Smiling matters

care quality commission

The independent regulator of health and social care in England


Our monthly update for local public stakeholders interested in health and social care

                                                                             June 2019

Caring for your mental health

Mental Health Act Code of Practice 2015

We’ve looked how well the Mental Health Act (MHA) Code of Practice is being used across mental health services since it was updated in 2015. We worked with stakeholders to find three key areas that would give us a good insight into how providers are using the code. We found that understanding of the code and how it should be applied is varied among providers.

New web resource on effective staffing

We’ve got a new tool out which looks what health and social care providers have been doing to make the best use of their staff. We’ve put together some case studies to highlight what services have done to make sure they provide safe, effective staffing in creative and flexible ways.

CQC 2018 adult inpatients survey results

Our adult inpatients survey results show that confidence and trust in hospital staff is high but that improvements in people’s inpatient experience appear to have stopped.

The report says that most people who stayed as an inpatient in hospital had confidence in the doctors and nurses treating them and felt that staff answered their questions clearly. However, more people are reporting long delays and are unsatisfied with the information they receive when they leave hospital.

Growing pressure on adult social care budgets

We’ve responded to findings from the Association for the Directors of Adult Social Services (ADASS) annual budget survey. ADASS is a charity representing directors of adult social services in England and is a leading body on social care issues. The survey highlights the growing pressure on adult social care budgets and gives a reminder of the fragility of our social care services. The findings support concerns we’ve raised in our State of Care reports about the effects of underfunding.

Driving Improvement in Independent hospitals

We’ve got a new report that looks at how eight independent acute made big improvements in the quality of their care and how they improved their CQC rating on re-inspection.

Each hospital made positive changes to drive improvements for patients. In each case study we highlight how staff describe the journey of improvement as they experienced it. Together their stories share some common themes. They show that one of the biggest drivers to supporting improvement across all hospitals was strong leadership. Find out more by reading the report.

Better management of medicines in health and adult social care


People rely on medicines every day to help manage long-term conditions and to deal with their medical needs. When medicines are managed and used well, providers can improve outcomes for people, drive improvements in care, cut down on waste and involve people more in their own treatment. Our new report gives advice for better use of medicines by health and social care providers.

New Equality Objectives

We’ve got new equality objectives. These make sure that equality is front and centre, in our regulatory work, and for our staff. Our role is to make sure that health and social care services provide people with safe, effective, compassionate, high-quality care and treat everyone with respect and dignity. These targets support our long-term strategy for looking at equality and human rights in the way we regulate.

Share your views on restraint and seclusion guidance for schools

The Department for Education want your views on guidance around the use of restraint and restrictive intervention in mainstream schools, mainstream post-16 settings and educational settings offering alternative provision. Your views will lead to clearer, more consistent information for schools on managing behaviour.

New guidance for prescribing medicines


NHS England and NHS Improvement have updated guidance for Clinical Commissioning Groups (CCGs) on items that should not be regularly prescribed in primary care. They’re asking for a coordinated approach to ensure consistency and to stop the variation of how these items are prescribed. The aim is that guidance will help support a better process for making decisions about medicines

80% of doctors at high risk of burnout

The BMA have announced the result of their recent mental health survey. They’ve found that 80% of doctors say they’re at high risk of burnout with depression, anxiety, or another mental health condition affecting their work. Although in recent years mental health awareness has improved, it remains a taboo subject among the medical profession.

New tool for the adult social care sector on technology and data protection

The Pensions Policy Institute (PPI) and the Association of British Insurers (ABI) have published research which they say shows that more thana third of over 50s may not have money to fund their potential care needs. They call on the Government to urgently publish the social care Green Paper and look at how to help solve the social care funding crisis.

NHS Long Term Plan Implementation Framework

The NHS Long Term Plan Implementation Framework has now been published. It sets out the approach Sustainability and Transformation Partnerships (STPs) and Integrated Care Systems (ICSs) should take to create their five-year strategic plans. These plans should describe the population needs and case for change in each area, then propose practical actions that the system will take to deliver the commitments set out in the NHS Long Term Plan.

Call for safe staffing levels

Inpatient survey

The Royal College of Nursing (RCN) has called for a law in England to guarantee safe levels for nurse staffing. The RCN is demanding that the UK follows Wales’ lead and protects safe staffing levels with new legislation. They say NHS patients across the UK will be at risk of falling care standards unless all four countries have legislation to guarantee safe staffing levels.

New NHS gambling clinic for children

NHS England will launch the first NHS gambling clinic for children this year as part of a new network of services for addicts being rolled out as part of the NHS Long Term Plan. The ground-breaking move comes amid growing concern that gambling is being fuelled by online gaming sites and targeted adverts.

New teachers to get training to spot mental health issues

The Prime Minister has said that every new teacher will be now be trained in how to spot the signs of mental health issues. The government say this means schools, social workers, local authorities and healthcare services will receive extra support to make sure people know how to promote good mental health in the same way that they look after physical wellbeing.

Follow up to Ignoring the Alarms report on the failure of eating disorder services

A new report has been published that looks at what progress had been made since the Parliamentary and Health Service Ombudsman’s (PHSO) made recommendations for NHS eating disorder services. The original report called Ignoring the Alarms followed the PHSO’s investigations into the deaths of three individuals with eating disorders.

Improving Access to Psychological Therapies (IAPT) data

NHS Digital has released Improving Access to Psychological Therapies (IAPT) data for March 2019. IAPT is run by the NHS in England and offers NICE-approved therapies for treating people with depression or anxiety. This data shows information on waiting times and outcomes such as recovery.

Hidden no more: dementia and disability

The All-Party Parliamentary Group (APPG) on Dementia has published a report called Hidden no more: dementia and disability. Last year the APPG on Dementia committed to adopt a rights-based approach to achieving change for people with dementia. The APPG are a cross-party group of members of parliament from both the commons and the lords.

Nation-wide review of suicide prevention planning

Samaritans and the University of Exeter have published a nation-wide review of suicide prevention planning across local authorities in England. Jackie Doyle Price, Minister for Mental Health, Inequalities and Suicide Prevention welcomed its findings and committed to investing in a programme of support to ensure the recommendations are delivered.

1 in 5 who survive stoke develop a mental health issue

The Stroke Association has published findings that say that almost a million people who have survived a stroke have developed at least one mental health problem. Last year, Stroke Association conducted a survey of stroke survivors and their carers to find out more about their lives. The Lived experience of stroke report has four chapters. The first chapter of this report looks at the hidden effects that stroke can have on its survivors.

Mortality levels in trusts

NHS Digital has published their Summary Hospital-level Mortality Indicator (SHMI) which shows mortality at hospital trust level across the NHS. The SHMI is the ratio between the actual number of patients who die following hospitalisation at the trust and the number that would be expected to die based on the average for England.

Number of LD nurses drops by almost 60% in 10 years

The Royal College of Nursing (RCN) has said that the number of NHS learning disability nurses has fallen in the last decade. RCN say learning disability nursing needs urgent investment to attract more staff. This comes as learning disability nurses from across the country gather at a House of Lords reception to mark 100 years since the first “mental deficiency nurses” were registered in England.

Sleeping in, losing out

Unison has published a new report called Sleeping in, losing out which they say is a shocking picture of conditions faced by care workers on overnight shifts. The findings are based on a survey of people caring for the vulnerable and elderly by staying overnight, including in residential homes, in the accommodation of those living alone, or at the homes of those getting support at home.

Three new integrated care systems

NHS England has announced three new integrated care systems: Buckinghamshire, Oxfordshire and Berkshire West, the North East and North Cumbria, and South East London. They say each area has shown that its partners all share a common vision to improve health and care, backed up by strong operational and financial plans, and proposals for collective leadership and accountability.

Holding it all together

A new report called Holding it all together highlights how housing issues can risk women’s rights to safe maternity care in the UK. The report marks a key point in a joint research to help get greater understanding of the needs and experiences of women facing severe and multiple disadvantages, and the professionals caring for them.

Almost two-thirds of people feel they don’t have a say on social care services

The Social Care Institute for Excellence (SCIE) has found that almost two-thirds of people who access social care and support services, or care for those who do, feel that they don’t get a say in how these services work. SCIE say most professionals in the sector say they would prefer to work in equal partnership with groups to design and deliver services.

A third of councils fear funding for legal duties will run out within 3 years

The Local Government Association (LGA) have said that a third of councils fear they’ll run out of funding to provide their core services, including adult social care, protecting children and preventing homelessness. They think that councils will soon face an overall funding gap, made worse by a rise in demand for the above services.

Tell your colleagues to sign up to this bulletin

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What are you hearing?

We want to hear what you’re hearing!

You can provide vital local information that helps CQC decide where to inspect.

You can send us your enter and view reports, surveys, comments from the public and any other feedback you gather.

This intelligence can help detect changes in quality at a service, either good or bad. You don’t need to wait until we’re inspecting a service to provide this information to us either, you can send us what you’re hearing at any time.

You can do this via the share your experience form on our website.

You can also call our national customer service centre on 03000 616161 or provide it to your local inspection team.

Get notified when reports publish on services in your area

Every week we send out a list of reports we’ve published in different areas. The list includes adult social care services, GP practices and hospital services. The list shows the services we’ve published inspections for, their latest rating and links to the reports on our website. If you would like to be added to this distribution list you can email: DLS&  

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