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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

                                                                             November 2019

New information for inspectors and mental health act reviewers on closed environments

We're giving inspectors and their managers new supporting information about how to identify and respond to closed cultures in services. When a service has a closed culture, we know people are more at risk of abuse and human rights breaches. The new information includes risk factors and warning signs of closed cultures in health and social care settings and how inspectors and their managers should respond. We’ll be conducting a longer-term review of our methodology from a human rights perspective and are committed to working closely with people who use services, their families and professionals to develop this.

Independent cosmetic surgery services – emerging concerns

We regulate cosmetic surgery by healthcare professionals that involve any instrument or equipment (such as an implant) being inserted into the body. This also includes procedures like breast augmentation, liposuction, nose surgery and facelifts. We’ve already inspected 65 services which is almost two thirds of those currently registered. Our inspections have identified some good individual practice, but they’ve also found areas of concern. We’ve published 58 reports on these inspections so far and we’ve issued requirement notices or taken enforcement action against some providers, ordering them to improve.

New frameworks for autistic people and people with learning disabilities

Health Education England (HEE) have new frameworks designed to improve care and support for autistic people and people with learning disabilities. They draw on experiences of service users and were jointly developed by autistic people, people with learning disabilities, and their families and carers. HEE have set out the skills, knowledge and behaviours needed by health and social care staff to help develop and plan the current and future workforce. The frameworks form part of an autism strategy being developed by the DHSC, supported by HEE and other stakeholders.

Your council’s performance

The Local Government and Social Care Ombudsman has launched an online complaints map. It allows you to click on local authority areas to find statistical information about upheld complaints, compliance with recommendations and their performance compared to similar types of local authority. 


NHS England and Health Education England have today launched ActNow, a new e-learning tool to help health service and care staff reduce hospital delays for patients. Action to help tens of thousands more people avoid lengthy spells in hospital is being rolled out nationwide as part of the NHS Long Term Plan.

A manifesto for a society that respects, values and supports carers

Carers UK are calling on all political parties to commit to improving the lives of the UK's 6.5 million unpaid carers. Their new manifesto includes seven priorities, including putting them at the heart of a reformed and better funded system of social care. They’re also asking that politicians make sure people do not suffer financial struggles as a result of caring.  

Thousands of operations cancelled due to staff shortages and equipment failures

New data has revealed a huge increase in the number of cancelled operations because of staffing issues and equipment failures. Acute hospital trusts in England were asked to provide the total number of operations cancelled for non-clinical reasons.

New figures on the number of detentions carried out under the Mental Health Act in 2018-19

NHS Digital has published new figures on the number of detentions carried out under the Mental Health Act in 2018-19. The data covers people treated under a Community Treatment Order , people in secure psychiatric hospitals and other NHS Trusts and independent providers. It allows comparisons to be made based on age, sex and ethnicity.

New principles to protect patients online

We’ve worked with other healthcare regulators to issue ten new principles to help protect patient safety and welfare when accessing medication online or on the phone. They apply to all healthcare professionals carrying our consultations and medication to patients remotely. This work reflects the commitment we made to work together and partner with other organisations to develop shared guidelines.

Learning disability and autism training for health and care staff

After the Department of Health and Social Care’s (DHSC) announcement on learning disabilities and autism case reviews, the government has also said that every NHS and social care worker will receive compulsory training relevant to their role. This comes after a consultation in February where charities, patient groups, professional bodies and the public backed the principle of mandatory training.