Notes to editors
- Impact of the Care Quality Commission on provider performance: room for improvement? is published jointly by The King’s Fund and Alliance Manchester Business School on Thursday 27 September 2018.
- The report summarises findings from the first major evaluation of the Care Quality Commission’s (CQC) approach to inspecting and rating health and social care providers, which was introduced in 2013. The research was conducted between 2015 and 2018 by The King’s Fund and Alliance Manchester Business School and explored the impact of CQC’s approach in four sectors (acute care, mental health care, general practice and adult social care). It combined a literature review and qualitative fieldwork nationally and in six parts of England with quantitative analyses of national data on provider performance, ratings and activity. The qualitative fieldwork included 170 interviews with a range of staff from health and social care provider organisations, CQC, patient and public groups and other stakeholder organisations such as Healthwatch, NHS England and clinical commissioning groups (CCGs).
- As part of the research, we have developed a new framework that outlines eight ways in which regulation can affect provider performance, to help regulators, providers and policymakers understand the impact of regulation. The eight ‘impact mechanisms’ we identified are: anticipatory, directive, organisational, relational, informational, stakeholder, lateral and systemic. More details can be found on p13 of the report. The framework shows that impacts can be produced before, during and after inspection, and through interactions between regulators, providers and other key stakeholders. We used this framework to examine the impact of the first cycle of CQC inspections in acute care, mental health care, general practice and adult social care services in six areas of England.
- This report is based on independent research commissioned and funded by the NIHR Policy Research Programme (Provider ratings: the effects of the Care Quality Commission's new inspection and rating system on provider performance). The views expressed in the publication are those of the author(s) and not necessarily those of the NHS, the NIHR, the Department of Health and Social Care, ‘arms’ length bodies or other government departments.
- For more information or to request an interview with one of the authors please contact:
Andrew McCracken, Head of Press and Public Affairs, The King’s Fund
firstname.lastname@example.org, 020 7307 2585/2594 (07584 146 035 if calling out of hours)
Kate McNamee, Head of Global Marketing and Communications, Alliance Manchester Business School
0161 275 7090, email@example.com OR
Kieran Walshe, Professor of Health Policy and Management, Alliance Manchester Business School
The King's Fund
The King's Fund is an independent charity working to improve health and care in England. We help to shape policy and practice through research and analysis; develop individuals, teams and organisations; promote understanding of the health and social care system; and bring people together to learn, share knowledge and debate. Our vision is that the best possible health and care is available to all.
The University of Manchester, Alliance Manchester Business School (MBS)
Established in 1965 and part of The University of Manchester, Alliance Manchester Business School (MBS) is one of the UK’s largest campus-based business schools. It has a long tradition of global business education with centres in Manchester, Dubai, Shanghai, Hong Kong, Singapore and Sao Paolo. Alliance MBS is one of few institutions to have achieved triple accreditation from AACSB International, AMBA and EQUIS, and the Financial Times ranks its MBA 36th globally. The School provides world-class, industry-focused education to undergraduates, postgraduates and executives across the globe. As a research-led school our experts tackle contemporary business and management problems across for main areas: accounting and finance; innovation, management and policy; people management and organisations; and management sciences and marketing.
The National Institute for Health Research (NIHR): improving the health and wealth of the nation through research. Established by the Department of Health and Social Care, the NIHR:
- funds high quality research to improve health
- trains and supports health researchers
- provides world-class research facilities
- works with the life sciences industry and charities to benefit all
- involves patients and the public at every step.