►
From YouTube: CQC Connect: CQC Strategy 2021 - Systems
Description
In this short series of podcasts we will be exploring potential themes for our future strategy, due to start from 2021.
In this episode we are looking at 'Systems', what this could mean for our strategy and the work CQC does.
Listen to more podcasts from the CQC: https://soundcloud.com/carequalitycommission
Find out more information about the CQC and how it regulates health and social care in England: https://www.cqc.org.uk/
A
Hello
and
welcome
to
the
to
this
episode
of
cqc
connect
the
podcast
from
the
care
quality.
Commission
cqc
has
an
ambition
to
be
a
world-class
regulator,
driving
improvements
in
how
people
experience
health
and
care
services
and
working
towards
a
safer
future
to
help
us
achieve
this
vision.
We
are
developing
a
new
strategy
to
start
from
2021
that
builds
on
the
work
we've
done
previously
and
takes
us
forward.
A
C
A
Great
thanks
both
and
thanks
for
joining
us
today,
I
guess
to
start
off.
It
would
just
be
interesting
to
hear
a
bit
more
about
what
we're
looking
at
under
the
heading
systems.
What
this
includes
and
the
kind
of
things
we're
starting
to
explore
dominique
can,
I
start
with
you
sure.
C
So
traditionally,
cqc's
model
of
regulation
has
been
around
individual
providers
and
what
we're
hoping
to
do
through
the
systems
theme
is
look
it
in
more
detail
at
the
way
in
which
providers
collaborate
across
the
system.
C
We've
been
looking
at
this
theme
for
for
quite
some
time
now,
and
we
know
that,
having
engaged
with
a
range
of
different
stakeholders
that
people
are
keen
for
us
to
keep
up
with
the
changing
environment,
particularly
around
the
ways
in
which
health
and
social
care
integrate
together
and
at
a
minimum
we've
heard
feedback
that
people
would
like
to
see
is
increase
our
in
assessment
at
provider
level,
of
how
the
provider
contributes
to
the
system.
It's
based
in
but
separately,
be
able
to
comment
on
the
system
and
call
out
concerns.
C
A
Thanks
dominique-
and
I
guess
charles
part
of
the
reason
we're
looking
at
this-
is
because
we
we
recognize,
there's
a
there's,
a
lot
of
factors
that
influence
quality
beyond
what
an
individual
provider
does.
B
Yeah,
that's
right.
We
did
a
lot
of
work
about
two
years
ago,
looking
at
local
systems
and
under
a
banner
called
local
system
reviews
where
we
looked
about
how
local
system
partners
were
working
together,
and
we
did
this
under
some
special
powers
called
section
48,
which
meant
that
we
could
also
look
at
commissioning
with
permission
from
the
secretary
of
state
and
from
those
reviews,
we
found
that
there
are
a
number
of
key
factors
that
support
systems
working
together.
B
A
main
one
is
around
system
leadership
and
good
working
relationships
across
systems
and
through
that
work
we
tested
relationships
and
we
undertook
a
piece
of
work
around
good
relationship
management
and
it
showed
that
where
there
was
good
relationships
between
providers,
that
systems
worked
more
effectively.
B
We
also
looked
at
governance
structures
and
the
accountability
of
joint
accountability
performance
rather
than
single
organizations.
Looking
at
their
own
performance,
which
can
be
an
inter
a
can
be
an
issue
where
people
where
organizations
go
into
an
element
of
sovereignty
rather
than
working
together
to
look
at
performance.
C
Yeah,
absolutely,
I
think
the
thing
that
cqc
are
really
aware
of
is
the
the
harsh
realities
at
the
beginning
of
covid,
of
of
how
we
did
see
fragmented
and
broken
systems.
However,
we
also
saw
systems
who
were
working
really
effectively
together.
So
there
is
definitely
something
to
be
said
about
the
learning
of
those
systems
who
were
perhaps
working
in
a
more
integrated
way
prior
to
covid
and
how
we
can
share
that
information
with
systems
where
those
relationships
weren't
working
as
effectively
as
they
could.
So.
C
I
think
it's
fair
to
summarise
that
cqc
want
to
use
our
unique
position
to
give
a
full
picture
of
the
quality
of
care
delivered
to
a
person
during
their
journey
through
the
health
and
care
system
and,
as
charles
has
said,
we've
reviewed
systems
before
and
we
want
to
build
upon
that
process
into
the
future.
With
with
views
about
covert
in
mind,.
B
Moving
on
from
what
dominic
was
saying,
we're
really
looking
at
how,
as
we
move
forward
looking
at
systems,
we
really
want
to
look
at
ensuring
that
the
person's
at
the
center
of
the
system
that
the
the
providers
that
we
work
with
and
regulate
at
the
moment
are
working
together
to
look
at
how
they
can
ensure
that
they
offer
a
person-centered
service
and
the
person-centered
care.
And
we
also
want
to
look
to
see
how
providers
are
engaging
with
local
communities
to
ensure
what
they
are
providing
supports.
B
The
needs
of
of
their
local
communities
and
the
people
who
live
within
the
local
communities.
And
so
it's
it's
focused
on
people,
local,
the
improving
outcomes
for
local
local
people
and
the
other
area
that
we're
really
interested
in
at
the
moment
is
about.
B
During
the
kobe
periods,
there's
been
quite
a
lot
of
accel
accelerated
technology
in
in
innovation,
which
it
may
have
taken
much
longer
to
implement
in
the
past,
but
has
been
implemented
much
quicker
due
to
covid,
especially
things
such
as
telemedicine
and
ehealth,
and
even
though
we
certainly
wouldn't
want
to
stifle
innovation.
B
A
That's
really
interesting
thanks
charles,
I
think
I
guess
one
of
the
things
I'm
hearing
is
that
by
exploring
this
area,
we
can
much
better
get
an
understanding
of
the
holistic
experience
of
health
and
social
care
people
might
have
so
not
just
in
individual
providers
but
as
they
move
throughout
a
whole
system.
Is
that
right.
B
I
mean,
I
think,
the
the
the
point
of
in
the
future
that
we
might
be
able
to
look
at
you
know
through
our
new
strategy.
We
can
start
working
in
a
in
a
slightly
different
way
to
ensure
that
we
are
working
with
those
providers
to
make
sure
that
that
local
services
at
different
levels
across
the
system,
people
are
remain
at
the
center,
but
those
those
different
parts
of
the
system
ensure
that
they
make
services
bespoke
to
the
people
they
they
they
that
they
provide
services.
B
For
so,
for
example,
we
could
look
at
a.
We
could
look
at
a
micro
and
a
macro
level,
so
we
can
look
at
a
much
smaller
level.
So
we
can
look
at
what's
happening.
How
providers
are
working
together
in
the
place
to
meet
the
needs
of
their
local
population,
or
we
could
look
at
a
much
higher
level.
B
So
we
could
look
at
how
a
person
how
what
the
journey
is
like
for
a
person
who
is
who
is
receiving
their
services
at
a
very
high
level
that
might
be
commissioned
at
an
england
wide
level.
So
that
be
people
who
are
a
low
volume
of
people,
but
they
their
services
may
cost
a
lot
of
money.
But
it's
really
interesting
for
us
to
see
not
only
a
local
level,
but
at
that
level
on
a
much
higher
level
across
the
system.
B
How
people
are
being
careful-
and
we
can
look
at
that
at
other
levels,
then
below
that.
So
we
could
look
at
the.
We
can
look
at
how
this
is
working
at
an
integrated
care
system
level
that
we
could
look
at
it,
how
it's
working
at
a
primary
care
network
level.
It
could
look
at
a
system
at
a
neighborhood
or
or
we
could
obviously
still
keep
our
focus
on
on
just
what's
happening
with
the
provider.
C
Yeah,
it's
it's
just
it's
important
to
really
flag
just
to
sort
of
capture.
Some
of
the
points
charles
has
just
raised
that,
if
cqc
think
about
systems
more
in
our
future,
then
we
we
remain
relevant
to
what's
happening
in
the
last
landscape.
So
if
we
think
about
the
rollout
of
integrated
care
systems,
primary
care
networks
and
integrative
care
partnerships,
clearly,
the
landscape
around
us
is
becoming
more
joined
up
and
we
want
to
reflect
that
through
our
model
of
regulations.
So
what
we're
thinking
about
is
this
multi-level
approach
to
our
assessments
of
care?
C
So
a
system
could
be
national,
like
specialised
services
commissioned
for
rare
conditions,
or
it
could
be
something
more
geographically
based
such
as
either
an
integrated
care
system
or
a
really
local
level
like
like
the
ones
that
charles
has
just
suggested.
A
That's
really
helpful
thanks
both
and
I
guess
what
we
what
we've
heard
there
is
some
of
the
work
we've
done
previously
and
what
the
future
direction
might
look
like
for
us
in
this
area,
but
there's
also
some
work
happening
at
the
moment
called
provider,
collaboration
reviews
and
dominic.
I
don't
know
if
you
wanted
to
say
a
few
things
about
that
work
that
supports
this
area
as
well.
C
But
the
overall
intention
is
to
share
learning
from
good
practice
and
where
issues
arose
for
providers
across
health
and
social
care
to
help
them
respond
appropriately
to
any
second
peak
of
the
infection
in
a
more
integrated
and
more
effective
way
and
there's
the
real
important
thing
about
the
the
kobit
19
provider.
Collaboration
reviews
is
that
we
want
to
send
some
messages
out
to
the
system
ahead
of
winter
this
year,
because
we're
mindful
of
the
pressures
not
just
of
a
second
peak
of
of
the
pandemic,
but
also
winter
pressures
that
will
be
faced
anyway.
C
So
there
is
an
emphasis
on
driving
improved
experiences
and
outcomes
for
those
who
are
accessing
care
and
we
are
developing
our
insights
to
develop
our
data
offer
to
stakeholders
as
part
of
this
process
as
well,
so
that
we
can
offer
more
insightful
information
to
providers
working
across
the
system.
A
Great
thanks
dominique,
so
our
strategy
is
still
being
developed
and
we're
still
working
on
exactly
what
it
will
look
at
in
the
future,
and
this
theme
is
also
being
developed
as
part
of
that,
so
be
really
good
to
get
feedback
from
people
to
help
that
development
and
so
to
finish
off
today's
episode.
It'd
be
really
good
to
hear
both
from
both
of
you.
What
kind
of
questions
we
would
like
answers
to,
what
kind
of
feedback
we'd
like
to
get
charles?
Can
I
start
with
you
on
that.
B
I
think
for
me,
I
think,
the
if
the
the
question
is
how
people,
how
what
what
issues
people
see
within
the
the
within
systems
at
the
moment
and
and
you
know
quite
often,
nhs
and
social
care
work
separately,
and
that's
that's
been
shown
during
the
covered
period
in
in
certain
aspects
and
but
for
people
who
use
services,
their
families
and
carers.
They
they
they're
concerned
about
the
quality
of
service
they
get
not
about
who's,
providing
that
care.
B
So
it's
really
to
understand
where
the
biggest
gaps
are
in
in
system
working
and
and
how
those
how
we
can
work
with
providers
to
reduce
those
gaps.
So
the
experience
of
people
moving
through
health
and
social
care
isn't
confusing
and
is,
as
provides
the
best
safe
and
quality
care
that
they
can
dominique.
C
C
We,
through
our
local
system
reviews,
we
did
a
number
of
different
things
by
bringing
a
number
of
different
component
parts
across
the
systems
together
to
share
learning,
but
I'd
be
really
interested
from
hearing
from
stakeholders
how
we
can
use
the
information
that
we
gather
from
the
reviews
to
have
make
a
difference
and
what
they
think
would
be.
The
impactful
thing
to
do
to
encourage
systems
to
work
more
effectively.