Public BoD papers 26.5.22

Agenda item 21/22a

Meeting of the Board of Directors Thursday 19 th May 2022 Annual update regarding Care Quality Commission (CQC) requirements

1. Background The Trust as part of its registration with the Care Quality Commission (CQC) has been required to demonstrate that it meets the outcome standards set out by the CQC under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and the Care Quality Commission (Registration) Regulations 2009. The board of directors through its governance processes has established an approach to demonstrate on-going compliance and this is through the board committees of Audit and Quality Assurance, through operational governance committees, through the integrated quality and performance report and through internal and external audit reports. On 18 th November 2016 and again on 12 th October 2018, The Christie was rated as ‘Outstanding’ by the Care Quality Commission. This rating was based on evidence we provided, and care witnessed during the routine and well-led inspections of our services. The purpose of inspection is to assess whether the quality of services we provide to our patients appear to be getting better or worse. The judgement at that time was based on the key lines of enquiry.

2. Introduction On 30 th January NHS England and NHS Improvement declared a Level 4 national incident, triggering the first phase of the NHS COVID 19 pandemic response. During this time established systems and processes were modified and new structures and services were rapidly developed in order that the organisations resources and activity could be focused on providing leadership, capacity, and care for our cancer patients and those within Greater Manchester. The CQC routine inspection expected in 2020 was stood down, although we maintained contact through our usual engagement calls. They did, however, introduce new key lines of enquiry, and on 21 st August 2020 they undertook a focused, virtual inspection to assess the arrangement for infection prevention and control. Integral to this process, different areas of the Board Assurance Framework were discussed in relation to infection prevention and control. No improvement actions were required. Since this time time the CQC have reviewed their processses and developed a strategy for inspection. The purpose of this paper is to provide an overview of the CQC and trust postion in terms of the strategy and preparedness.

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