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From YouTube: Primary Medical and dental services presentation
Description
In this webinar you'll hear from Dr Rosie Benneyworth, Chief Inspector of Primary Medical Services and Integrated Care, Andy Brand, Interim Head of Inspection (East of England Region), Dr Tim Ballard, Nation Professional Adviser for General Practice and John Milne, National Professional Adviser for Oral Health / Dentistry as they update our current regulatory approach, including how we’re monitoring and prioritising inspections. And the next steps in developing our new regulatory model.
Watch part two for Q&A: https://youtu.be/UFVu41p3Fj8
A
Good
afternoon,
everyone
and
welcome
to
our
webinar,
where
we're
going
to
be
outlining
the
new
regulatory
model
at
the
cqc.
I'm
really
delighted
to
be
here
with
everyone.
My
name
is
rosie
bennyworth,
I'm
the
chief
inspector
of
primary
medical
services
and
integrated
care,
and
we've
got
about
an
hour
to
go
through
our
approach
and
then
answer
lots
of
questions.
A
Dr
tim
ballard,
a
national
professional
advisor,
who
many
of
you
will
know
in
general
practice:
john
milne
who's,
our
national
professional
advisor
in
oral
health
and
dentistry
david
gwyder,
who
is
our
communications
and
engagement,
manager,
latoya
who's,
our
provider,
engagement
officer
and
steph
who's,
our
events
organizer.
So
so
thank
you
to
everyone.
Who's
joined
me
this
afternoon.
A
We
want
this
to
be
a
really
useful
and
productive
time,
any
problems
with
the
technology.
If
you
can't
hear
anyone
or
any
problems,
just
stick
it
in
the
chat
and
we'll
address
it.
We
want
to
stick
to
time
absolutely
the
way
this
is
set
up.
Only
the
people
in
the
webinar
can
speak,
but
we
want
to
capture
all
your
thoughts
and
questions.
A
A
We're
going
to
talk
about
our
current
and
future
model,
our
assessment
framework
and
then
go
into
questions,
and
so,
if
we
could
go
on
to
the
next
slide-
and
I
hope
you
can
see
this-
I
know
the
writing
is
very
little.
But
I
just
want
to
recap
on
our
strategy.
We've
talked
a
lot
about
our
strategy
over
the
last
year
and
it's
important
to
acknowledge
we're
still
in
year,
one
of
a
five-year
strategy
and
we're
continuing
to
take
feedback
on
our
progress,
including
in
our
local
authority
and
systems
discussions.
A
A
Our
strategy
set
an
ambition
to
deliver
an
approach
to
regulation,
that's
been
driven
by
needs
and
experience
of
people
and
community,
focusing
on
safer
cultures,
learning
and
collaboration
across
health
and
care,
and
a
focus
that
accelerates
improvement.
We
need
to
see
as
a
regulator
how
we
can
ensure
improvement
occurs.
A
A
We
know
that
the
health
and
care
environment
continues
to
change
rapidly,
and
we
need
to
evolve
to
meet
that
so
in
year,
one
working
in
partnership
with
others.
Our
focus
is
on,
firstly,
developing
how
we
monitor
risk
and
test
a
new
assessment
framework,
and
this
will
look
both
at
provider
level
assessments,
but
also
what's
happening
across
a
local
area.
A
A
Those
with
the
poorest
outcomes-
and
we
we're
all
concerned
at
the
moment
how
what's
happening
with
inequalities
and
what's
happened
during
the
pandemic,
and
we
want
to
enable
systems
to
proactively
address
these
inequalities.
So
that's
something
that's
also
a
key
focus
for
us,
so
I
now
want
to
hand
over
to
andy
who's,
going
to
talk
through
our
current
regulatory
approach
so
andy
over
to
you.
B
Thanks
rosie,
so
throughout
the
pandemic,
we've
kept
our
regulatory
approach
under
review
and
that's
been
in
recognition
of
the
changing
pressures
that
health
and
social
care
services
find
themselves
working
under.
Our
priority
has
always
been
to
support
services
to
ensure
that
people
receive
safe
care,
and
we
want
to
ensure
that
our
approach
is
both
appropriate
and
proportionate.
B
Considering
the
current
situation-
and
that
includes
the
easing
of
restrictions
across
the
country,
we've
reviewed
and
updated
our
regulatory
approach,
and
in
january
we
shared
a
statement
on
our
regulatory
approach
from
the
first
of
february
2022
and
since
then,
we've
been
we've
been
inspecting,
where
there's
evidence
that
risk
that
people
are
a
risk
of
harm,
and
that
applies
to
all
health
and
social
care
services,
including
those
where
inspections
were
previously
postponed
due
to
the
pandemic.
And
that
was
accepting
cases
where
we
had
evidence
of
risk
to
life.
B
We've
been
inspecting
where
we
can
support
increasing
capacity
across
the
system,
particularly
in
adult
social
care,
and
we've
been
inspecting,
where
a
focus
on
the
urgent
and
emergency
care
system
will
help
us
understand
the
pressures
where
local
national
support
is
needed
and
share
good
practice.
To
drive
improvement
if
we
can
move
on
to
the
next
slide,
please.
B
So,
as
well
as
the
follow-up
inspections
of
services,
rated
inadequate
and
those
in
special
measures
and
the
inspections
of
urgent
and
emergency
care,
services
and
I'll,
say
a
bit
more
about
that
on
the
next
slide.
We're
going
to
be
undertaking
a
small
sample
of
inspections
of
services
that
we've
issued
public
statements
to,
and
by
that
I
mean
services
currently
rated
good
or
outstanding.
B
Where
we've
carried
out
an
automated
review
of
the
information
we
have
available
to
us
and
decided
that
as
a
result,
we
don't
need
to
reassess
our
rating
or
carry
out
an
inspection
at
the
moment,
and
we
put
a
statement
on
to
that
effect
on
the
provider's
profile
page
on
our
cqc
website.
And
by
doing
that,
we
aim
to
seek
assurance
about
our
insurance
model,
our
intelligence
model,
to
confirm
that
they
do
actually
remain
good
or
outstanding,
and
that
we
were
right
to
publish
that
public
statement
in
the
first
place.
B
Since
the
first
of
february,
we've
restarted
work
to
coordinate
our
approach
to
inspecting
urgent
and
emergency
care
pathways,
where
we
identify
risk
we'll
look
at
how
services
across
the
system
are
working
together.
This
will
help
us
understand
where
the
pressures
are
and
any
needs
for
local
or
national
support.
We'll
share
the
good
practice.
We
see
to
help
drive,
change
and
improvement
that
could
benefit
people
using
services
and
staff
delivering
care,
as
we
know,
urgent
and
emergency
care
services.
B
So
this
is
part
of
a
pilot
that
tests
a
coordinated,
multi-disciplinary
approach
to
assessing
services
across
an
integrated
care
system,
otherwise
known
as
an
ics
and,
as
you
probably
know,
an
ics
consists
of
all
healthcare
partners
in
a
specific
geographical
area,
including,
but
not
limited
to
care
homes,
gp
practices,
nhs,
111
providers,
community
services,
mental
health
trusts
and
nhs
trust,
including
ambulance
services,
and
these
inspections
help
us
to
see
how
services
respond
to
the
challenges
they
face
as
individual
providers.
But
they
require
a
system-wide
response.
B
Out
of
these
inspections,
each
provider
receives
their
own
report
with
our
findings,
which
includes
a
system
summary,
but
we
don't
publish
separate
reports
for
each
ics
as
a
whole
and
by
way
of
linking
to
the
next
slide,
which
takes
us
into
dentistry.
I
should
also
mention
the
role
of
dental
care
in
the
performance
of
urgent
emergency
care
services,
where
we're
finding
significant
numbers
of
dental
calls
coming
through
to
one-on-one
services,
for
example,
and
patients
needing
dental
treatment.
C
B
C
So
in
terms
of
in
terms
of
dental
practices
and
the
like,
there
are
some
practices
that
haven't
been
looked
at
since
2015
or
before,
in
fact,
there's
3
500
of
them,
and
there
is
some
evidence
of
increased
risk
in
the
practices
that
we
that
we
haven't
had
much
contact
with
so
far.
So
that
will
be
one
of
our
priorities.
C
C
We
see
the
use
of
the
dna,
it's
in-house,
it's
an
essential
component
of
our
smarter
model
because
it
maintains
portfolio
relationships
and
expands
our
touch.
It
expands
the
number
of
practices
that
we
actually
have
contact
with.
It
assists
in
the
management
of
risk,
and
it
will
provide
an
important
skill
mix
opportunity
for
managers
in
what's
an
under
resource
function
at
the
moment
and
the
dental
sector,
as
many
of
you
will
know,
is
information
light.
So
collecting
information
for
us
is
a
priority
and
working
on
ways
of
getting
the
information
that
we
receive.
C
C
Also,
some
of
you
will
remember,
we
did
some
work
about
access
to
dentistry
at
the
back
end
of
last
year
and
this
access
to
nhs
dentistry,
this
particular
issue
in
some
parts
of
the
country.
These
are
system-wide
issues
and
we'll
monitor
that
with
partners
such
as
healthwatch
and
we'll
also
examine
to
what
extent
providers
themselves
are
able
to
help
address.
C
C
C
So
at
the
moment,
we
have
a
separate,
monitor,
inspect
and
rate
steps,
and
we
inspect
at
a
set
point
in
time.
That's
often
based
on
the
previous
rating
in
the
future,
we're
going
to
move
away
from
that
separate,
inspect
and
rate
steps
in
our
model
and
instead,
we'll
use
the
information
that
we
receive,
collect
and
analyze
to
assess
providers
more
frequently,
without
necessarily
being
tied
to
set
dates.
C
We
do
recognize
that
the
visiting
providers
on
site
is
still
an
important
part
of
our
process
and
now,
in
terms
of
categorizing
and
scoring
evidence,
we
make
judgments
against
the
ratings
characteristics
and
the
key
question
ratings
aggregate
to
give
us
an
overall
rating
in
the
future.
We
want
to
be
more
consistent
and
more
transparent
in
our
approach
and
how
we
make
judgments
about
quality.
C
What
we
do
now
is
we
publish
long
pdf
reports
that
are
not
very
accessible
and
take
time
for
us
to
write
and
take
time
for
the
public
to
read
so
in
the
future
we're
going
to
move
away
from
the
long
pdf
reports.
We
know
they
don't
work
for
the
public.
We
don't
think
they
work
necessarily
well
for
providers
too
they're
inaccessible
and
not
fit
for
what
people
expect
from
us.
C
We
can't
do
that
that
unless
we
streamline
the
processes
around
publishing
reports,
we
want
to
make
them
shorter
and
more
tailored
to
the
audiences
that
use
and
read
them.
People
will
be
able
to
make
better
choices
about
their
care,
as
the
information
will
be
presented
more
clearly
and
they'll,
be
detailed
benchmarking.
Information
to
help
providers
improve
and
they'll
also
be
able
to
use
the
provider
portal
rather
than
necessarily
be
published
online,
and
so,
if
we
can
move
to
the
next
slide,
we'll
just
look
at
the
assessment
framework
in
a
bit
more
detail.
D
C
It
takes
the
important
first
step
towards
truly
regulating
through,
through
the
eyes
of
the
public,
as
the
statesmen
encapsulate
the
views
and
expectations
of
real
people.
We
feel
that
giving
them
a
prominent
voice
in
our
single
assessment
framework
helps
to
focus
the
whole
health
and
social
care
system
on
people
at
a
very
human
and
relatable
level.
C
C
We'll
use
this
set
of
statements
in
our
assessment
for
all
sectors
and
all
the
service
types
under
all
levels,
using
them
to
register
services
with
a
provisional
rating
of
good
through
to
our
new
work.
Looking
at
local
authorities
and
integrated
care
systems,
and
this
will
be
the
basis
for
our
single
assessment
framework.
C
We
want
to
be
more
consistent
and
transparent
in
our
approach
and
how
we
make
judgments
on
quality
and
so
to
address
this
we're
developing
a
way
to
categorize
and
score
evidence
as
part
of
our
assessments
and
the
evidence.
Categories
will
bring
more
structure
to
our
process,
for
assessing
quality,
there'll,
be
six
categories
of
evidence
and
those
will
be
people's
experiences,
feedback
from
staff
and
leaders
from
observations
of
care
feedback
from
partners.
C
The
providers
work
with
the
processes
that
providers
operate
with,
and,
lastly,
the
outcomes
of
the
care
that
people
give
and
so
to
enable
us
to
be
clearer
with
providers
and
the
public
about
how
we
use
the
information
we
have
about.
Caring,
a
service
or
a
local
area
will
set
out
what
evidence
will
be
required
for
each
service
type
under
each
level,
including
at
registration
and
in
many
ways.
D
D
D
Thanks
can
we
just
move
on
to
the
next
slide?
Please,
the
required
evidence
will
be
tailored
to
each
service
type
to
ensure
that
a
meaningful
assessment
is
made
and
a
service
type
level
will
change.
The
the
lower
evidence
of
evidence
requirement
that
that
more
frequently
than
the
quality
than
the
quality
statements
in
line
with
the
most
up-to-date
practice
standards,
authoritative,
guidance
and
academic
research,
and
where
we
have
evidence
that
we
may
wish
to
move
the
quality
bar.
D
A
Thank
you
very
much
tim,
so
I'm
just
going
to
spend
a
couple
of
minutes
talking
about
systems,
integrated
care
systems
and
the
work
that
we're
doing
in
this
area.
So
the
new
health
and
care
bill,
that's
going
through
at
the
moment,
there's
an
amendment
in
that
that
gives
us
two
new
powers
at
the
cqc.
A
One
is
for
us
to
be
able
to
assess
integrated
care
systems
and
the
other
is
going
to
give
us
the
powers
to
look
at
local
authority
assessments
in
meeting
the
care
act.
This
is
a
really
important
step
for
us.
I
think,
up
to
now,
we've
only
been
able
to
look
at
quality
within
a
provider,
and
we
all
know
from
our
own
work
and
personal
experiences
that
actually
people's
care
often
is
so
dependent
on
how
they,
how
all
the
providers
in
a
local
area
work
together
to
be
able
to
meet
their
needs.
A
So
this
is
a
very
important
step
for
us
going
forward
in
terms
of
integrated
care
systems,
there's
likely
to
be
three
areas
that
we
look
at.
One
is
the
leadership
of
icts's
looking
at
things
like
how
how
they
understand
their
population
needs
and
how
they
are
delivering
care
that
meets
the
population
needs
how
they're
looking
at
interoperability
vit
systems,
how
they're
looking
at
inequalities
a
whole
range
of
things
along
those
lines.
How
are
they
working
delegating
responsibility
to
place
level?
A
For
example,
what
is
not
going
to
be
is
an
aggregation
of
all
of
the
the
ratings
of
providers
in
the
local
area
and
saying
well.
Actually.
Ninety
percent
of
providers
are
good.
Therefore,
the
ics
is
good,
because
that
doesn't
really
tell
us
what
added
value
the
ic
the
ics
is
is
making.
So
so
that
will
be
the
focus
focus
of
leadership.
A
A
I
think
it's
really
really
important
that
I
I've
long
felt
that
all
sectors
need
a
strong
voice
across
an
integrated
care
system,
and
I
think
we
need
to
make
sure
that
gps,
dentists,
all
primary
care
providers,
optometrists
pharmacists,
are,
are
getting
their
voice
heard
loud
and
clear
at
the
integrated
care
system.
So
we
will
be
looking
out
for
that
as
well.
During
our
ics
work
in
terms
of
integration,
there's
a
whole
range
of
different
pathways
that
we
could
look
at
through
this.
A
For
example,
end
of
life
care.
We
could
look
at
the
urgent
emergency
care
pathway
and
we
will
be
working
through
what
what
type
of
pathways
we
look
at
and
then
quality
and
safety.
We
know
that
there
is
sometimes
big
gaps
that
it
can
emerge
and
can
cause
quality
and
safety
issues
for
patients
such
as
transfer
of
medication
from
different
providers,
discharge
arrangements,
referral
arrangements
from
primary
to
secondary
care,
for
example.
A
So
we
will
be
using
the
same
assessment
framework
for
both
of
these
areas
of
work
that
that
john
and
tim
have
talked
about,
and
I
think
what
we
need
to
work
through
over
the
next
few
months
is
how
the
regulation
of
providers
and
the
regulation
of
systems
works
together.
So
if
we
hear
themes
about
your
provider
in
our
system
regulation,
we
need
to
make
sure
that
that
information
flows
and
likewise
the
other
way
around.
A
A
A
So,
finally,
just
to
let
you
know
what's
next,
so
we
are
continuing
to
work
with
lots
of
people
to
develop
this
new
model
further.
We
want
to
test
this
and
we
want
to
make
sure
that
what
sounds
right
in
theory
actually
works
in
practice,
so
we
will
be
looking
for
providers
to
scenario
test
this
and
work
through
the
the
methodology
we've
we've
said.
A
So
we
will
be
wanting
to
work
with
lots
of
you
and
co-produce
this.
So
please
look
out
for
more
details
about
how
you
can
get
involved
in
this
going
forward.
We
also
will
be
looking.
We
are
going
through
some
changes
in
the
organization
to
set
out
multi-disciplinary
teams,
and
these
multi-disciplinary
teams
will
work
together,
so
they
understand
risk
in
an
area
and
work.
A
We've
got
lots
going
on,
but
we
want
to
make
sure
that
people
feel
informed
and
can
get
involved
and
lots
of
ways
of
getting
involved
in
the
conversation,
and
particularly
we've
got
our
digital
platform
citizen
lab,
where
we
want
to
hear
your
views,
we
send
out
regular
provider
bulletins
and
blogs
any
feedback
about
those
always
very
welcome,
and
we
have
social
media
presence
as
well
on
twitter
and
we've
increasingly
been
using
podcasts
as
a
way
of
trying
to
spread
some
of
our
messages.
So
please
look
out
for
those
as
well.