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Briefing: May 2011
Introduction: Primary Care Development & Support:
The hot topic of discussion NHS Bolton has been approached by Consortia
is the mandate from the colleagues to provide some assistance in supporting
Care Quality Commission practices. However, it is acknowledged that the
(CQC) for all NHS primary medical services to be registration process, and compliance against
registered with them by the 1st April 2012. This will standards, must be owned and delivered by each
include general practitioner (GP) practices. individual practice.
Registration has already been successfully completed
by large NHS provider organisations and smaller Early discussion in-terms of how NHS Bolton can
independent services such as Dentists and Care provide support are as follows:
Homes. Work with Practice Managers to interpret the
process; share and develop materials for
Why do primary medical services need to register? completing the on-line CQC registration.
The Health and Social Care Act 2008 Products are available for purchase to assist this
introduced a new single registration process. However, we can also provide expertise
system across health care and adult and skills to review the framework and build a
social care. All providers who carry local resource of, for example, policies and
out healthcare regulated activities procedures. This will be available to primary care
will be required to be registered with in Bolton for the use of practices as required.
CQC by law. To do so, they must As the above resource develops we will provide
show that they are meeting essential standards of learning forums, briefings, appropriate training
quality and safety. Registration will bring all providers sessions, links and tips to primary care
of health care and adult social care under a single set colleagues
of essential standards for the first time. After Provide a central mechanism to:
registration, the CQC will closely monitor whether o Co-ordinate questions and advise
providers are continuing to meet the standards. o Collate briefings and reports for NHS
Bolton & the Consortia to assure
The CQC website has a lot of information and progression towards statutory governance
guidance. This briefing cannot replace the depth of requirements
information available, but relevant links will be
included for ease of locating material at this stage. This will undoubtedly shape and develop over time
in-line with local discussions.
Web link for all information on registration:
http://www.cqc.org.uk/guidanceforprofessionals/primary The Process:
medicalservices.cfm If you are required to register then you will need to
complete an online application between October
and December 2011. Providers will only need to
register once – it is not an annual process.
If viewing this electronically an
overview document is enclosed: Intro to Registration You are advised to prepare for the registration
(Feb 11).pdf process by reading the CQC essential standards of
quality and safety. This isn’t a small document but
Taking this forward in Bolton: Working the person made responsible for co-coordinating the
Together CQC registration process in each primary care
We are amidst a lot of changes organisation must read and become familiar with this.
within the NHS with a very
busy year ahead. Across Web link for downloading the Essential Standards
Bolton there are many discussions in many clinical of Quality & Safety:
and administrative arenas as to: what this means; http://www.cqc.org.uk/publications.cfm?fde_id=15413
how long will it take; how do we make it happen; how
do we support each other to avoid duplication and
effort; what is already out there that can help; where If viewing this electronically an
to start… overview document is enclosed: Essential Standards
March 2011.pdf
Produced by: NHS Bolton (May 2011) - Briefing 1
First things First! Who are you?
If you haven’t looked at the The guidance is designed for all
materials or the website before, users who may register so can
then from experience the first seem a bit daunting. For Primary
reaction of many is one of feeling Medical Services you will be one of
over whelmed, even a moment or the following:
two of potential panic!
DCS: Doctors Consultation Service
Some tips from those who have experienced this (p 20 of the essential guide)
already: NHS Bolton colleagues, e.g., the Clinical DTS: Doctors Treatment Service
Quality Directorate and Information Governance (p 21 of the essential guide)
teams have worked with various teams in relation to
their CQC registration and subsequently on their Working Together to Make it Simpler
continuous journey of compliance. The reality is that Over the next couple of month’s we
the task isn’t small, as the ethos is about focusing on will be working with primary care
the quality and safety of the healthcare we provide for colleagues to unpick some of the
our patients and we all agree that is the right thing to potential confusion. NHS
do. This is not a new concept and there is already a Bolton/Consortia Leads can’t
lot of effective work taking place. However, having a register for practices so please
framework to support this is helpful in identifying the make sure you view the website and
inevitable gaps. the essential guide so as to become familiar with the
required expectations and standards.
The process is a journey!
Next Steps: Dedicated Workshop Planned
The first step is to work through the essential Various Practice Managers have been discussing the
standards to see where you are doing well or where needs and development of moving forward over the
you may need improvement to be able to complete next few months towards registration. Vera Bourn,
registration. We acknowledge that practices will be at Practice Manager at the Dunstan Partnership, has
different stages of compliance against the CQC organised a workshop to be led by Teresa Holland,
standards, but this does not impact directly on the Head of IT Training & Development at NHS Bolton, on
ability to register. the 15th June titled: “An Introduction to CQC
Evidence Portfolio Development” to work with
colleagues on the key issues, sharing of materials
Questions can be forwarded to the CQC when
etc..
there is doubt: enquiries@cqc.org.uk Tel: 03000
616161
For those Practice Managers who would like to attend
the workshop, and who haven't yet confirmed their
There are 28 outcomes as part of the framework of attendance, please e-mail Vera Bourn:
which 16 are essential standards that are mandatory vera.bourn@bolton.nhs.uk before 3rd June '11. The
for all providers (see below) However, reviewing all 28 workshop is planned to be held at Dunstan
is required. Partnership, Breightmet Health Centre (9.30-12.30).
However, there has already been a very good
Outcome: Header:
response and the same workshop may have to be
1 Respecting & involving people who use services
2 Consent to care and treatment
delivered twice. Early response would be appreciated
4 Care and welfare of people who use services to make suitable arrangements.
5 Meeting nutritional needs
6 Cooperating with other providers This session will support development of a resource
7 Safeguarding people who use services from for practices and all Practice Managers are
abuse encouraged to attend.
8 Cleanliness and infection control
9 Management of medicines
10 Safety and suitability of premises Key Contacts in NHS Bolton
11 Safety, availability and suitability of equipment
12 Requirements relating to workers If you have any questions we will endeavour to help.
13 Staffing Our key contacts are:
14 Supporting workers
16 Assessing and monitoring the quality of service Michael Robinson (Assistant Director for Clinical
provision Governance): michael.robinson@bolton.nhs.uk
17 Complaints
21 Records
Sharon Jeffrey (Associate Director for Quality
Improvement): sharon.jeffrey@bolton.nhs.uk
The Process
Web link for reviewing the process: Teresa Holland (Head of IT Training & Development):
The CQC website details the process:
http://www.cqc.org.uk/guidanceforprofessionals/primarym teresa.holland@bolton.nhs.uk
edicalservices/howwilltheprocesswork.cfm
