and a rapidly evolving health and care landscape and so, I am pleased this report sets out the increased support and further investment that they need to do their jobs well and to make sure their patients get the care they deserve.
"We look forward to playing our part in delivering the Forward View as we continue our plans to build on the regulatory model we introduced for general practices over eighteen months ago.
"We have always been clear that regulation across all sectors must continue to be independent, proportionate and driven by patients’ best interests. Our plans do not represent ‘light touch’ regulation or 'self-assessment’ but include a move towards a more risk-based approach to regulation and developing a shared view of quality with general practices, as we head towards having inspected every single one of them in the country at least once.
"Our inspections are allowing us to gain a deep understanding of the quality and safety of general practice that we have never had before in this country and they are leading to real improvements in care. We will continue to encourage this improvement and share examples of outstanding care that we find across England. It is only right that we evolve our model in response to we have learnt and enabled, while improving our effectiveness and adapting to the changing care environment.
"In doing so – and together with NHS England and the General Medical Council – we hope that our plans will reduce any duplication of efforts brought on by our collective regulation and make the system more efficient.
"I share a common goal with the profession, which is to make sure patients get safe, high-quality and compassionate care. I hope that the General Practice Forward View, together with CQC’s own plans for regulation, will make this a reality.".
For media enquiries about the Care Quality Commission, please call the press office on 020 7448 9401 during office hours.
Also, follow the team on Twitter for the latest national announcements:@CQCPressOffice.
Journalists wishing to speak to the press office outside of office hours can find out how to contact the team here. (Please note: the duty press officer is unable to advise members of the public on health or social care matters).
For general enquiries, please call 03000 61 61 61.
Notes to editors
- For further information about the General Practice Forward View (also referred to as the GP roadmap) and the ‘statement of intent’, please visit NHS England’s website.
- As of Friday 15 April 2016, CQC has rated 3,358 active general practices in England. Of these, 136 (4%) are outstanding, 2,775 (83%) are good, 338 (10%) are requires improvement and 109 (3%) are inadequate. CQC expects to have inspected every general practice in England (registered on or before 1 October 2014) by the end of March 2017 as part of its comprehensive ratings programme.
- As of Friday 15 April 2015, there are 110 general practices in special measures and 43 have exited the regime. The special measures process is designed to ensure there is a timely and coordinated response when CQC judges the standard of care to be inadequate. Further information about special measures.
- CQC’s inspections of general practices so far have found a strong link between leadership and the quality of care being provided. Although the majority are providing good or outstanding care, the regulator remains concerned by the very poor care it has found in some practices through its inspections. For further information about what CQC has found, please read CQC’s State of Care report for 2014/15.
- CQC has published a tool for GPs, with examples of the outstanding primary care it has found on its inspections.
About the Care Quality Commission
The Care Quality Commission (CQC) is the independent regulator of health and social care in England.
We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.
We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.
Latest News from
Care Quality Commission
Inspectorates: Urgent action needed at Oakhill Secure Training Centre14/10/2021 12:22:00
Vulnerable children face frequent violence and excessive use of force at Oakhill Secure Training Centre, while living conditions are ‘dilapidated’, Ofsted, HMI Prisons and the CQC find.
CQC wins grant to support innovation in general practice04/10/2021 11:33:00
Through its Regulators’ Pioneer Fund, the Department for Business, Energy and Industrial Strategy (BEIS) has awarded CQC £169,000 to support innovation by GPs working to reduce health inequalities in areas of deprivation.
The recovery challenges for NHS hospital services23/09/2021 11:05:00
This month’s Insight report looks at how NHS trusts are planning for people’s care while tackling a backlog of treatment caused by COVID-19.
Action to ensure all women receive safe, effective, and personalised maternity care must be prioritised to prevent future tragedies21/09/2021 13:05:00
A new report from the Care Quality Commission (CQC) highlights continued concern about the variation in the quality and safety of England’s maternity services - prompting the regulator to call for improvements to be prioritised to ensure safer care for all mothers and babies.
More people report a ‘very good’ overall experience of urgent and emergency care, but access to emotional support and timely pain relief both areas for improvement15/09/2021 15:20:00
Findings from a survey of more than 48,000 people who received urgent and emergency care in 2020 show an increase in the number who said their overall experience was ‘very good’. However, the results also reveal concerns among some about access to emotional support, pain management and the availability of staff when they needed help or attention.
CQC report highlights how the right community support can improve outcomes for people with a learning disability, a mental health need and autistic people08/09/2021 13:10:00
The Care Quality Commission’s Home for Good report published today celebrates examples of successful community support provided to people with complex needs.
Statement on COVID-19 vaccination of people working/deployed in care homes: the role of the Care Quality Commission04/08/2021 12:25:00
The Department of Health and Social Care (DHSC) have amended the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 so that, from 11 November 2021, all care home workers, and anyone else entering a care home, will need to be fully vaccinated against COVID-19, unless they have an exemption.
CQC publishes response to consultation on flexible and responsive regulation23/07/2021 13:38:00
We yesterday published our response to a recent consultation on changes for more flexible and responsive regulation
Care Quality Commission publishes data showing death notifications involving COVID-19 received from individual care homes22/07/2021 15:05:00
The Care Quality Commission (CQC) has published data showing death notifications involving COVID-19 received from individual care homes between 10 April 2020 and 31 March 2021. This is accompanied by our CQC Insight report which draws from the data to make the key points and provides crucial context for understanding what this data says.