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Meeting and Measuring Progress against the CQC Quality Ratings in Mental Health

Care Quality Commission Inspections: National UpdateCare Quality Commission Inspections: National Update

Chair, Dr Geraldine Strathdee, C.B.E. O.B.E MRCPsych, National Professional Adviser, CQC Mental Health Team, Population Information & Intelligence, Non-executive Director, South London and Maudsley, Chair and Governance Lead, CQC Inspections
Dr Strathdee has a lifelong a passion to make the world a happier, healthier place where all people get the life opportunities they need to achieve their potential, and our democracy is a beacon of health and social justice. She believes in the promotion of leaders across our communities who develop ‘what good looks like’ in promoting mental health and well being, preventing mental illness where possible, and in providing services that give fast access to high quality, excellent care when people are unwell. She is passionate about helping staff develop  the skills and supports they need for their health and well being and to develop a culture of continuous improvement.

Care Quality Commission Inspections: National Update
Nicola Vick, Provider Analytics Manager, Care Quality Commission and Karen-Bennett-Wilson, Head of Hospital Inspection, Care Quality Commission
Karen Bennett-Wilson is Head of Inspection for Mental Health at CQC. She has held this position since July 2014. Prior to this she worked in strategy and policy for CQC and developed the framework for the new comprehensive inspection, worked with Department of Health on drafting the new Health and Social care regulations and led the development of the guidance for providers on meeting the new regulations. Karen previously worked for the Healthcare Commission in a variety of roles including leading the inspection of the Defence Medical Services and has inspected deployed operations services in Iraq and Afghanistan. Karen is a general and mental health nurse and prior to working in inspection and regulation was Director of Nursing in a mental health and community trust in Wales.

Karen and Nicola commented "Mental health rehabilitation wards - What we are doing:
Information request to all providers of inpatient rehab
>4,000 beds (cost c£535 Million p.a.)
53% beds managed by independent sector (83% of ‘locked rehab’ wards)
81% of all wards restrict patient movement in some way
Compared with the NHS, the independent sector:
Had longer stays (444 vs 230 days) and twice the cost (£162K vs £81K)
Patients more ‘dislocated’- further from home, more often on a ward in a different CCG area, less able to name NHS trust responsible for aftercare
Recommendations for action accepted by SofS
Repatriate patients and develop local services"

Inspection and regulation – direction of travel - 
"Our vision for 2017/2020 is more targeted, responsive and collaborative regulation so more people get high-quality care.
Our next phase of inspections is a move
away from large comprehensive inspections towards leaner and more targeted inspections, focused on individual core services and the well-led aspect of a provider.
NHSI will join us on well-led inspections and will undertake and assessment of  the use of resources – we are currently piloting how this will be added to our reports and impact on ratings"

Driving Improvement in Mental Health Services
Laura Stuart-Neil, Lead for Allied Health Professions/Lead for Quality Improvement, North East London NHS Foundation Trust
Pre-event abstract
NELFT launched their Quality Improvement (QI) programme in September 2016. They have a vision for QI to become part of everyone role within the organisation. Coincidentally in the same month, NELFT received a ‘requires improvement’ rating from the CQC – with many recommendations relating to care planning, risk assessment and documentation. Consideration was given as to how to address these issues to achieve urgent and sustainable improvement and it was decided to launch a QI collaborative. This collaborative is now in its fourth cohort and is seeing significant and sustainable results. In its last CQC inspection the trust was awarded an overall rating of ‘good’. The session will give an introduction to the QI methodology utilised, describe the structure and key results of our QI collaborative, and outline key learning and advice.
Key learning points:
• Introduction to Quality Improvement
• Introduction to the NELFT Quality Improvement Collaborative: the structure, key results, next steps
• Outline key learning and advice for others considering setting up a QI collaborative

Leading for Quality Improvement & Developing your Leadership Skills
Mike Chitty, Head of Applied Leadership, NHS Leadership Academy
Mike is an experienced facilitator, trainer, coach and consultant.  His approach is based on a belief that people only learn what they really want to learn – and often don’t want to learn what we want to teach them! As a consequence of this he focusses on stimulating curiosity and provoking exploration about ‘the direction in which progress lies’ for:
• Individuals and their relationships,
• Teams and their relationships,
• Organisations and their relationships and
• Systems and…yes…their relationships.
Mike has worked extensively in the public, private and so-called Third sectors in the UK. He has also worked extensively overseas.

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18 June 2018

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