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Registration – the new system

Registration – the new system. What is it?. Providers, including NHS Trusts, will need to be registered in order to legally provide services CQC will decide whether to: Register Register with conditions Refuse to register

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Registration – the new system

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  1. Registration – the new system

  2. What is it? • Providers, including NHS Trusts, will need to be registered in order to legally provide services • CQC will decide whether to: • Register • Register with conditions • Refuse to register • Once registered, CQC will monitor their compliance with the regulations on an ongoing basis

  3. What’s changing? A single way of judging quality Standards/ requirements Organisations Enforcement Care Standards Act enforcement action limited to statutory notices and closures Providers of adult social care (ASC) registered National Minimum Standards (ASC and PVH) - different regulation and NMS for each setting Old system Private and voluntary healthcare (PVH) providers registered Standards for Better Health considered as part of annual health check Limited enforcement powers for NHS providers NHS providers were not registered (HCAI in 2009) All providers of health and adult social care registered with CQC Strengthened and extended range of enforcement powers for providers from all sectors Single set of registration requirements for all settings New system

  4. Enforcement powers • These include: • Warning notice • Imposition or variation of conditions • Suspension of registration to provide certain services • Penalty notice - fines • Prosecution • Cancellation of registration

  5. Registration timeline(subject to legislation) January 2010 NHS trusts (including PCT provider trusts) apply to be registered April 2010 NHS trusts registered April 2010 Adult social care (CSA registered) Private and voluntary healthcare (CSA registered) apply to be registered (exact dates to be confirmed) October 2010 Adult social care (CSA registered) Private and voluntary healthcare (CSA registered) April 2011 Private ambulance services, prison health services, independent midwifery services, dental practices and other groups new to registration April 2011/12 Primary medical services

  6. Our vision for registration • People experience services that meet essential standards of quality, protect their safety and respect their dignity and rights • How we will do this? • Work with providers in consistently meeting essential common standards of safety and quality • Ensure that the rights and interests of people who use services are protected and promoted • Identify potential issues early and act swiftly where services are failing people

  7. The five phases of registration for NHS trusts

  8. Phase 1: Developing the new system • Co-produced with stakeholders, providers and people who use services • 12-week public consultation: 1 June to 24 August 2009 • Final guidance to be published in early December Plain English People-focused Outcome-based

  9. Outcomes • The 16 quality and safety standards and small number of others are arranged into sections: • Section 1: Involvement and information • Section 2: Personalised care, treatment and support • Section 3: Safeguarding and safety • Section 4: Suitability of staffing • Section 5: Quality and management • Section 6: Suitability of management

  10. Phase 2: Refining the process • 1 October to 30 November 2009 • The Health and Social Care Act 2008 (Registration Requirements) 2009 will be laid before parliament. • ‘How the system works’ to be published • Consultation on fees for NHS launched

  11. Phase 3: Preparing for Registration • 1 December to 31 December 2009 • We will publish key registration documents including: • - final guidance - results of our public consultation on this guidance - judgement framework • ‘How to register’ workshops for the NHS • Pre-application process starts

  12. Phase 4: Applying for Registration • 1 January to 31 March 2010 • Application form • Application window will be 4th - 29th January 2010 • All applications online • Section on the provider and on each location • For each location - compliant or not compliant against each regulation • If not compliant submit details of the actions being taken and the date to be completed. • Further enquiries will be made as necessary

  13. Phase 5: Registration goes live • 1 April 2010 onwards • Publish register of all providers registered with us • Profile on each provider • Summary of all relevant information held by CQC • New information about providers uploaded to profile as it arrives • New information can be from a number of sources, eg: - People who use services - Their families and carers - Partner organisations – Ombudsman, other regulators, commissioners, etc - Providers – statutory notifications, other notifications - Staff - Others – eg. GPs, other professionals • Providers must inform us if they consider a change in their circumstances is potentially leading to non-compliance

  14. Phase 5: Registration goes live • 1 April 2010 onwards (cont) • Planned Reviews of Compliance • Each profile reviewed at set time interval depending on risk. Interval for these planned reviews of compliance can be 3 months to 2 years • At review, if there are gaps in our information the inspector will arrange further enquiries as required - these can be from people using services, site visits, request for information from the provider, etc • A planned review of compliance will look across all of the quality and safety regulations - may be minimal or extensive depending on risk and context • Provider compliance assessments (self assessment) will be createdfor providers to use internally and CQC may request specific ones • Regulatory and enforcement action • Will be proportionate to the concern, to whether the provider has recognised the problem, to the provider’s capacity and willingness to improve.

  15. October/November 2009 • Core Standards declarations: • Week of 19 October 2009: • Instructions will be sent to all Chief Executives outlining the core standards declaration process. This will be the normal two-stage process. • Week of 26 October 2009: • The core standards assessment declaration forms are available for completion from this date. Can enter information but not submit • Week of 23 November 2009: • Can submit declarations online Registration • NHS Trusts: • Look at • Draft regulations (DH) and final when published • Draft guidance (CQC) • Consider the evidence required for each regulation • Book Board agenda time in Nov/Dec/Jan • Work with CQC assessor to define locations • Get involved - sign up to CQC provider reference group CQC: Refining and testing tools and processes Creating profiles of each trust based on existing information Identifying trusts causing concern based on existing information Work with SHAs, DH, Monitor and others on preparing NHS Trusts

  16. December 2009 • Core Standards declarations: • Midday 7 December 2009: • Deadline for submissions Registration • NHS Trusts: • Look at • Final regulations (DH) • Final guidance and judgement framework (CQC) • Notify CQC of relevant individuals • Attend ‘how to’ workshops • Start pre application process (from 14 December) • Get involved - sign up to CQC provider reference group CQC: Publish final Guidance about Compliance and Judgement Framework Write to ask for nominated individuals and individuals authorised to complete applications Continue to work with SHAs, DH, Monitor and others on preparing NHS Trusts

  17. January – March 2010 Registration NHS Trusts: Apply during 4-29 January application window Be prepared to respond to further enquiries CQC: Receive and process applications Conduct further enquiries where necessary Make decisions on registration

  18. Summary • People experience services that meet essential standards of quality, protect their safety and respect their dignity and rights.

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