How to influence CQC Inspections

Dr Nigel Starey – GP Regional advisor- South

Thursday July 9th 2015

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Context

• The changing world

• Changing Healthcare

• Primary care

• General practice

• CQC

  Total North South Central

London

Outstanding 37 15 10 9 3

Good 944 330 249 280 85

Requires Improvement

136 28 42 39 27

Inadequate 44 14 9 11 10

  1161 387 310 339 125

GP and OOH Published Reports with Ratings This week we published another 52 reports (1 Outstanding, 40 Good, 9 Requires Improvement and 2 Inadequate).  The total number of rated reports published since 1 October 2014 are set out below: 

5 QUESTIONS

Is the practice

1.Safe?

2.Effective?

3.Caring?

4.Responsive?

5.Well Led?

ALL with a set of prompts that we refer to as

Key Lines of Enquiry (KLOEs)

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The CQC Challenge to Practices

• First comprehensive inspection of every practice in England – Fear of the unknown

• Open and Accountable

• Rating

• Needs v wants- Learning v Reacting – Inward v Outward

• Drowning – Surviving – Thriving

• To what extent is the practice meeting the Health Needs of the community it serves?

• To what extent is the practice challenging the “Inverse care law?”

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The Challenge to PPGs

1. Where do you fit in?

• Fan club

• League of friends

• Patients voice

• Critical friend

• Non executive director

2. How do you influence the practice?

• Through or with?

• Hard or soft evidence

• Now then or when?

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How to Influence the CQC Inspection

• Know yourself

• Know where you fit in

• Know the CQC inspection format

• Before the day

• On the day

• After the day – The outstanding organisation, The Good practice, The Requiring improvement finding, Inadequacy and special measures.

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PPG+ Recent examples

• Ottery St Mary – School year “Health reps” on PPG

• Court Thorn Surgery - Basic life support session+ Defibs

• Victoria – 8-900 members, 2000Twitters

• Feedback

• Patient learning sessions

• Newsletter

• Exercise & “Shape up” group

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