Be Inspection Ready

Check your Website

CQC inspectors have issued improvement notices where a practice website has been deemed 'out of date'.

What information should your website have?

Legal Requirements

CQC will assess whether or not your ratings are displayed legibly and conspicuously – not doing so may result in a fine and may impact on future inspection ratings.
What the CQC says:-
  • If you have been awarded a CQC rating (outstanding, good, requires improvement or inadequate) you must display it in each and every premises where a regulated activity is being delivered, in your main place of business and on your website(s) if you have any, where people will be sure to see it. This is a legal requirement from 1 April 2015.
  • Your ratings must be displayed at the premises where your service is being provided unless you are delivering care to someone in their own home.
  • CQC will assess whether or not your ratings are displayed legibly and conspicuously – not doing so may result in a fine and may impact on future inspection ratings.
  • CQC will make posters for physical display of your ratings available to download from our website. Using our posters will ensure that you include all the information as set out in the Regulation.
  • You must display your rating online if you have a website(s). You can use the CQC templates for online display to help you do so. These are available from our Ratings display toolkit page.
  • Services regulated by CQC, but which are not awarded a rating (for example dentists), are exempt from this requirement.
  • You have a maximum of 21 calendar days to display your ratings from the date your inspection report is published on the CQC website.
To find out more about how and what to display CLICK HERE

Website GPs Mean Earnings discloure

For GP Practices: Mean earnings for all GPs

From1 April 2015, it has been a contractual requirement for practices to publish on their website the mean earning relating to the previous financial year for all their GPs and this needs to be completed by the end of the current financial year (ie 31 March 201X).

All earning reported should be before tax, National Insurance and employee pension contribution.

For GP partners, the figures should be net of any practice expenses incurred.

The BMA guidance has details of what income and expenditure to include and exclude when calculating the earnings for partners.

The rules around this are fairly detailed and partners may need their accountants to undertake the necessary calculations.

To find out more CLICK HERE.

Website best practice

Best Practice

  • Up to date list of staff
  • Opening times
  • Details of how to register as a new patient
  • Contact us/Location details
  • Cachement area
  • Details of your PPG group and how to be involved
  • Friends and family test
  • Details of services that you may offer
  • Appointment(s) details
  • Extended hours
  • Ordering repeat prescriptions
  • Patient signposting and self-care information
  • Referral Advice
  • Types of consultations (GP, Nurse Led, telephone, etc.)
  • How to change contact details
  • Out of hours facilities
  • Patient information leaflet which should include
    • How to make a complaint/Suggestions/Comments & compliments
    • Chaperone Policy
  • Patient Surveys/Results
  • Sickness certificates
  • Details of any chargeable services

The other items that you may wish to cover are:

The majority of GP practices offer online services to their patients; which include
  • booking and cancelling of appointments
  • ordering of repeat prescriptions
  • viewing of detailed information in their GP record, held in coded form where requested by the patient and where GPSoC approved systems are available.

In addition, this is subject to appropriate safeguards which are summarised in the British Medical Association’s (BMA) guidance

Focus - How Managers see compliance

what pm sees
Why? – Because for the last 20 years, PCTs and their predecessors have concentrated on policies.

All you had to do to get through a PCT inspection:-

  1. Make sure all your policies have a current reviewed date
  2. If anything's missing, just say "I'm planning to do it"

 Essentially a quick search and replace in Word got you through a PCT inspection.

Inexperienced CQC inspectors added to this problem by doing exactly the same thing in the early days, making everyone focus on policies.

This will not get you through an inspection

Save

Focus - How Inspectors see compliance

 

what inspector sees
Why? – Because the inspector’s job is to see if what you say you are doing, actually happens. Their main objective is to find out whether patients are looked after properly and their safety and rights protected.
For an inspector, the best way to do this is:-

  1. Interview your patients to see if they are  happy with the service and whether they are kept informed about their treatment.
  2. Interview your staff to see if they really do know what to do in particular circumstances.
  3. Interview the Registered Manager to see whether they have a good handle on their duties
  4. Look for evidence that you are monitoring activities, reviewing outcomes, and have regular quality assurance and clinical meetings to discuss and take action

 

Save

Focus - What really happens in daily life


what happens real life

Why? – Because getting things like training, implementation, and monitoring take far longer than what it sounds like on paper. Examples of practical problems that affect a manager’s time:-

  1. Part time staff not being available at the right time
  2. Some staff being slower at learning than others
  3. Staff unwilling to take responsibility
  4. Constantly running to keep on top of processes and paperwork
  5. Everything is referred to the practice manager

All of these add up to a significant chunk of a manager’s time. Whether true or not, most managers will agree with the feeling that they spend more time shifting paperwork than actual management. So don’t underestimate the amount of effort and where your focus should be.

Save

Who will be targeted for inspections

CQC Inspectors are taking a targeted approach to selecting providers for inspection visits.

The CQC has confirmed that their primary targets will be:-

  1. Practices judged as “Requires improvement” (Especially if weaknesses in SAFE and WELL-LED)
  2. Your Insight Report shows underperformance or at risk
  3. Information CQC has received e.g. whistleblowing, complaints, other reports
  4. Recent changes in management e.g. Registered Manager
  5. Recent changes in provider services
  6. Where CQC have received notices of concern from the public or other sources

Additional targets

CQC are focused on patterns of poor performance in connected or related organisations.
If you are part of a Corporate Group; Provider Group; Federation; Out of Hours member; GP Group then the following will flag you up for a potential visit:-

  1. Others in your group show poor performance
  2. Others in your geographical area show cause for concern

What is an Annual PIC?

Annual Provider information collection

Practices rated Good or Outstanding will need to provide annual information and data on overall performance; confirm how regulations are being met and declare any changes since the last inspection. (This information will need to be submitted via an online form.)

Practices with an overall rating of inadequate or requires improvement will continue to complete the provider information request before their inspection. PIR is a requests for specific information that will support your inspection.

Frequency of CQC Inspections from April 2018

CQC aim to reduce the frequency of inspections for GP practices rated Good or Outstanding to a maximum of every 5 years.

However, they may schedule a visit if:

  • CQC’s monitoring information indicates a change in the quality of care
  • A provider is part of a larger or complex provider, and a coordinated inspection alongside other services may be more appropriate.
  • CQC are undertaking a review of care services in a local area

Practices with a rating of inadequate or requires improvement will continue to be inspected as before.

Practices rated Good or Outstanding will need to provide annual information and data on overall performance; confirm how regulations are being met and declare any changes since the last inspection.

  Good or Outstanding Practices

Maximum Intervals

  CQC inspection

Five Years

  Provider Information Collection

Yearly

  Regulatory Review

Yearly

  Interim Inspections

May be triggered based on information/concerns

  Other requests for information  

CQC relationship manager(s) may request further information if there are changes in the quality of care

 

  Rated as Requires Improvement

Maximum Intervals

  CQC Inspection

12 months

  Provider information request

Before an inspection

  Requests for other information

Relationship managers/Inspectors may request further information if there are changes in the quality of care

 

  Rated as Inadequate

Maximum Interval

  CQC Inspection

6 months (may be more frequent)

  Provider information request

Before an inspection

  Requests for other information

Relationship managers/Inspectors may request further information if there are changes in the quality of care

Frequency of CQC Inspections from April 2018

CQC aim to reduce the frequency of inspections for GP practices rated Good or Outstanding to a maximum of every 5 years.

However, they may schedule a visit if:

  • CQC’s monitoring information indicates a change in the quality of care
  • A provider is part of a larger or complex provider, and a coordinated inspection alongside other services may be more appropriate.
  • CQC are undertaking a review of care services in a local area

Practices with a rating of inadequate or requires improvement will continue to be inspected as before.

Practices rated Good or Outstanding will need to provide annual information and data on overall performance; confirm how regulations are being met and declare any changes since the last inspection.

  Good or Outstanding Practices

Maximum Intervals

  CQC inspection

Five Years

  Provider Information Collection

Yearly

  Regulatory Review

Yearly

  Interim Inspections

May be triggered based on information/concerns

  Other requests for information  

CQC relationship manager(s) may request further information if there are changes in the quality of care

 

  Rated as Requires Improvement

Maximum Intervals

  CQC Inspection

12 months

  Provider information request

Before an inspection

  Requests for other information

Relationship managers/Inspectors may request further information if there are changes in the quality of care

 

  Rated as Inadequate

Maximum Interval

  CQC Inspection

6 months (may be more frequent)

  Provider information request

Before an inspection

  Requests for other information

Relationship managers/Inspectors may request further information if there are changes in the quality of care