Care Quality Commission Meet the Chief Inspectors, 24 Jan 2014

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From YouTube: Professor Steve Field, CQC's Chief Inspector of General Practice, answers your tweets

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Watch Professor Steve Field as he answers questions from our followers on Twitter about the way we will inspect, monitor and regulate primary care services.

Find out more
Read Professor Field's blog: http://www.cqc.org.uk/blog/steve
Follow him on Twitter: www.twitter.com/profstevefield
Follow CQC on Twitter: www.twitter.com/carequalitycomm
Visit our website: www.cqc.org.uk

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Happy new year to to everybody, thank you for following me on twitter and following the care quality commission, I'm steve field, I'm a gp and I'm the chief inspector of general practice.

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I think it's really important to engage on twitter, because it's a way that I and the care quality commission can pick up what's happening on the ground from health and social care professionals, but also from members of the public and patients. First question uh is from julie, bailey, um congratulations, julie, I'm absolutely thrilled at your award of a cbe in the new year's honors list very well deserved.

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Your question about complaints is a really important one. Patients making complaints need to understand the system. It needs to be a simple system and, of course, in cqc, when we inspect practices we'll want to know about the complaints that we made and how they've been addressed, and probably, most importantly, how the practices learned from those complaints and improved the system that they have in providing care for for their patients.

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The next question is from alice evans and it's a really really important question, because she asks how care equality, commissioner, going to celebrate good and outstanding general medical practice, and you know that I just think that's such an important question, because that's exactly what we want to do, I was hired to reform the inspection regime for general medical practice which currently focuses on poor practice.

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What I'm pleased to be able to say is, from the summer onwards, we'll we'll be bringing in a new system which rates, practices and we'll be able to celebrate outstanding practice, we'll be able to make sure that practice is safe as as well and we'll be looking at whether practices are safe, effective caring, responsive and well led and we'll be celebrating great practice um as we go along from around about april.

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So I think we'll move into a more celebratory mode as the summer progresses and that's really important, because the vast majority of general medical practice is of a good standard.

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Another question from alice evans is about how gps manage people with complex conditions.

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I mean that's an important question, as well as gps, we're trained at looking at patients and their families in the context of their physical, psychological and social health care, and as we develop our inspection regime, we will also look at rating practices and how they manage across a series of domains.

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One of those will be about elderly care, another regarding long-term conditions, but we'll also be looking at a particular group of very vulnerable adults as well, perhaps they're homeless, those with learning disabilities travelers.

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All these different groups of patients have different challenges, but they all have mixtures of physical, psychological and social issues which impact on their health and what we'll be doing over the next few months is working on our methodology, so that we can celebrate which practices are providing great care, but also making sure that those who aren't providing the care that patients should expect will be highlighted so that they can improve a question from adam about how we'll involve children and young people.

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Well. For me, as chief inspector general practice, the involvement of children and young people in gathering information about practices and local services is really important. Indeed, we're just about to publish a report here from cqc about the transition between children and adults. Care which is a which is a is a problem.

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So not only will we looking at rating practices on how they look after children mums and babies, but also in our work on integrated healthcare, we'll be looking to make sure that there is a seamless transition between children's care and adult care in hospitals and, of course, how the gps contribute to that transition and provide care for the vulnerable group, which is those who are adolescents, so very important issue, both on getting information from children and teenagers, but also on how we look and inspect those services um question from donal about consistency of inspectors.

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It's a perennial issue in anyone, who's providing an examination or an assessment. It's how you get consistency on assessment and we're going to try and do that in a number of ways. One is we're going to spend money on training inspectors and we're setting up an academy which will help with that we're going to monitor assessments and put feedback in if we back loops there to support them so that we can get consistency but also the way we're going to restructure.

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The visiting teams to practices learns from experience and, from my own background, in training practice inspections, where we're going to have an inspector trained we're, also going to have a general medical practitioner, a gp on every visit, we're going to have a nurse or a practice manager a patient and also a gp registrar. So we can help train the next generation of gps who will be on inspections so with those teams working together, making reliable judgments getting feedback.

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I believe we can do a very good job on consistency. An interesting question from an organization called mistreatment about how we will report our findings and assess individual gps.

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In fact, what we're doing as the care quality commission is, is assessing and rating the quality of care provided by our provider, the general medical practice that could be a single-handed practice or it could be a practice of over 100 gps.

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But what we're committed to doing is rating the practice, whether it's outstanding good needs, improvement or inadequate and we'll be looking at the practice as a whole to make sure it's providing safe, effective caring care, that's responsive and, of course, well-led.

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We will publish everything and be open and transparent with the public and with the profession, but it's not about individual gps. That's an issue for the general medical council, the regulator of the professionals for us. It's about regulating the provider, however big or small. That provider is like.

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I'm really pleased that we've had um questions to me today, because that's one way that we can have a dialogue, we're trying to produce a really good inspection system for general medical practice, we're keen to learn, and we are going to reform the system we're doing this for for patients and the public and also for the profession.

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We need your help and we're very keen to receive more questions and more feedback. Thank.

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