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Details of all relevant guidance and legislation for GP practices seeking CQC registration – all in one easy-to-access online resource.

 
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FAQ

What Is the CQC?
CQC stands for "Care Quality Commission". It is a statutory body set up under the 2008 Health and Social Care Act. Its function is to register all providers of health and social care in England. The key aims of the CQC are to:
  • Set generic standards for health and social care
  • Ensure that standards met, and progressively improved over time
  • Protect users / public via system of registration and monitoring of all health and social care providers
  • Improve the outcomes and experiences of patients and users of services
  • The CQC replaced the former Healthcare Commission, and also the Commissions for Social Care Inspection and the Mental Health Act Commission
Is registration with the Care Quality Commission (CQC) compulsory?
Yes. By law, all health and social care organisations providing "Regulated Activities" need to be registered with the CQC.
Can the CQC close down my organisation?
Yes. Although this is highly unlikely to take place unless there are very substantial reasons such as immediate risks to patients or staff– about of which you will almost certainly already aware. The CQC does possess a variety of legal powers including:
  • To carry out inspections / visits to premises (with or without warnings)
  • To request and obtain information from providers
  • Issue information publically about providers
  • To impose sanctions if felt necessary, and if standards are being breached
What sanctions can the CQC use?
  • Issue a restricted "Conditional" registration
  • Issue formal warning notices
  • Levy fines for failure to comply
  • Suspend a registration
  • Cancel a registration
  • Procedure for serious failures
What happens if my practice is in Scotland, Wales or Northern Ireland?
There are separate arrangements that will apply to you, but with different timescales. Let us know what you require, and we will do our best to help.
What Will It Cost To Apply For Registration With The CQC?
The CQC application itself is not chargeable- although you would be well advised to budget for the time that it may take you and your team to prepare for the application and also allow for the costs of any external assistance that is needed.

Once you are registered, you pay an annual fee to the CQC. Further information about fees payable to the CQC is at: http://www.cqc.org.uk/organisations-we-regulate/registered-services/fees
What Standards Will I Need To Meet In Order To Be Registered With The CQC?
You will need to ensure that you are fully compliant with the comprehensive set of standards issued by the CQC. These are known as the Fundamental Standards (or “Regulations”).
What Are The Fundamental Standards Set By The CQC?
The 13 key Standards against which organisations are assessed are:
  • Regulation 9: Person-centred care
  • Regulation 10: Dignity and respect
  • Regulation 11: Need for consent
  • Regulation 12: Safe care and treatment
  • Regulation 13: Safeguarding service users from abuse and improper treatment
  • Regulation 14: Meeting nutritional and hydration needs
  • Regulation 15: Premises and equipment
  • Regulation 16: Receiving and acting on complaints
  • Regulation 17: Good governance
  • Regulation 18: Staffing
  • Regulation 19: Fit and proper persons employed
  • Regulation 20: Duty of candour
What services are covered by CQC registration?
The following services are covered by the CQC (so called "Regulated Activities") and will be to be registered in order to operate legally:
  • Treatment of disease, disorder or injury
  • Diagnostic and screening procedures
  • Surgical procedures
  • Maternity and midwifery services
  • Family planning services
  • Personal care
  • Accommodation for people who require nursing or personal care
  • Accommodation for people who require treatment for substance misuse
  • Accommodation and nursing or personal care in the further education sector
  • Assessment or medical treatment for people detained under the Mental Health Act 1983
  • Management of supply of blood and blood derived products
  • Transport services, triage and medical advice provided remotely
  • Termination of pregnancies
  • Services in slimming clinics
  • Nursing care
Will My Organisation Be Inspected By The CQC?
Yes. Inspections take place every couple of years. These are thorough and seek to answer the following questions:
  • Are services SAFE?
  • Are services EFFECTIVE?
  • Are services CARING?
  • Are services RESPONSIVE TO USERS?
  • Are services WELL-LED/WELL-MANAGED?
CQCassist has a wide range of support to help you ensure that you are well-prepared for these inspections.
How Will I Be Able To Judge Whether I Am Compliant Or Not With The CQC Inspection Requirements?
CQCassist has developed a customised self-assessment tool that is easy to use and which helps to identify any areas of risk that there may be of failing at Inspection. For further details, contact CQCassist. All subscribers will be eligible for unlimited use of this assessment tool, which will itself provide evidence for the CQC of the extent of compliance with its standards.

In the event of any risks of non-compliance being identified, the CQCassist toolkit indicates a range of suggested actions that might be taken to address each risk area - and also outlines how any "non compliant" area can be reported to the CQC so that registration can still be granted.
Will The Results Of The Inspection Be Made Public?
Yes, normally. You will also be given a formal Ofsted-style rating of one of the following:
  • "Outstanding"
  • "Good"
  • "Requires Improvement!"
  • "Inadequate" (i.e. placed into Special Measures)
Have Any Organisations Been Closed Following Inspection?
Yes, the first closure was announced in October 2015 since it did not meet the CQC's Standards.
Will I Need External Consultancy Assistance For My Practice's CQC Application?
When approaching a new venture such as CQC registration, it is very easy to waste large amounts of time, energy and resources on the wrong things! This is where CQCassist can help. We can also ensure that you meet all the necessary guidelines, deadlines - and have the right information ready in good time. The aim is that your application itself is simple to complete since all the groundwork has been done for you first.
I Don't Want External Management Consultants Visiting Me!
That's fine. CQCassist mainly operates remotely via the internet, email and phone.. Although of course if you find that you do need someone to discuss matters with you personally or come to help you (such as providing staff training, drafting any Remedial Action Plans, completing your application forms, undertaking detailed risk assessments, preparing your Registered Manager for the pre-registration interview, etc) then we can easily arrange for this for you.
What is CQCassist?
CQCassist has been specially created to provide specialist help to health and social care organisations for CQC registration and inspection. Most of our clients instruct us via bespoke consultancy.

Further details are at: www.cqcassist.co.uk
Does CQCassist have a clinical advisor?
Yes. A leading Harley Street clinician is a founding Director of CQCassist and offers the experience of being one of the first primary care practices in the UK to win full CQC registration.
What Is Included Within "Services For Treatment Of Disease, Disorder Or Injury"?
This includes any assessment and treatment undertaken by, or under the supervision of, any specified healthcare professional in relation to disease, disorder or injury. This list of healthcare professionals includes doctors, nurses and midwives.

It can be expected that all NHS general practice and other primary medical care providers will need to be registered for this activity.
What Is Included Within By "Surgical Services"
This covers surgical procedures carried out by a healthcare professional that are for the purpose of treating disease, disorder or injury; or cosmetic surgery; or for religious observance (e.g. circumcision).

The following minor surgical procedures do not trigger this activity:
  • Curettage, cautery or cryocautery of warts, verrucae or other skin lesions undertaken by a medical practitioner using of local anaesthesia or no anaesthesia.
  • Nail surgery and nail bed procedures on the foot carried out by a healthcare professional using local anaesthesia or no anaesthesia.
  • It can be expected that all NHS general practice and other primary medical care providers will need to be registered for this activity.
  • For example, the CQC would expect that if you run any GP practices you may be required to register for surgical procedures if you provide the ‘minor surgery enhanced’ service; but it would not expect the 'minor surgery additional service' to trigger this activity as it is limited to curettage, cautery and cryocautery.
What Is Included Within "Maternity And Midwifery Services"
This activity covers maternity and midwifery services, including ante- and post-natal care, where they are carried on by, or under the supervision of, a healthcare professional.

It can be expected that some NHS general practice and other primary medical care providers will need to be registered for this activity.

For example, the CQC would expect GP practices or GP-led health centres that undertake the 'maternity services additional service' to be registered for this activity.
What Is Included Within "Family Planning Services"
This activity only relates to services for the insertion or removal of an intrauterine contraception device by, or under the supervision of, a healthcare professional. It does not include contraceptive injections or insertion or removal of contraceptive implants.

It can be expected that some NHS general practice and other primary medical care providers will need to be registered for this activity.

The CQC would not expect a GP practice to register for this activity if it undertakes the ‘contraceptive services additional service' as the definition of this service specifically excludes intrauterine contraception devices.
What Is Included Within By "Transport Services, Triage And Medical Advice Provided Remotely"
Transport services are captured by this activity where they involve a vehicle that was designed for the primary purpose of transporting people who require treatment. This excludes vehicles with a different primary purpose, such as taxis, volunteers using their private cars, or mortuary vehicles and Dial-a-Ride vehicles.

Remote advice is captured by this activity when clinical advice is given over the phone or by email and that advice is for immediate attention or constitutes triage, and it is provided by a body established for that purpose.

As the definition highlights that the body registering must be established for the purposes of triage, the CQC would not expect most NHS general practices to be registered for this activity. If your practice provides out-of-hours services to your own patient list the CQC would also not expect you to be registered for this activity.

The CQC would expect some other primary medical care providers to be registered for this activity.
Further Questions?
The CQCassist team will be very happy to hear from you at any time.

Please contact us as follows:

E-Mail: richard@cqcassist.co.uk or info@cqcassist.co.uk or rachaelduff54@gmail.com

Tel: 07774 909011 / 07875 404952

Alternatively, please use the enquiry form in the "Contact Us" tab on our website at: www.cqcassist.co.uk

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