Kings Fund, Alliance Manchester Business School 27 September 2018
- An evaluation of the CQC approach to inspecting and rating health and social care providers across four sectors (acute care, mental health care, general practice and adult social care) that describes eight ways in which regulation can affect provider performance.
- The report examines whether Intelligent Monitoring datasets can predict the outcome of inspections and whether, on the basis of routine data, reported performance in A&E services, maternity services and general practice improves following an inspection.
- The analysis found that the quality indicators used in CQC’s Intelligent Monitoring datasets had little or no correlation with the subsequent ratings of general practices. The model did not correctly predict any of the 270 practices that received an ‘outstanding’ rating, or the 172 practices that received an ‘inadequate’ rating.
- The analysis found that, in the six months after practices were inspected, prescribing behaviour generally improved slightly for practices rated ‘inadequate’ or ‘requires improvement’, but worsened slightly for those rated ‘good’ or ‘outstanding’.