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From YouTube: Developing our oversight of systems
Description
Hear from Matt Tait, Head of Strategy as he takes you through the work we are doing around developing our oversight of systems.
Continue the conversation and share your thoughts on our participation platform, CitizenLab:
- Link to the project https://cqc.citizenlab.co/en-GB/projects/developing-our-oversight-of-systems
- Link to sign up if you don't have an account https://cqc.citizenlab.co/en-GB/
A
Hello,
my
name
is
matthew,
tate,
I'm
head
of
strategy
at
cqc
and
leading
the
work
on
the
strategy
and
policy
around
cqc's
oversight
of
integrated
care
systems.
So
I'm
going
to
be
doing
a
short
presentation
today.
This
is
a
an
update
on
our
and
run
through
our
our
early
thinking
on
on
the
scoping
and
to
the
purpose
of
of
those
assessments.
A
So,
to
put
this
in
context
of
our
our
work
on
our
wider
regulatory
model,
our
strategy,
which
we
published
earlier
this
year,
sets
out
how
we
plan
to
to
change
the
way
we
work
to
deliver
more
effective
regulation
in
a
range
of
different
ways.
There
are
four
things
that
sit
across
the
strategy
and
all
of
those
will
will
be
relevant
to
how
we
develop
integrated
care
systems
or
assessment
and
care
systems.
A
One
of
the
the
really
important
things
we're
doing
in
the
early
stages
of
the
implementation
of
our
new
strategy
is
introducing
an
updated
assessment
framework
for
making
judgments
about
the
quality
of
care
and
that's
going
to
not
not
change
the
bar
or
change
the
way
we
assess
quality
fundamentally,
but
it's
about
distilling
down
the
the
content
of
our
assessment
frameworks
into
something
that's
very
accessible,
and
importantly,
that
applies
across
all
of
the
sectors
that
we
regulate.
So
currently,
we've
got
different
frameworks
for
social
care
and
and
healthcare
providers.
A
What
we're
trying
to
do
is
distill
that
into
a
single
framework,
that's
applicable
across
all
the
sectors
and
all
the
levels
that
we
regulate.
So
that's
important
context,
because
the
that
that
assessment
framework
and
the
core,
the
quality
statements
that
that
are
going
to
be
contained
in
that
framework,
the
concept
would
be
that,
wherever
possible,
those
those
frameworks
were
those
those
that
assessment
framework
would
also
apply
at
the
level
of
the
integrated
care
systems.
A
So
I'll
talk
a
bit
about
both
of
those
today,
but
with
a
focus
on
integrated
care
system
work.
So
I
won't
go
through
these
in
detail,
but
this
is
a
a
sort
of
overall
set
of
principles
that
we're
working
to
across
all
of
our
our
new
work,
and
these
will
apply
in
different
ways
and
different
parts
of
our
our
work
on
on
the
regulatory
model.
A
So
this
is
again
about
the
the
single
assessment
framework.
A
lot
of
this
is
really
already
the
case
in
our
current
way
of
working.
So
we
we
already
have.
We
have
five
key
questions:
safe,
effective
caring,
responsive
and
well
led
and
we've
had
those
for
about
10
years
and
is
part
of
a
new
way
of
working.
A
We're
just
going
down
into
this
single
set
of
quality
statements,
but
below
that
evidence
will
be
collecting
evidence
as
we
currently
do
against
those
quality
statements
with
specific
evidence,
indicators,
quality
indicators
sitting
underneath
those
categories
of
evidence
and
all
of
that,
underpinned
by
this
best
practice,
standards
and
guidance.
So
a
lot
of
that
is
consistent
with
at
a
high
level
with
how
we
work
currently,
but
again,
it's
about
making
it
more
more
accessible
and
more
transparent.
A
So
we
we
need
to
use
the
single
assessment
framework
in
a
way
that
takes
account
of
the
differences
in
in
the
roles
and
scale
of
of
a
system,
level
assessment
versus
a
provider
level
assessment.
So
so
what
that
will
mean
is
is
is
adapting
that
framework
applying
it
wherever
appropriate
and
using
that
those
those
principles
that
that
have
been
developed
for
provider
regulation
but
applying
it
to
system
level
regulation
in
a
way.
A
That's
that
that's
proportionate
and
fits
the
context,
so
just
to
talk
a
little
bit
more
about
the
the
local
authority
side
of
things.
So
the
the
focus
for
local
authority
assurances
is
going
to
be
around
the
care
act
and
and
how
local
authorities
are
delivering
their
responsibilities
under
the
care
act.
A
So
there's
a
specific
focus
there
for
our
assessment
around
around
that,
and
particularly
the
focus
in
the
character
around
in
an
individual's
journey
through
the
system,
so
ensuring
individuals
have
control
of
their
day-to-day
life,
suitability
of
a
living,
living
accommodation
contribution
to
society.
So
it's
about
requiring
local
authorities
to
to
consider
all
of
that,
and
each
person's
views
wishes
feelings
and
beliefs
in
the
context
of
delivering
services.
So
that's
something
that
gives
you
an
idea
of
what
we'll
be
focusing
on
in
in
the
context
of
the
local
authority
assurance
process.
A
The
the
integrated
care
system
assessments
will
have
a
slightly
different
focus
because
they're,
not
it's
not
structured
in
the
same
way,
specifically
around
the
care
act,
duties
so
I'll
talk
a
bit
more
about
how
we're
developing
the
approach
for
metrocratic
care
systems.
But
this
is
the
the
overall
sort
of
approach
to
the
sort
of
process
for
assessing
work,
authority
assurance
and,
and
much
of
this
will
apply
to
integrate
integrated
care
system
assessments
as
well,
so
we'll
need
with
both
of
them
to
establish
a
baseline
of
quality
and
safety.
A
So
that's
something
that's
applicable
and
a
strong
theme
in
our
strategy
around
encouraging
improvement
at
provider
level
and
again,
I
think
one
of
the
the
big
things
we
really
want
to
focus
on
and
and
see
is,
is
one
of
the
real
sort
of
added
values
that
we
can
give
in
the
system.
Level
assessments
is
about
that
independent
view
and
capturing
good
practice,
encouraging
improvement
from
from
that
from
us.
A
It's
not
going
to
be
about
tying
ourselves
to
a
point
in
time
where
we've
done
a
physical
visit,
because
that's
a
not
always
the
most
appropriate
or
the
most
necessary
means
of
gathering
evidence.
There
are
other
ways
that
you
can
gather
evidence,
so
what
we
want
to
do
is
be
flexible
and
proportionate
to
how
we
how
we
assess
providers
again.
That
applies
at
system
level
as
well.
A
The
partnership
board
the
integrated
care
board,
so
those
those
bodies
in
the
system
as
a
whole
has
some
specific
roles
and
purpose
around
improving
population,
health
and
health
care,
tackling
unequal
access,
experience
and
outcomes,
enhancing
productivity
and
value
for
money
and
supporting
broader
social
and
economic
development.
So
a
quite
big
overarching
aims
purposes
of
integrated
care
systems,
and
that's
really
what
we
we
need
to
focus
our
our
assessment
of
that
level
on.
A
So
it's
a
different
different
sort
of
focus
to
provide
a
regulation
where
there's
a
specific
focus
on
the
quality
of
care
delivered
inside
those
organizations
in
those
specific
services.
This
is
a
broader
lens
on
how
providers
are
working
together
and
to
achieve
those
sorts
of
big
picture
outcomes
at
that
overall
geographic
level.
A
A
How
well
do
they
understand
the
needs
of
their
system,
but
that
that
sort
of
leadership
side
of
thing
thanks
some
of
it's
about
the
the
integration
side
of
things,
so
how
the
providers
and
all
the
partners
across
the
system
are
working
together
to
deliver
care.
So
how
well
pathways
are
working?
How
well
the
arrangements
between
providers
are
working
to
to
deliver
care
across
that
system
and
and
the
last
one
is
around
the
quality
and
safety.
A
So
what
we're
proposing
is
a
slightly
different
way
of
of
grouping
the
the
content
of
the
assessment
framework
that
that
recognizes
the
differences
in
at
this
level.
So,
as
I
said
within
those
broad
themes,
there
will
be
specific
areas
of
focus.
Content
that
will
go
would
go
under
each
of
those
themes,
so
this
is
a
flavor
of
some
of
the
things
that
we
would
look
to
to
focus
on
within.
Within
that
assessment
framework,
so
service
user
voice
at
system
level
is
a
really
important
one.
A
So
it's
not
just
what
we've
been
told
or
what
the
data
is
telling
us,
but
we're
able
to
triangulate
that,
with
with
the
right
sort
of
evidence
from
from
how
people
are
experiencing
care,
there'll
be
a
range
of
other
sources
of
sources
of
evidence
that
I
will
need
to
gather
at
system
level,
including
around
inequalities
access
to
services.
So
this
is
a
new
type
of
assessment
and
a
new
level
of
assessment.
A
We've
got
a
lot
of
information
on
of
how
individual
providers
are
performing
and-
and
that
will
be
an
important
part
of
our
understanding,
of
how
well
that
the
quality
safety
integration
services
is
working
at
system
level,
but
there'll
be
evidence
that
we
need
to
collect
across
that
system
level.
That
will
be
new
evidence
around
those
those
overall
geographical
things,
around
inequalities,
population,
health
or
of
that
that's
an
a
new
level,
but
also
the
linkages
to
across
providers
flow
flow
within
the
system
as
a
whole.
A
So
with
so
that's
a
bit
of
a
flavor
there,
we're
conscious
that
there
will
be
variation
among
the
integrated
care
systems
there
there
in
early
stages
of
development
and
they're
at
different
scales,
they'll
work
in
different
ways,
and-
and
you
know,
one
of
the
drivers
of
integrated
care
system
work
is
is-
is
about
local
variation
about
local,
about
responding
to
local
needs.
So
that's
something
we'll
need
to
take
account
of
as
we
as
we
do
the
work
and
develop
the
assessment
approach.
A
Important
to
think
about
within
all
of
our
ways
of
working
in
this
process
is
about
how
do
we?
How
do
we
have
the
right
level
of
impact
of
our
assessments
and
ensure
that
the
reports
that
the
findings
that
we
produce
from
these
assessments
are
appropriately
followed
up?
So
we
won't
have
the
same
kinds
of
levers
in
an
integrated
care
system
assessment
that
we
do
at
provider
level.
A
Equally,
I
talked
a
bit
about
the
the
information
on
provider
assessment
and
formal
integrated
care
system
assessment.
So
we
need
to
make
sure
that
that
relationship
works
properly,
that
the
information
we're
getting
on
provided
regulation
does
inform
integrated
care
systems
and
local
authority
information
and,
equally
that
the
information
that
we
collect
at
integrated
care
system
and
local
authority
level
properly
informs
provider
level
regulation
as
well
of
our
understanding
of
how
providers
are
working.
So
it
should
be
a
sort
of
feedback
group
provided
collaborative.
A
Is
that
sort
of
one
one
aspect
of
that?
One
of
the
roles
of
nhs
trust
is
around,
provided
collaboratives
are
working
together
across
different
nhs
trusts,
and
some
some
trust
will
have
lead
roles
in
that
important
to
understand.
I
think
that
those
provided
collaborators
will
be
an
important
give
us
an
important
insight
into
how
quality
is
working
in
that
part
of
the
system.
A
You
know,
build
up
an
approach
for
understanding
the
quality
of
those
provider,
collectives
how
well
they're
working
and
then
feeding
that
into
the
different
parts
of
our
oversight,
model
and
and
finally,
on
that
slide
important
in
all
of
this,
that
we're
avoiding
duplication
that
we're
conscious
of
the
different
roles
of
of
the
different
bodies,
the
different
regulatory
bodies
and
and
other
other
system
bodies
in
the
system
and
avoiding
regulatory
burden.
So
it'll
be
important
for
us
to
wherever
possible.
A
Be
you
know
only
gathering
evidence
once
within
the
system
that
we're
sharing
information
between
us
and
that
our
work
is
complementary
to
the
work
of
other
regulators
and
others
with
a
role
in
the
system
like
nhs,
england
and
improvement,
and
they
have
a
specific
role
and
we'll
need
to
make
sure
that
our
role
is
complementary
to
that,
in
the
same
way
that
our
role
with
provider
regulation
nhs
trusts
is
is
complementary
to
people
like
nhs
improvement.
So
we've
got
different
roles
but
in
the
same
sort
of
space.
A
So
if
you,
if
you'd
like
to
continue
the
the
conversation
on
this,
I
would
be
thrilled
to
hear
from
you.
You
can
log
in
and
or
and
sign
up
to,
citizenlab,
which
is
our
online
participation
platform
to
continue
the
conversation
and
share
share
feedback
on
the
work
that
we're
doing
so
far.
So
we
would
be
really
interested
to
hear
your
thoughts
comments,
particularly
in
terms
of
what
are
the
key
things
that
we
need
to
consider
when
looking
at
quality
and
systems
and
general
reflections
on
thinking.
A
So
far
as
I
said,
this
is
early
stages
of
the
work.
The
the
assessments
are
we're
working
through
the
time
frame
of
beginning
assessments
in
april
2023.
So
we've
got
sort
of
a
bit
under
18
months
to
to
around
18
months
to
to
do
that
development,
work,
I'll,
get
the
systems
built
so
we'll
be
going
into
a
period
of
sort
of
more
and
more
engagement
on
the
detail
as
we
get
further
along.
This
is
recently
early
days
so
really
important
to
get
general
early
reflections
on
on
our
thinking.