Regulating Equality The Care Quality Commission and the Equality Delivery System EDS2 for the NHS
Our purpose and role Our purpose We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve Our role We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find, including performance ratings to help people choose care 2
Our principles Our principles We put people who use services at the centre of our work We are independent, rigorous, fair and consistent We have an open and accessible culture We work in partnership across the health and social care system We are committed to being a high-performing organisation and apply the same standards of continuous improvement to ourselves that we expect of others We promote equality, diversity and human rights 3
New Operating Model 4
What have we started to deliver for the NHS inspections? Appointed Chief Inspector for Hospitals Commenced Wave 1 acute inspections Creating our new approach for acute and mental health sectors 5
Integrating a human rights approach into our new inspections Our new inspection model: asks 5 key questions: Are they safe? Are they effective? Are they caring? Are they well led? Are they responsive to people s needs? A CQC strategic principle: we promote equality, diversity and human rights 6
Our human rights principles We ve matched the FREDA principles to our 5 questions: Fairness Respect Equality Dignity Autonomy + Right to life an important article in the Human Rights Act for health and social care, not explicit in FREDA +Staff rights/ the effect of staff empowerment around rights for people using services 7
Integrating a human rights approach into our new inspections We re embedding a human rights approach, including equality, in our new inspection model: Into our new assessment framework Into our new methods and tools, including new inspection handbook for acute trusts from December Learning and development for inspectors and others in inspection teams Tailored equality and human rights support to Wave 1 acute inspections Developing human rights topics for all inspections Embedding equality into guidance on new regulations 8
Involving people in our new inspections Our top priority is to gather patients views on their experience of NHS Trusts to help us make better judgements on equality: Increased use of Experts by Experience on our inspections Public listening events Using our Regional Voices and SpeakOut network to facilitate focus groups on Wave 1 acute inspections 9
Integrating a human rights approach into our new inspections EDS2 outcomes are matched to our five key questions (safe, effective, caring, responsive and well-led) CQC inspection teams will look at Trusts Equality Delivery System (if they have one) at an inspection planning stage to identify possible equality areas to look at on inspection and as evidence for organisational oversight around equality in relation to whether the trust is well-led But remember: EDS gradings will not directly contribute to CQC ratings or judgements 10
Example: how the EDS aligns with a CQC key question: Caring CQC Key Question: Caring Caring Line of Enquiry No 2: Are patients and their families or those close to them partners in their care? EDS2 Goal: Improved patient access and experience EDS2 Outcome: 2.2 People are informed and supported to be involved in decisions about them EDS2: Can give us intelligence about how people with protected characteristics under the Equality Act are involved in their care, or identify gaps 11
Discussion points How can regulation and inspection help you make continuous improvements around equality? What evidence would you provide to a CQC inspection to demonstrate real improvement around equality? Post Francis, Keogh etc, how can the EDS help a Trust improve its performance on equality and make a real difference in patients lives? How can we know? What do you think are the key equality issues CQC should be looking at on NHS inspections? And what does good look like? 12