CQC’s local system reviews of health and social care

December 8, 2017

The Care Quality Commission (CQC) has been asked by the Secretaries of State for Health and for Communities and Local Government to undertake local system reviews of health and social care in a further eight local authority areas.

This follows on from the previous twelve area reviews that the CQC is already carrying out and have begun to report on.

These reviews, exercised under the Secretaries of State's Section 48 powers, will look specifically at how people move between health and social care, including delayed transfers of care, with a particular focus on people over 65 years old.

They will ask how well people move through the health and social care system, and what improvements could be made. They include services such as: NHS hospitals, NHS community services, ambulance services, GP practices, care homes and residential care services.

To carry out this work, in each area the CQC will listen to older people who use services, their families, carers and communities; listen to people who commission and provide health and social care for older people; and analyse data about the quality of care services and outcomes for people.

The further eight areas the CQC has been asked to review are:

  • Bradford.
  • Cumbria.
  • Hampshire.
  • Liverpool.
  • Northamptonshire.
  • Sheffield.
  • Stockport.
  • Wiltshire.

The 12 areas that are already being reviewed are:

  • Birmingham.
  • Bracknell Forest.
  • Coventry.
  • East Sussex.
  • Halton.
  • Hartlepool.
  • Manchester.
  • Oxfordshire.
  • Plymouth.
  • Stoke.
  • Trafford.
  • York.

David Behan, Chief Executive of the Care Quality Commission, said, 'People should be able to expect good, safe care when they need it, regardless of how this care is delivered. And yet we know there is wide variation in how health and social care systems work together, with some local systems working together effectively to ensure people get the right care, while others struggle to do so – these reviews will seek to examine why these levels of variation exist.

'Our intention is that the review findings will highlight what is working well and where there are opportunities for improving how the system works, enabling the sharing of good practice and identifying where additional support is needed to secure better outcomes for people using services.'

On completion of the review, the CQC's findings will be reported to each local authority area’s health and wellbeing board and published at www.cqc.org.uk/localsystemreviews. An interim report bringing together a summary of its findings so far is planned to be published shortly.


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[…] these needs usually requires more than one professional and more than one agency to work together. CQC’s local system reviews provide a detailed insight into how older people move between health and adult social care services […]