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Description
In this episode Michael Dillon, Expert by Experience with Choice Support, interviews Amanda Stride, Care Quality Commission’s (CQC) Deputy Director for the local authority assessment programme. They discuss CQC’s new role in assessing how local authorities fulfil their duties Under the Health and Social Care Act 2008 (as amended by the Health and Care Act 2022). It also focuses on what local authority assessment means for people who use services and experts by experience.
A
B
B
B
A
Thank
you,
Michael
I'm,
very
well,
and
it's
a
pleasure
to
be
talking
to
you
today.
As
you've
said
I'm
deputy
director
for
the
local
Authority
work.
So
that
means
that
I'm
leading
the
team
who
are
delivering
on
the
local
Authority
assessments
involved
in
all
aspects
of
it,
including
setup
and
carrying
out
the
assessments
a
little
bit
about
me.
A
My
background
is
primarily
regulation
these
days
because
I
have
worked
for
CQC
and
for
predecessor,
organizations
for
over
23
years,
and
during
that
time,
I
have
seen
and
participated
in
the
performance
assessment
of
councils
when
we
lasted
it
and
I
think
that
ended
quite
some
years
ago.
So
I'm
delighted
to
be
back
being
able
to
do
the
assessments
of
local
authorities
again.
B
B
Cqc
will
be
assessing
how
local
authorities
fulfill
their
duties
under
the
Care
Act.
This
knowledge
enables
you
to
start
to
understand
the
quality
of
care
in
a
local
area
or
system
and
provide
the
independent
Assurance
to
the
public
of
the
quality
of
the
Care
in
that
area.
Now,
before
you
answer
that,
are
you
sneaking
a
little
extra
in
here?
Can
you
tell
us
also
a
bit
about
the
background
to
the
work
you
are
carrying
out
as
part
of
the
local
Authority
Assessment
program.
A
Yes,
so,
as
you've
said,
this
is
a
new
Duty
for
us
and
also
going
alongside
that.
We
have
the
duty
to
assess
integrated,
Care
Systems
to
look
at
how
they
are
meeting
the
needs
of
their
local
population.
So
those
two
pieces
of
work
work
alongside
each
other.
So
in
terms
of
the
background,
we
updated
our
strategy
a
little
while
ago
and
that
detailed
our
priorities
and
what
we've
been
doing
is
putting
those
priorities
and
strategy
into
practice.
A
A
So
it
really
helps
us
direct
what
we're
doing
and
make
sure
that
people
are
at
the
heart
of
of
everything
that
we're
doing
so.
We
have
a
lot
going
on
in
that
space
and
then
what
we've
been
doing
with
the
local
Authority
work
is
we've
been
working
with
a
range
of
stakeholders
on
our
approach?
What
will
it
look
like
what
we'll
be
doing
and
how
does
that
fit
in
with
all
the
work
that
runs
alongside
with
the
single
assessment
framework
introduction?
A
So
we've
been
able
to
work
in
partnership
with
them
so
where
we're
at
now
is
the
powers
came
into
effect
on
the
1st
of
April,
so
we've
been
building
on
that
approach,
we've
gone
out
to
local
authorities
and
said
we
now
need
to
do
some
Pilots,
so
we
can
pilot
the
full
process
and
that
we
devised
and
see
how
it
actually
works
in
practice.
So
we're
going
to
be
doing
that
over
the
summer
we've
started
now
and
we
have
five
local
authorities
identified,
which
are
Suffolk,
North,
Lincolnshire,
Birmingham
city,
Nottingham,
City
and
Lincolnshire
County
Council.
A
So
a
good
spread
of
different
local
authorities
and
what
we
really
want
to
do
is
test
out.
How
does
that
methodology
work
in
practice?
Have
we
got
the
right
ways
of
doing
things
so
that
we
can
then
finalize
our
methodology
in
preparation
later
this
year
for
carrying
out
a
full
assessment
of
all
153
local
authorities?
A
B
A
Yes,
of
course,
so
you've
already
touched
on
one
of
the
main
purposes
of
the
work
and
that's
around
generating
an
understanding
of
the
quality
of
care
in
a
local
area
and
being
able
to
provide
that
independent
Assurance
to
the
public.
It
allows
the
public
to
then
see
exactly
what
it
is
that
their
local
Authority
is
doing
in
terms
of
the
adult
social
care
space
and
what
the
service
is
providing
and
the
quality
of
that.
A
It
also
means
that
we'll
be
shining
a
light
on
adult
social
care,
a
lot
more
and
raising
its
profile.
So
there's
a
lot
that
we
can
do
to
really
boost
up
the
profile
of
adult
social
care
in
this
space
in
terms
of
our
quality
statement.
So
our
quality
statements
are
part
of
this
framework
and
we
framed
them
in
terms
of
we
statements
and
I
statements.
A
So
you
have
a
quality
statement
that
says
what
is
intended
to
be
achieved,
and
the
Wii
statement
is
what
say:
a
local
Authority
needs
to
do
and
an
I
statement
which
was
developed
with
think
local
act,
personal,
those
their
eye.
Statements
that
we're
using
is
what
somebody
who
uses
Services
should
be
expecting
to
see.
So
we've
tried
to
make
sure
that
our
language
is
really
approachable
and
clear
for
what
people
need,
and
so
what
we
have
is
nine
quality
statements
for
authorities
and
we've
grouped
them
into
themes
around
the
Care
Act
duties.
A
So
we've
grouped
them
into
themes,
but
the
areas
that
we're
looking
at
are
around
assessing
needs,
planning
and
delivery
and
planning
and
reviewing
of
care.
How
a
local
Authority
supports
people
to
prevent
them
needing
a
service
or
prevent
them
needing
more
services
to
to
be
healthier
lives
how
they
maintain
well-being,
providing
information
and
advice.
A
B
A
So
in
terms
of
of
what
we
have
so
far
and
what's
coming
out,
we're
in
the
very
early
pilot
stages,
the
bits
that
we're
in
at
the
moment
are
very
much
around
setting
up
the
pilot
work
with
the
local
authorities
that
volunteered
and
as
we're
going
along,
we
start
to
refine
the
process
of
what
we
do
so
we're.
Looking
at.
How
do
we
do
things?
B
A
I
can
because
people
are
Central
to
everything
we
do
and
we
really
want
to
make
sure
that
people's
voices
is
heard
in
that.
So
we
as
an
organization
for
everything
we
do.
We
work
in
co-production
and
we
have
definitely
been
doing
that
on
the
local
Authority
assessment
work
as
we've
been
setting
things
up
and
looking
at
our
methodologies.
A
That
will
be
doing
that,
so
everything
we've
done
has
been
really
important
to
involve
people,
and
particularly
experts
in
the
assessments,
we're
trialling
some
different
approaches
in
terms
of
how
we
will
be
doing
things
because
they
are
pilots.
So
we
want
to
see
what
works.
But
what
we'll
be
doing
is
it
starts
from
what
does
the
local
Authority
know,
and
we
expect
the
local
authority
to
be
working
in
co-production.
We
expect
them
to
be
hearing
the
voices
of
the
people
that
are
using
their
services
and
they
should
be
influential
in
helping
the
local
Authority
shape.
A
What
they
do
so
we'll
be
asking
them
about
that.
But
then
we'll
also
be
testing
that
out.
So
we
will
be
talking
to
groups
such
as
unpaid
carers,
advocacy
groups,
voluntary
organizations
as
well
as
providers
and
local
Authority
staff
and
everything
and
we'll
be
talking
to
healthwatch
all
together
the
feedback
about
what
the
local
Authority
is
like
and
how
they're
delivering
on
those
Care
Act
functions.
A
Like
I'll,
tell
us
about
your
care
forms
and
things
like
that.
So
we
want
to
make
sure
it's
Central,
but
we
also
want
to
make
sure
we
properly
evaluate
our
pilot
assessments
so
that
we
can
say
did
that
work.
Was
it
enough
and
people
that
have
helped
us
with
that
will
be
involved
in
that
evaluation?
Well,.
A
A
It
means
that
people
can
read
that
report
see
what
their
local
Authority
is
doing,
see
how
it
compares
to
to
other
local
authorities,
and
we
can
highlight,
via
our
reports
the
current
challenges
and
risks
within
that
local
Authority
area,
and
we
can
show
the
impact
that
that
has
on
local
people,
but
we
can
also
showcase
the
best
practice
and
the
innovative
ways
local
authorities
provide
care
and
support
people.
Our
approach
is
very
much
focused
on
Improvement
and
using,
what's
already
in
the
sector,
to
keep
driving
improvement,
to
encourage
local
authorities
to
share
that
good
practice.
A
Share
that
Innovation
and
drive
Improvement,
both
regionally
and
nationally,
we'll
also
be
using
our
assessments
to
feed
into
the
integrated
care
system
assessments
as
well.
So
that
starts
to
give
an
overall
picture
of
Health
and
Care
Services
across
an
integrated
care
area
as
well,
so
that
focuses
on
the
whole
system
in
the
area,
with
the
focus
as
well
on
reducing
inequalities.
But
we
also
know
that
regulation
itself,
because
you
start
to
ask
questions
because
you
start
to
look
at
things.
A
Our
local
authorities
are
already
looking
at
what
they
do,
they're
already
looking
at
the
kinds
of
things
we
might
be
asking
and
how
they
can
answer
that
and
what
else
they
could
be
doing
to
improve
so
before
we've
even
started
to
go
across
a
threshold
and
start
to
ask
a
local
Authority
same
things,
they're
already,
starting
to
put
other
things
in
place
to
say,
we've
started
to
self-assess.
We
could
get
better
at
this.
We
know
CQC
will
be
interested
in
co-production.
For
example,
have
we
got
that
right?
Are
we
doing
that?
B
Thank
you,
Amanda
and
now
I
promise
you.
This
is
the
last
question.
As
a
person
who's
been
accessing
local
services
for
a
long-term
condition.
Can
you
tell
me
what
kind
of
changes
I
might
see
locally
as
a
member
of
the
public
and
how
local
authorities
may
change
as
a
consequence
of
the
local
Authority
Assurance
program
undertaken
by
the
CQC.
A
But
I
think
as
an
individual,
there
might
be
other
things
that
you
see
in
terms
of
you
might
be
seeing
that
the
local
Authority
is
reaching
out
to
you
more
to
say.
Actually
you
know
we'd,
like
your
views
on
things
or
we'd
like
you
to
be
involved
with
some
co-production
with
us.
You
might
find
we're
reaching
out
to
you
to
ask
you
for
your
feedback
on
a
local
Authority
and
that
you
can
help
shape.
You
know
what
the
local
Authority
is
doing
with
that
feedback.
A
The
things
you
want
them
to
be
doing
more
of
that
are
really
working
or
the
things
that
may
not
be
working.
So
there's
there's
individual
parts
that
you'll
be
playing
in
that,
but
I
think
also
it
does
go
back
to
that
powerful
tool
we
have
of
making
information
public,
so
each
individual
will
be
able
to
look
at
that
local
Authority
and
pull
out
some
of
the
points
that
are
relevant
to
them.
A
So
if
you
know
somebody
is
an
unpaid
carer,
they'll
be
able
to
see
how
is
my
local
Authority
doing
it
might
be
for
some
people
they
might
be
thinking
well,
I
didn't
realize.
I
was
an
unpaid
carer,
and,
but
now
I
can
see
actually
I
should
be
contacting
my
Authority
and
I
can
expect
something,
so
it
will
help
with
that
that
kind
of
process
as
well.
B
Thank
you
Amanda.
This
has
been
extremely
good
to
learn
and
certainly
brings
an
understanding
to
what
is
a
new
and
exciting
program
for
the
public
and
CQC
and
I
hope.
I
haven't
worn
you
out
too
much,
but
I
now
want
to.
Thank
you
very
much
for
speaking
to
me
today
and
on
behalf
of
those
listening
to.
This
has
been
a
very
interesting
and
Illuminating
question
and
answer
session.