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The future regulation of hospice care in England

Author: Jonathan Ellis
15 June 2017

Jonathan Ellis, Director of Policy and Advocacy at Hospice UK, discusses the findings of the Care Quality Commission’s consultation on their next phase of regulation.

With the lifting of Purdah restrictions following the election, there is a backlog of reports, announcements and statistics waiting to be released across government. Quick off the mark this week was the Care Quality Commission (CQC) which published the outcome of its consultation on the next phase of its approach to the regulation of health and social care.

The consultation, which had proposed, among other things, that hospice services should be regulated under a revamped healthcare framework rather than adult social care, had closed in February, but got caught up in the enforced silence from public sector bodies that surrounds an election.  

The long-awaited response to that consultation has now been published, and confirms the direction of travel that CQC had previously set out, albeit with some revised timelines.

In our submission to the consultation, Hospice UK had supported the proposal to move hospice services into the healthcare framework. We recommended that healthcare inspectors are properly trained and supported to regulate hospice care, which is very different in nature to other parts of the healthcare system that they will be more familiar with inspecting, such as hospitals. We also suggested that CQC should explore the possibility of taking a more integrated approach to regulating end of life care services, which span the health and social care divide.

The CQC response to the consultation confirms the proposals that it had made, although the implementation of the new framework for hospice services will now take place in 2018/19. Between then and now, CQC is seeking to work with the hospice and end of life care community to develop the new regulatory approach.

Hospice UK has been working closely with CQC on this, and CQC recently circulated an invitation to hospices to participate in a new co-production event on the 25 July 2017 to start the process of designing the new approach. They are keen for people with operational or policy experience of hospice and end of life care to take part in that event. If you are interested, please email by Friday 23 June, providing your contact details and your availability for the half day workshop. Participants in the event will be selected from those expressing an interest in taking part.

Alongside publishing its response to this consultation, CQC has also published a second consultation on the new regulatory framework. This second consultation addresses the regulation of primary medical services and adult social care; the regulation of new models of care and large, complex providers; how CQC can use knowledge to encourage service improvement locally; and how CQC will carry out its role in relation to the fit and proper persons test. Hospice UK will be responding to this consultation, which closes on the 8 August 2017.

There is a great deal of work to be done together in the coming months to design the future framework for inspecting hospice and palliative care services for adults and for children. CQC has already learnt a great deal from the first wave of inspections of hospices, and continues to welcome the positive and constructive engagement of the hospice and palliative care community in making sure that everyone receives the best possible quality of care at the end of life, wherever they might be cared for.

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hazel McGwyne

Hello

We here at Saint Franics Hospice, Romford would be very happy to support and be invovled in the the suppervision and raising of the awareness of the speciifc needs of a hoispice to any new investigator.


PLease let us know how we can be of help.

Best wishes

Hazel

21/06/2017 12:56:23


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