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NHS patient-safety system to be overhauled

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October 15, 2024

The best way affected person security is regulated and monitored is to be utterly overhauled in England, the well being secretary has introduced.

Wes Streeting stated the present system was “overly complicated”, as he set out a overview of six key organisations.

It comes as additional modifications to the way in which the Care High quality Fee, the regulator of NHS providers, operates have been unveiled.

The regulator, which inspects 90,000 totally different providers throughout well being and care, has been instructed to focus far more on key providers reminiscent of hospitals, GPs and social care, after an interim report, in July, warned it was failing.

Since then, a brand new chief govt of the CQC – Sir Julian Hartley – has been appointed.

He presently leads NHS Suppliers, which represents senior well being leaders, and is anticipated to take over on the CQC quickly.

The six organisations to be reviewed are:

  • the CQC
  • the Nationwide Guardian’s Workplace
  • Healthwatch England
  • the Well being Providers Security Investigations Physique
  • the Affected person Security Commissioner
  • NHS Decision

The main target shall be on how these our bodies work collectively, with the findings feeding into the federal government’s 10-year plan for the NHS, anticipated within the spring.

Streeting stated: “Affected person security is the bedrock of a wholesome NHS and social-care system.

“That is why we’re taking steps to reform the CQC, to root out poor efficiency and guarantee sufferers can trust in its scores as soon as once more.

“The federal government won’t ever flip a blind eye to failure.

“An excessively complicated system of healthcare regulation and oversight isn’t any good for sufferers.

“We are going to overhaul the system to make it efficient and environment friendly to guard affected person security.”

The newest announcement coincides with the publication of the ultimate report into the CQC overview, led by Dr Penny Sprint.

The CQC has been instructed to cease inspecting regional integrated-care techniques, partnership our bodies incorporating the entire well being and care system in an space, and as a substitute return to its authentic mannequin of appointing chief inspectors to deal with particular person areas reminiscent of hospitals, GPs and social care.

Dr Sprint’s interim reviews stated the CQC lacked focus, with inexperienced inspectors a few of whom had by no means been right into a hospital earlier than, whereas some care-home inspectors had by no means met an individual with dementia.

She additionally recognized a backlog of inspections, with some hospitals not having been inspected for 10 years.

However there are not any plans to switch the only ranking system – excellent, good, requires enchancment and insufficient.

Matthew Taylor, of the NHS Confederation, which represents well being providers, welcomed the bulletins.

The present mannequin had “not been match for objective” for “far too lengthy”, he stated.

The CQC stated it was taking “speedy motion” in response to the findings, together with introducing methods to simplify assessments throughout totally different components of the well being sector.

It plans to nominate three new chief inspectors to control hospitals, GP surgical procedures and grownup social care providers.

The organisation’s chair, Ian Dilks, stated: “We’re dedicated to rebuilding belief in CQC’s regulation and are taking motion to ensure we now have the correct construction, processes, and know-how in place.”

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