Monday, November 30, 2020

CQC update for primary medical and dental services

30 November 2020 update from CQC
care quality commission

The independent regulator of health and social care in England

Update from CQC

 

30 November 2020

 

A regular update for providers and professionals working in primary medical and dental services.

 

Rosie

Provider collaboration reviews 

In a new blog, Chief Inspector of Primary Medical Services and Integrated Care, Dr Rosie Benneyworth discusses our provider collaboration reviews (PCRs).

She updates on the reviews we've carried out so far and what's next.

Rosie also looks further ahead, and outlines how systems are an important theme in our strategy ambitions.

Read the blog


Our transitional regulatory approach

We recently set out how we will regulate during the next phase of the coronavirus (COVID-19) pandemic. And from 6th October, we began to roll out our transitional regulatory approach. 

For general practice this means:

  • We will only inspect where there are concerns around safety and the quality of care and where inspection is the only way to address these
  • If a practice is currently in special measures we will inspect, so that we can re-rate where appropriate and identify if they require support
  • When we do inspect, we will carry out as much activity as possible without visiting a provider
  • Inspectors are continuing to closely monitor providers and look at information from a range of sources, inspectors may hold a short telephone or online conversation with providers, exploring a reduced set of KLOEs (Key Lines of Enquiry). These calls are not a form of inspection but are a way for CQC to understand the challenges a provider is facing and whether there are any risks to quality and safety. It will also identify where a provider can be offered support

 

Find out more

You can find out more information about the approach on our website and can find more on the specific questions we will ask as part of this for the following types of providers:

 

In her recent blog, Dr Rosie Benneyworth, chief inspector of primary medical services and integrated care, sets out how our transitional approach is not a return to our pre COVID-19 approach. Read the full blog on Medium.

 

Feedback on our transitional approach

We want to make sure our transitional approach meets the needs of providers, professionals in health & social care and people who use services. Your feedback will help us to do that and understand how it needs to change.

You can feedback now through this short survey.


Life support training for dental professionals

We have issued joint statement with General Dental Council (GDC) to update oral health colleagues on life support training in the context of COVID-19 restrictions. 

The GDC has also updated their COVID-19 guidance for dental professionals.


New podcasts from CQC

Catch up on new podcast episodes on the following topics:

You can also listen to our mini series on how emergency departments have responded to COVID-19, with episodes on:

You can listen to all our podcasts on Soundcloud and all your favourite podcast providers.

Podcast mic

SoP

COVID-19 vaccination programme - changes to your registration

Many providers will be delivering services to support the COVID-19 vaccination programme, some in a different way to their usual winter vaccination delivery model.

We have recently updated our guidance to be clear where delivering these services requires a change in your registration.

If you have any questions about this or are unsure whether you need to change your registration arrangements, please contact us at enquiries@cqc.org.uk


Review of the use of DNACPR

In October, the Department of Health and Social Care (DHSC) asked CQC to review how do not attempt cardiopulmonary resuscitation's (DNACPR) were used during the COVID-19 pandemic, building on concerns that we reported earlier in the year. You can find out more information through our recent news story.

Today we've launched a voluntary information request for adult social care providers to help us to understand the scale of inappropriate do not resuscitate orders put in place across the country – what made them inappropriate and whether they remain on people's records or have been removed.

Read more about this work and what to expect in you are in one of the CCG areas.


IPC

COVID-19 Insight: Issue 5

In this month's report, we build on the learning about good practice in infection prevention and control that we discussed in the last issue by focusing on care homes. We also present the key findings from a survey to understand the experience of inpatients who were discharged from hospital from April to May 2020, when the first wave of the pandemic was at its height. 

You can read the report here.


Best practice guide to travel health

The Faculty of Travel Medicine, which is part of the Royal College of Physicians and Surgeons, Glasgow, have published a good practice guide for providing a travel medicine service which sets out minimum standards for travel health providers across all health settings.


Regulation of coronavirus testing

We have updated our guidance that describes where services offering testing for coronavirus need to be registered with us or not.


NHS England consulting on proposals for next steps for integrated care

NHS England has published Integrating Care: next steps to build strong and effective integrated care systems across England. The reports details its vision for a more effective and responsive care system across England. It sets out how NHS organisations, local councils, frontline professionals and others will join forces in an integrated care system (ICS) in every part of England from April 2021.

The document sets out two models to meet this goal without triggering an unnecessary and distracting top down NHS reorganisation. They are seeking views on their proposals in an online survey, which closes on Friday 8 January 2021 at midnight. Visit the NHS England website to access the report and respond to the consultation.


Debbie I

Out of sight who cares

In our latest Care Management Matters column, Debbie Ivanova, Deputy Chief Inspector of adult social care talks about one of our latest reports - Out of sight who cares. This focuses on the use of restraint, seclusion and segregation in services for people with a learning disability, autistic people and those with a mental health condition.

You can read the column here.


Designated settings for COVID-19 patients leaving hospital

We're working with the Department of Health and Social Care (DHSC), local authorities and individual care providers to provide assurance of safe and high-quality care in designated settings, which are part of a scheme to allow people with a Covid-positive diagnosis to be discharged safely from hospitals.

When CQC is notified of a proposed setting by the local authority we call the provider within 24 hours and if the provider is ready we will inspect within 48 hours, informing them and the local authority if they are assured.

In our latest news story we explain what a designation setting is, how we are inspecting them and share an update on the number of approved settings we have registered. You can read the full story here.


Strategy 2021: Smarter regulation for a safer future

This section includes updates on how we are developing our future strategy and opportunities to get involved in this work

Strategy

 

Developing our strategy 

As part of how we're developing our next strategy, we have set out our latest thinking on a range of key areas. This document is a product of our engagement so far and presents emerging themes that we want to explore and refine ahead of a formal consultation in January.

In a recent blog, Care Quality Commission Chief Executive, Ian Trenholm, discusses how what we've heard so far has influenced our future strategy.

Read the document on our digital participation platform.

 

Computer

Catch up on our latest webinar series

Thank you to everyone who joined our recent webinars for people working across primary care and dental services. In these we explored our future strategy and transitional approach.

You can watch back now on our YouTube channel and find the recordings below.

 

Podcast mic

Listen to our podcasts

Catch up on our podcast series where we talk about the themes of our strategy. There are episodes covering:

Listen via Soundcloud or your favourite podcast provider, and subscribe to hear the latest episodes first.


All CQC offices are closed

Please do not send post - visit our website for details on how to contact us.

 


Guidance for primary care and dental services professionals

Updated Mythbusters from CQC:

 


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