State of Care 2013-14 – CQC – “Unacceptable variations in quality”


The CQC “state of care” report was published yesterday.

What we’ve found: unacceptable variation in quality

The CQC’s tougher approach to inspecting care services using more rigorous, expert-led inspections are starting to give a deeper understanding of the quality of health and social care than ever before.
The CQC says that it “found many examples of good and outstanding care. But we’ve also found wide variation in quality. There are big differences in the quality of care that people experience from different providers, in different places and sometimes at different times of the day or day of the week.”

Using the new rating system, the CQC rated 38 NHS acute trusts by the end of August 2014, of these:

  • 9 trusts achieved an overall rating of good
  • 24 trusts were rated requires improvement
  • 5 trusts were rated inadequate

Across health and social care, the CQC found that “staff provide compassionate care. But there are two aspects of quality that stand out: basic safety and leadership.

Variation in basic safety is a serious problem, particularly:

  • a lack of effective safety processes.
  • the lack of a culture that truly learns from mistakes and near misses.

Strong, effective leadership at all levels of an organisation is vital. In our new inspections of NHS trusts we have found that:

  • good leadership drives up quality and safety overall.
  • in more than 80% of cases, the rating for ‘well-led’ was the same as the trust’s overall rating.

Well-led organisations have strong and effective leadership, an open and supportive, values-driven culture and stable management. They are committed to ensuring safe, effective, caring and responsive care.”


About The Editors

The Governance Advisory Practice is a team of corporate and clinical governance experts all of whom have significant personal experience gained at Board level in the public and commercial sectors.

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