IR(ME)R, an interim report and more

care quality commission

The independent regulator of health and social care in England

Newsletter

Our monthly update for providers and professionals working in healthcare

Independent review into regulation of Whorlton Hall

A recent episode of BBC’s Panorama programme uncovered shocking abuse taking place at a service for people with a learning disability and/or autism.

Dr Paul Lelliott, Deputy Chief Inspector of Hospitals (lead for mental health), has given a full statement in response.

We will be commissioning an independent review into our regulation of Whorlton Hall between 2015 and 2019, which will include recommendations for how our regulation of similar services can be improved, in the context of a raised level of risk of abuse and harm. The full terms of reference for the review will be published on our website and the findings will be presented at our public board meetings. 


Interim report publication: Review of restraint, prolonged seclusion and segregation for people with a mental health problem, a learning disability or autism

We have published the interim findings of our review of the use of restrictive interventions in places that provide care for people with mental health problems, a learning disability and/or autism. The interim report focuses on 39 people who are cared for in segregation on a ward for people with a learning disability or mental health problems for children and young people.

On our visits we found that a high proportion of people in segregation had autism, many staff lacked the necessary training and skills, and some of the wards did not have a built environment that was suitable for people with autism. The interim report makes a number of recommendations for the health and care system, including for CQC itself.

Read the rest of the preliminary findings and download the full interim report.


IR(ME)R updates

We have recently updated the Ionising Radiation (Medical Exposure) Regulations (IR(ME)R) enforcement policy following the implementation of new regulations in 2018. The changes reflect new powers granted to CQC in regulating medical equipment using ionising radiation.

We have also published guidance on what constitutes significant accidental and unintended exposures (or SAUE) and how these should be notified. 

Find out more about IR(ME)R on our website.


Change of responsibility for community health services

From 1 July, the responsibility in CQC for community health services will be moving from our acute inspection teams to our mental health inspection teams.

This change will apply to NHS community health trusts and independent community health services. Mental health inspection teams will also support the inspections of combined acute NHS trusts, undertaking the inspection of the community health services that are delivered.

Providers do not need to take any action and our inspection methodology will not change, but providers will see a change in their relationship owner and their inspection team contacts. More details will be communicated to individual providers and shared through this bulletin.


Opportunity to join CQC's leadership team

We are looking to appoint two Deputy Chief Inspectors in our Hospitals directorate.

Deputy Chief Inspector, Hospitals (North Region)

  • This is a post with high profile responsibilities. You will shape strategy at a senior level, leading CQC’s work on nursing more broadly, acting as the professional national lead by representing CQC on a range of national initiatives. You will provide expert advice to the Chief Inspector and other key stakeholders, both internal and external, on nursing related matters ensuring compliance with key legal and government wide obligations and reflecting best practice standards.
  • Please read the job advert for more information.

Deputy Chief Inspector, Mental Health

  • This is a post with high profile responsibilities. You will shape strategy at a senior level, taking the national lead for the Mental Health and Mental Health Act teams.
  • You will lead on the publication of reports on mental health services and of issues arising from our regulatory activity, including the State of Care Report for Mental Health both internally and externally including taking the lead on required media, interactions with government ministers and professional bodies.
  • Please read the job advert for more information.

The deadline for applications to both roles is Sunday 9 June.


Health and Care Innovation Expo 2019

The Health and Care Innovation Expo is taking place on 4-5 September at Manchester Central, and all NHS and public sector staff can claim free-of-charge tickets using the code EXPO19.

The two-day event will include major exhibition feature zones on workforce, system transformation, digital transformation and more.

The most senior leaders across the NHS will discuss key issues across clinical and professional priorities, with opportunities to engage directly with them in theatre and workshop sessions.

Discounts are available for non-profit and SME providers – please contact healthexpo@dodsgroup.com for details. Find out more at www.england.nhs.uk/expo and follow @ExpoNHS on Twitter for the latest updates.



Other news

  • Read our latest bulletin for mental health service providers as well as the latest blog from Dr Paul Lelliott, Deputy Chief Inspector of Hospitals and lead for mental health.
  • The Learning Disabilities Mortality Review (LeDeR) programme 2018 annual report has been published. The report suggests that policies relating to the care and support of people with learning disabilities still require strengthening, and makes a number of recommendations for health and social care regarding the action required to make improvements. 
  • NICE have published an impact report on stroke. The report highlights progress made
    by the health and care system in implementing NICE guidance.
  • The Department of Health and Social Care has published its Interim NHS People Plan, which sets a vision for how people working in the NHS will be supported to deliver that care, and identifies the actions that will be taken to help them. 

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