Creating a better system

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

                                                                             December 2019

Community mental health survey results: Find the results for your local trust


We asked over 12,000 people who received community mental health services about their experiences of care.

We found that people's experiences of being supported with physical health needs and financial advice or benefits declined further this year.

This year's results also show significant scope for improvement for involving people in planning and agreeing the care they receive. The survey also found that many people did not know who to contact within the NHS during a crisis, and that people aged 18-35 or diagnosed with non-psychotic chaotic and challenging disorder consistently reported worse than average experiences. 

Find out more about the community mental health survey

Children and young people's experiences of care


We published results of our 2018 children and young people's patience experience survey in which we heard about the experiences of 33,179 children and young people. This includes responses from 10,927 children and young people aged 8 to 15, who told us about their experiences through questionnaires specifically designed for them.


For the first time, we have been able to look at changes over time, comparing results with the 2016 survey for most questions. With only a few exceptions, we found that experiences were almost unchanged in most areas this year.

Overall, children, young people and their parents or carers reported good experiences of care and the majority of children and young people were positive about communication with hospital staff. Children, young people, and their parents were less positive about their, or their child’s, experiences of being discharged from hospital. The survey also found that a small proportion (1%) of children and young people spent most of their hospital stay on an adult ward.

#DeclareYourCare campaign

On Tuesday 14th January, we'll be launching our fourth and final spike our #DeclareYourCare campaign. We’re focusing on encouraging people with a learning disability, their parents, carers and advocates to feedback to us about their care

Our research reveals that people with a learning disability are more likely to regret not complaining about poor care than those without. The lack of information about a health condition or treatment options not being well explained, are the main reasons for people with a learning disability or their carer to want to raise a concern. People with learning disabilities are also twice as likely to have concerns about maternity services and mental health services than people without a learning disability. 

We'd love for you to help us promote the campaign and its key messages with your followers and audience. There are several ways you could do this: 

  • Share information about the campaign and campaign assets on your website. This could also include a blog or news piece on your website, using the key findings as guidance 
  • Watch our video case studies that we've developed with Learning Disability England and Ace Anglia and share them on your channels  
  • Share information about our campaign in your newsletters to organisation members and members of the public 

Share campaign information on your social media channels, either by sharing tweets/ posts from CQC channels or posting your own messages, using the campaign hashtag #DeclareYourCare 

Stay well this winter


Flu can be unpleasant, but if you're otherwise healthy, it'll usually clear up on its own within a week. But for some people flu can lead to serious complications and can lead to hospitalisation.

That’s why the flu jab is free for some people.

It is routinely given on the NHS to those 65 and over, people with certain medical conditions, pregnant women, children aged 2 and 3 and those in primary school, and  frontline health or social care workers. 

Share this message through your networks and remind people not to put it off, and to ask their GP, pharmacist or midwife about the flu jab now.

Professor Ted Baker thanks staff and volunteers

This month our Chief Inspector of Hospitals Prof Ted Baker has written a blog thanking staff and volunteers in health and social care for their continued hard work. He also discusses the pressures faced by providers during winter.

Safe use of radiation in health care settings

Our new report gives a breakdown of the number and types of notifications of errors received from healthcare providers in 2018/19 where patients were exposed to ionising radiation.

It's important that organisations learn from incidents and take action to mitigate any risks when patients are exposed to ionising radiation from x-rays, radiotherapy or radiopharmaceuticals as part of their diagnosis or treatment.

Royal College of General Practitioners (RCGP) letter to the Prime Minister

The Royal College of General Practitioners (RCGP) has written a letter to the Prime Minister regarding prioritising GP workload and workforce to safeguard the NHS and patient care. 

RCGP say the escalating GP workload must be addressed and the Government's General Election manifesto pledge to deliver 6,000 more full-time GPs must be realised to make the job of a GP doable again. 

Consultation on the rehabilitation of adults with complex psychosis and related mental health conditions

The National Institute for Health and Care Excellence (NICE) has published a new draft guideline for consultation on the rehabilitation of adults with complex psychosis and related mental health conditions. The consultation closes on 5 February 2020.

New programme for anxiety and depression in young people

The Wellcome Trust has released the strategy for its £200 million programme commitment to transform how we understand, fund, prevent and treat anxiety and depression in young people.

The commitment is in addition to their existing funding for wide-ranging mental health research, which investigates many other conditions across all ages.

Striving to deliver

NHS Providers have launched a new briefing which looks at factors that could help improve performance this winter along with areas of concern for the sector.

The Striving to deliver: winter 19/20  briefing covers an assessment of readiness, anticipated impact, NHS response, what the NHS needs, and Resources.

Over 80s provide 23 million hours of unpaid care a week

Age UK has published analysis which shows that people over 80 years old provide 23 million hours of unpaid care a week which adds up to 1.2 billion hours of care a year, saving the health and care system a massive £23 billion a year.

They say the staggering amount of hours of caring a week comes at a cost to carers own health and wellbeing, many of whom already have their own long-term health conditions, and are unable to leave the home or get sufficient breaks from their caring duties. New data shows that more than two thirds have long standing health problems of their own with nearly half having difficulty with moving about at home, walking or lifting carrying or moving objects

First weekly winter performance reports from acute trust A&E departments

NHS England has published the first weekly winter performance reports collated from daily reporting from acute trusts with a type 1 A&E departments.

They are collecting and publishing a daily return from acute trusts with a type 1 A&E department, this includes information on closures and diverts, bed availability and occupancy rates, long stay patients and ambulance handover delays.