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Professor Edward Bakker Care Quality Commission Discusses How Services Can Demonstrate Effectiveness

Professor Edward Baker Deputy Chief Inspector of Hospitals Care Quality Commission discusses the CQC Effectiveness Domain and How services can demonstrate effectiveness:

  • the new inspection process and the effectiveness domain
  • how do we inspect against effectiveness: does people’s care and treatment achieve good outcomes and promote a good quality of life, and is it evidence-based where possible?
  • why is the effectiveness domain wider than just clinical effectiveness?
  • why is the effectiveness domain more difficult to assess and why are we currently not assessing A&E or outpatient services on effectiveness?
  • how do you know if your trust/service is effective?
  • demonstrating effectiveness: how can you prepare for inspection?
  • intelligent monitoring data for effectiveness at ward, service and trust level
  • effectiveness: what have we learnt from the inspections to date

In his presentation Professor Edward Baker states: 

"We recognise that the previous CQC approach had flaws – but it had good elements, in particular in relation to rigorous evidence gathering"

"13% of trusts were inadequate and 63% required improvement"

"Only 20% of hospitals were judged good for safety, none were outstanding"

"60% of trusts needed to improve their leadership"

"Leadership at clinical team or directorate level was very variable and was often a critical factor in the quality and safety of a service."

"Formal and informal leadership was often in denial about the problems or blamed the system."

"Those services and hospitals that accepted their problems seemed to make more rapid quality improvements."

Professor Edward Baker is the Deputy Chief Inspector for the acute sector. He was previously Medical Director and Deputy Chief Executive of Oxford University Hospitals NHS Trust. Professor Baker has led significant operational change at both Guy’s and St Thomas’ NHS Foundation Trust and Oxford University Hospitals NHS Trust, where he focussed on building bridges between clinicians and Oxford University’s Academic Health Sciences Centre. Also, last September, Professor Baker chaired the team of inspectors for one of CQC’s first inspections using its new acute inspection model, at Croydon Health Services NHS Trust.

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Events of interest:

Preparing for & learning from the new CQC Inspections in Independent Healthcare
Monday 19 January 2015, London

Measuring and Monitoring Quality
Tuesday 20 January 2015, London

Download: Edward Baker Full Presentation

25 November 2014


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