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From YouTube: NHS trusts and Independent Healthcare services | Q&A
Description
In part two of this webinar you'll hear from Victoria Vallance, Fiona Allinson - Deputy Chief Inspectors and Claire Land, Head of Acute Policy as they answer the questions on peoples minds about our new regulatory model.
Watch the presentation in part one: https://youtu.be/FAkoC7SEMgc
A
Ladies,
if
that's
all
right
to
any
questions,
comments,
queries
so
becky
in
the
background,
I
hope
is
going
to
help
me
and
facilitate
and
bring
those
in
and
I'll
be
working
with
colleagues,
particularly
fiona
allinson,
deputy
chief
inspector
and
claire
land,
our
head
of
policy,
to
take
some
of
those
so
becky
over
to
you.
That's
all
right.
B
Hello,
so
the
first
area,
it's
probably
worth
having
a
bit
of
a
talk
around,
is
what
information
we'll
be
sharing
with
providers.
So
we've
talked
about
the
scoring
system
and
dashboard
and
there's
just
been
some
questions
about
whether
what
providers
will
get
to
see
of
that
black
dashboard
and
also
whether
pirs
will
continue
to
exist
and
feed
into
that.
A
Okay,
thanks
very
much.
Okay,
I'll
probably
come
to
claire
in
a
second.
If
that's
all
right,
but
just
to
say
from
my
perspective,
we
we
absolutely
want
to
be
open
and
transparent.
We
know
that
we
have
a
significant
role
to
play
in
driving
improvement
and
that's
sharing
the
information,
the
insight
that
we
are
collecting,
particularly
where
there
is
a
signal
to
steering
that
improvement.
The
best
thing
we
can
do
is
be
sharing
that
in
a
really
open
way.
So
we
we
want
to
be
streamlined.
A
C
C
B
Yeah
dee
there's
obviously
been
a
lot
of
questions
around
systems
they're
a
big
focus
of
what
we've
talked
about,
so
the
questions
are:
are
we
going
to
be
looking
around
and
acknowledging
any
differences
in
the
kind
of
funding
that
and
the
funding
and
allocation
challenges
that
might
be
encountered
and
also
will
be
taking
into
account
any
different
models
that
trusts?
Have
I
some
that
have
more
primary
care
or
some
more
secondary
care
focused.
A
Okay,
I'll
probably
come
to
claire
again
just
a
handsome
claire,
but
just
to
just
start
on
the
systems,
but
we
one
of
the
streams
that
we
talked
about.
There
was
looking
at
the
integrated
care
in
terms
of
outcomes,
so
we
will.
We
will
really
be
testing
through
the
so
what
so?
What
does
the?
What
is
the
output
of
the
partners
working
together?
The
funding
arrangements
that
the
system,
through
its
devolved
budgets
at
place
level?
What
does
that
feel
like
for
people?
A
So
we
won't
be
taking
an
approach
where
we
are
at
all
looking
to
drive,
steer
what
the
funding
arrangements
might
be,
but,
of
course,
we'll
keep
another
close
connection
to
what
that
means
for
people
using
those
services
and
inevitably
that
will
reflect
and
talk
to
some
of
those
funding
arrangements
that
the
system
has
put
in
place
the
models
on
the
primary
and
community.
Obviously
we
we
do
a
lot
in
our
current
approaches
to
think
to
combined.
A
If
it's
a
provider
level,
or
indeed
those
partnerships
in
the
system,
so
yes
will
we
be
mindful
of
providers
working
together,
be
it
through
some
of
the
collaboratives
even
and
think
into
the
contributions
of
each
and
every
sector
in
terms
of
again
keeping
the
person
at
the
center
the
person
at
the
center
of
their
journey
through
the
system?
Yes,
we
will
but
claire.
I
don't
know
if
you
want
to
add
anything
more
to
that.
C
The
big
benefit
of
the
single
assessment
framework
is,
it
will
be
exactly
the
same
framework.
The
quality
statements
are
written
in
a
way
that
they
can
apply
across
both
adults,
social
care
and
and
all
types
of
health
care
services.
So
we're
not
asking
providers
to
switch
between
frameworks
for
different
types
of
services
that
they
provide
and
we
think
that
that's
more
relevant
to
how
services
are
delivered
now,
with
far
more
complex
providers
delivering
a
range
of
services
back.
B
To
you
becky,
so
I
think
one
of
the
burning
questions
in
the
chat
is
definitely
around
timelines
for
this.
So
I
know
as
yet
we're
still
kind
of
in
the
testing
phase
and
are
probably
hoping
to
give
providers
as
much
time
as
they
need
because
of
the
effect
it's
gonna
have.
If
there's
just
a
question
around,
do
we
have
anything
clearer
than
that
and
also
around
the
inspection
timelines?
Once
this
launches.
B
And
just
to
because
I
know
a
lot
of
what
we've
talked
about
is
more
kind
of
nhs
focused.
I
think
the
questions
coming
in
about
how
this
is
going
to
look
for
independent
health
care
systems,
which
might
be
slightly
different
from
the
ics's
and
nhs
trusts,
and
just
to
ask
if
we
could
just
give
an
update
for
them.
A
So
the
single
assessment
framework
that
we've
that
we
talked
about
now
is
the
golden
thread
so
we'll
use
the
same
framework,
the
same
quality
statements,
the
same
scoring
the
same
approach
together
in
our
evidence,
it's
all
applicable
and
will
be
for
all
sectors,
inclusive
of
independent
and,
of
course,
really
significant
for
us
to
be
thinking
about
the
independent
sector's
role
in
the
system
in
the
wider
system
in
the
and
contributing
to
the
outcomes
and
experiences
for
people
moving
across
and
around
integrated
care
systems.
So
yes,
ever
primary
importance
within
our
thinking.
D
I'm
not
sure
there's
an
awful
lot.
I
can
add
victoria.
I
think
you
covered
that
off
quite
well.
We
will
be
working
closely
with
the
independent
sector
to
look
at
how
they
interact
with
the
nhs
and
the
system
working
that
they
undertake,
so
that
we
fully
understand
it
and
therefore
can
build
it
into
our
system
model.
B
A
Yeah,
okay,
so
now
in
a
nutshell,
I
will
see
if
claire
wants
to
come
in
and
add
anything,
but
certainly
from
my
perspective
in
a
nutshell,
no
the
statements
will
be
the
same.
They
will
be
tailored
so
that
the
language
is
appropriate.
So
we're
talking
about
system
leadership,
for
example.
It's
it's
around
the
we
it's
around.
A
The
partnership
is,
but
the
the
ethos
and
the
direction
of
each
statement
where
we
make
it
applicable
know
that
those
will
be
written
to
ensure
that
a
is
the
same
set
of
statements
and
b
it
can
be
applied
every
single
level,
so
be
it.
The
single
handed
small
scale
provider
right
through
to
the
system
partners
working
together.
I
don't
know
if
there
is
anything
else
to
add
on
that,
but
I
will
just
ask
claire.
C
C
You
know
how
we
actually
assess
ics
is
is
still
very
much
in
development
that
bit
won't
go
live
until
march
23,
so
we're
looking
a
year
away
for
that,
and
one
of
the
key
things
we're
trying
to
work
through
is
what
does
what
does
the
results
of
our
assessments
at
provider
level
mean
for
the
for
the
ics
level?
It's
not
about
going
back
to
providers
to
ask
for
more
information
about
the
ics
level.
If
that
makes
sense,.
B
A
C
Thanks
victoria
yeah,
so
yeah,
I
did
in
response
to
that
question
actually
pop
in
the
link,
because
we
already
have
some
guidance
around
what
a
closed
culture
is.
What
the
signs
of
a
closed
culture
is,
I'm
not
sure
whether
that
link
perhaps
could
be
put
in
when
the
slide
deck
is
circulated
to
to
attendees
and
as
there
are.
C
B
Becky,
so
the
there's
a
question
about
whether
we're
going
to
continue
doing
our
continuous
inspections,
so
we've
during
the
pandemic
results.
He
had
a
lot
of
the
smaller
contacts
where
we
checked
in
with
providers
and
checked.
What's
going
on.
It
was
a
question
around
whether
those
are
going
to
continue
if
there's
no
sign
of
risks
and
if
trusts
would
be
able
to
use
those
to
improve
their
ratings
going
forwards
or
if
it
will
just
be
inspections
that
improve
their
ratings.
A
Okay,
I
think
I'm
going
to
make
an
assumption
here.
I
think
we
might
be
talking
about
some
of
our
more
immediate
response
to
the
pandemic
as
well.
We
introduced
a
affectionately
referred
to
tma,
the
transitional
monitoring
approach,
which
was
all
around
in
the
first
responses
to
the
problem
I
made
working
with
providers.
Looking
to
what
support
we
could
offer
in
terms
of
available
guidance.
A
What
was
going
on
in
the
system?
How
might
we
connect
and
think
about
providers
working
together
within
systems?
So
we
did.
We
did
a
lot
of
early
support
through
our
tma
approach,
of
course,
you're
quite
right
that
has
evolved
and
we're
now
kind
of
those
priorities.
I
talked
to
around
hospitals
and
mental
health
and
community
in
terms
of
being
out
and
about
crossing
the
threshold
at
the
moment.
A
Those
are
our
current
priorities
set,
but
always
underpinned
and
supported
by
our
direct
monitoring
approach,
so
we're
ever
evolving
our
direct
monitoring
approach
and
to
to
be
able
to
support
the
future,
the
new
regulatory
model,
the
continuous
and
the
continuous
assessment
of
quality
and
risk,
and
has
been
really
dynamic
and
on
top
of
those
indicators,
so
the
the
planned
approach.
If
the
question
is,
will
the
planned
approach
program
continue,
then
absolutely,
and
we
will
be
responding
to
race,
targeted,
proportionate
to
what
the
data
and
insight
is
telling
us.
A
It
will
not
be
a
point
in
time
approach
as
we
used
to
see
previously
I.e.
We
will
come
back
to
a
nhs
trust,
that's
required.
That's
requires
improvement.
After
three
years,
et
cetera,
we
used
to
talk
kind
of
in
quite
prescriptive
language,
about
that.
Instead,
it's
probably
better
described
as
always
on
has
always
been
connected
to
the
quality
of
the
safety
that
what
the
data
and
insight
is
telling
us
and
taking
the
right
action
at
the
right
time
in
terms
of
any
regulatory
contact
across
the
threshold
activities
and
what
that
means.
A
B
Thank
you,
victoria
there's,
another
one
which
I
think
it
might
we've
kind
of
mentioned
it,
but
it
might
just
be
worth
answering
this
question,
so
it's
around
the
providers
that
will
be
involved
in
the
pilots
and
it's
some
questions
around
whether
those
reports
will
be
published
and
how
much
notice
we're
going
to
give
them.
I
know
we've
said
that
at
the
moment
we
can't
give
any
questions
around
answer
any
questions
around
timelines
other
than
it
coming
in
quarter
three,
but
I
thought
just
if
there
was
any
knowledge
about
whether
those
findings
will
be
published.
B
C
B
C
C
I
did
see
a
question
about
whether
providers
will
know
they're
part
of
the
pilot,
yes,
certainly
and
another
asking
how
they
can
volunteer,
and
I
think
we
can
probably
put
some
information
about
that
in
in
this,
like
in
the
email
that
goes
out
after
this
in
terms
of
kind
of
what
what
that
will
mean
for
a
pilot
site
and
whether
whether
they'll
have
sort
of
a
set
of
shadow
ratings.
I'm
afraid.
B
A
So
we've
heard
an
awful
lot
of
feedback.
It's
great
to
hear
that
there's
positive
comments
in
here.
We've
heard
lots
of
feedback
about
relationship
owners
and
and
actually
to
make
it
more
about
the
activity
that
happens
with
through
the
relationship
owner
is
probably
what
we're
thinking
about
in
terms
of
the
future
model,
so
that
right
contact
point
that
clarity
of
contact
point
with
cqc
who
to
go
to
and
when,
and
importantly,
we've
heard
through
events
such
as
this.
Actually,
what
really
matters
as
well
is
that
we
get
the
right
response.
A
So
when
we
do
contact
cqc,
it's
right
support
right
response
right
time.
So
it's
something
that
we
are
alive
to
thinking
about,
and-
and
I
mentioned
the
thinking
on
the
multidisciplinary
teams
as
well
earlier
and
we're
thinking
about
how
we
design
our
teams
working
together
to
fulfill
that
end-to-end
single
assessment
framework,
again
right
from
the
point
of
registration
right
through
to
the
always-on
continuous
assessment.
A
So
what
I
can
definitely
offer
reassurance
on
is
that
we
are
committed
to
and
will
ensure
that
named
individual
members
of
teens
are
available
can
be
contacted
in
the
same
way
that
you
would
now
so,
but
we
want
to
be
more
efficient.
We
want
to
be
able
to
give
the
right
support
right
interface
right
time,
because
it's
not
always
about
you
know
when
people
contact
our
teams,
it's
not
always
about
an
upcoming
inspection.
A
B
B
A
I'll
come
to
claire
in
a
second
for
any
specifics,
but
in
a
nutshell,
the
answer
is
absolutely
yes.
We
want
to
know
right
from
the
provider
level
right
through
to
the
integrative
care
system
level
do
and
do
do
those
leaders
understand
the
needs,
the
diversity,
the
makeup,
the
requirements
of
the
population
group
or
groups
that
they
are
serving
and
how
our
services
being
planned
to
address
those
and,
ultimately,
what
does
that
feel
like
then?
So
what
factor
for
people
using
those
services
in
terms
of
quality
and
experiences?
A
C
Yeah,
that's
that's
correct,
yeah,
again
the
benefit
of
having
that
sort
of
refresh,
and
I
suppose
it's
worth
saying
that
you
know
the
the
new
single
assessment
framework.
It's
we're
not
sort
of
starting
from
scratch.
The
content
of
it
will
be
very
similar
to
what
you've
you're
aware
of
in
the
current
health
assessment
framework,
but
it's
about
removing
the
duplication
across
key
questions,
etc.
But
another
advantage
of
the
refresh
has
has
been
that
it's
you
know.
B
Thanks
claire,
so
we've
had
it's
quite
an
interesting
question.
Come
in
it
might
be
another
one
of
those
ones.
We
don't
have
an
answer
as
of
yet
and
it
would
they're
asking
if
they're
saying
it'd
be
good
to
understand
how
the
integration
piece
for
ambulance
services
will
be
managed,
as
it's
quite
a
gray
area.
At
the
moment.
B
A
Yeah,
I
mean
you're
quite
right,
the
specifics
on
the
methodologies
and
there's
precise
detail
of
how
we're
going
to
go
about
this.
No,
we
haven't,
we
haven't,
reached
and
and
and
clarified
any
of
that
approach
as
yet,
but
absolutely
do
we
need
to
be
thinking
to
the
entirety
of
all
partners
in
the
system
working
together.
A
B
Thank
you
so
there's
a
couple
of
questions
in
the
chat
about
when
current
inspection
reports
will
be
updated.
Obviously,
because
of
everything
that's
happened
in
the
last
two
years.
There
are
some
that
haven't
been
updated
very
recently.
Would
you
be
able
to
give
an
update
on
when
that's
likely
to
happen.
A
I'll
come
to
fiona
in
just
a
second,
if
that's
all
right
then,
but
just
to
say
so.
We
we
know
we
we,
you
know,
there's
a
lot
of
there's
a
lot
of
steer
from
the
sectors
so
get
out.
We
need
to
be
re-rating.
We
want
to
be
having
our
ratings
refreshed
at
the
moment,
as
I
say
those
priorities,
because
we've
got
to
balance
actually
the
and
and
ensure
that
we're
meeting
the
needs
across
the
system
holistically.
A
So
those
priorities
are
set
at
the
moment
where
it's
risk
driven
it's
where
there's
risk
where
we
know
there's
risks
to
people
we
want
to
be
out.
We
need
to
be
going
to
the
services
where
we've
never
been
before,
so
we're
short
on
insight
for
people
and
the
public.
So
we
need
to
be
prioritizing
those,
so
we
in
a
nutshell.
A
We
know
that
there
is
an
appetite
across
many
areas
of
the
sector
for
us
to
be
out
updating
ratings
and,
importantly,
that's
a
key
driver
for
our
new
regulatory
model
and
back
to
the
always-on
always
aware,
and
so
through
the
new
regulatory
model.
I
think
we'll
be
addressing
that,
but
fiona
I
don't
know
if
you
want
to
say
anything
because
you're
very
close
to
the
nhs
sectors
here.
D
We
recognize
that,
particularly
where
providers
have
requires
improvement
in
a
core
service.
We
need
to
look
at
those.
We
are
following
it
up
through
our
monitoring
processes,
so
we
are
talking
to
providers
about
what
have
you
done
with
this
particular
breach,
and
we
know
that
providers
are
taking
steps
to
address
any
shortfalls
in
their
their
practice
and
the
care
that
they
offer
we're.
Also
talking
with
our
policy
team
back
here
and
and
claire
and
her
team
around.
D
How
do
we
is
there
a
way
in
which
certain
instances
we
can
look
at
addressing
those
potential
breaches
other
way
other
than
inspecting
a
service?
And
there's
going
to
be
a
big
piece
of
work
around
that.
So
we
we
are
very
aware
that
people
are
sitting
with
some
requires
improvement,
particularly
in
particular
cells
generally
safe,
where
we
have
information
that
tells
us
that
there
is
a
that
providers
have
addressed
that
breach,
but
because
we
haven't
yet
inspected
because
we
have
to
balance
just
like
you
do.
A
B
A
We
certainly
are,
we
certainly
are
looking
at
well-led
as
part
of
the
entire
single
assessment
framework
and
then,
of
course,
sinking
to
our
well-known
approach
and
for
nhs
trusts
and
thinking
to
working
with
nhs
england
improvement
in
terms
of
use
of
resources.
So
we
certainly
are
quite
where
that's
that
I
don't
know
claire
if
you
want
to
come
in
and
give
any
specifics
she's
not
in.
Thank
you.
C
If
we're
talking
specifically
about
the
separate
trust
level,
well-led
assessment
that
we
carry
out
for
nhs
trusts,
then
yes,
that
will
continue,
but
there
will
be
changes
because,
of
course,
the
framework
itself
is
is
slightly
changing,
so
we're
we're
working
with
nhsci
on
that
and
what
sort
of
evidence
we'll
need
and
to
have
to
make
our
judgments
against
well-led
for
the
trust,
trust
level
in
terms
of
use
of
resources,
use
of
resources
is
actually
a
separate
assessment.
That's
carried
out
or
had
been
in
the
past,
carried
out
by
nhs
england.
A
A
Clearly,
we
we
need
to
think
through
and
and
to
the
question
that
was
asked
around
implications
in
terms
of
ratings
or
not
there,
so
some
really
good
steer
in
terms
of
our
piloting
next
step.
So
thank
you
for
that
one,
okay.
I
will
wrap
us
up
there
for
today.
Thank
you
again
and
we
look
forward
to
working
with
you
all
again
soon,
thanks
ever
so
much
everybody.