The Care Quality Commission (CQC) has published two further prototype reports looking at how it might assess the quality of care in a local area in order to encourage improvement.
The Quality of Care in a Place project will shape the CQC’s future role beyond provider-based regulation. It sits alongside other reviews looking at how the CQC could assess the quality and coordination of urgent and emergency care within an area; the extent to which care is integrated affects older people’s experiences of care; and the implications of emerging new models of care for how the CQC should operate in the future.
The pilots have allowed the CQC to test how they could assess quality and encourage improvement at a system level, increase transparency for local people, inform how the CQC might respond to new models of care as they develop, and provide a rounded picture of local services for the CQC’s local inspection teams.
The prototype reports will be evaluated to understand if the CQC can demonstrate whether reporting on quality of care in a place can encourage improvement locally. Feedback from local organisations and local people will be an important part of the evaluation. The CQC will also be exploring whether reports can help their inspection teams by providing more context about an area.
The CQC has taken a different approach to collating data for each of their Quality of Care in a Place reports and as pilots each report should be seen within the context of being set up to test a methodology, rather than to report on a place.
To arrive at a view of the quality of care in Salford the CQC brought together information from a range of different sources. These included ratings from CQC inspections and findings from inspection reports data from others about the outcomes of care locally; the views of people involved in health and social care in Salford by means of interviews and focus groups; CQC’s local inspectors; case studies to understand how well services work together, from the point of view of people who uses services and the professionals providing care.
The Tameside report is a “data only” report, produced to provide an example of what this type of report could tell us about Quality of Care in a Place. This complements the work in the two other pilot areas where additional methodologies were tested.
CQC’s own data on providers was instrumental to this project. However, data from other sources was also used, particularly when looking at population outcomes. Section two is informed by data from Public Health England (PHE), the Health and Social Care Information Centre (HSCIC) and NHS England, in addition to CQC publications.
David Behan, CQC’s chief executive said: “In these two reports we have attempted to answer the questions ‘If I live in Tameside or Salford what will be my experience of health and care services? If I have multiple needs are services joined up?’
“By 2020, 50 per cent of the population should be receiving care in a range of new ways and from organisations that bring different elements of care together. Quality of Care in a Place is one of a number of ways we have been looking at how we can assess the quality of care beyond individual providers.
“Together these projects are helping us to build our capability to inspect, report on and rate new models of care, such as vanguards, and the range of different services that people use. Our work is also designed to support areas to innovate and collaborate and make informed decisions about local services.”
Stephanie Butterworth, Executive Director at Tameside Metropolitan Borough Council, said: “We were happy to take part in the pilot and welcome any further work in support of the CQC which aids a better understanding of how they can assess quality of care and encourage improvement for our residents.”