The new inspection and regulation landscape

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The new inspection and regulation landscape

• National Young Persons Substance Misuse
  Treatment Forum
• Peter Burkinshaw, National Programme Lead,
  Standards Inspection

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Overview

• Introduction to the inspectorates
• The Care Quality Commission Ofsted
• Comprehensive Area Assessment
• Registration
• Consultation and QA

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The inspectorate methodologies
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The inspectorates and the sector
Substance misuse service provision and
commissioning
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CQC

• Regulator for quality in health and social care.
• Commences functions April 2009.
• Bringing together existing Commissions -

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CQC- regulatory toolbox

• Registration system
• Enforcement action
• Assessment and review

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Contact

• For more information,
• visit the website
• www.cqc.org.uk

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• The new Ofsted the Office for Standards in
  Education, Children's Services and Skills
• Came into being on 1 April 2007
• To inspect and regulate care for children and
  young people, and inspect education and training
  for learners of all ages.

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• Key inspection and assessment methods
• Annual Performance Assessment (APA)
• Joint Area Review (JAR)
• Enhanced Youth Inspection (EYI)
• TellUs Survey - focussed on Every Child Matters
  outcomes
• Inspection regulation of Young Peoples Social
  Care Providers

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• Substance Misuse
• APA indicators
• Substance misuse related admissions to hospital
  ages under 20
• Substance misuse the proportion of young people
  with identified substance misuse needs who
  receive specialist assessment within five working
  days and, following the assessment, access the
  early intervention and treatment services they
  require within 10 working days
• Proportion of those in substance misuse treatment
  who are aged under 18
• NI 115- Substance misuse by young people
• The percentage of young people reporting either
  frequent misuse of drugs/volatile substances or
  alcohol, or both. (Tellus2)

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The future regulation landscape- CAA

• Comprehensive area assessment
• First reports Autumn 2009
• The latest iteration of the Audit Commissions
  function
• an evolution of its Comprehensive Performance
  Assessment
• main business of the Audit Commission
• Audit Commission appointing 40 CAA leads
• Based on intelligence of all 6 inspectorates
• CAA will also replace Ofsteds Annual Performance
  Assessment and Joint Area Review.

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The future regulation landscape- CAA

• Intended to be
• an innovative way of drawing together information
  to show how well residents are being served by
  their local public services
• to give people a clear and impartial assessment
  of how successfully local organisations are
  working in partnership
• provide a lever on the partnership of
  organisations that commission and provide
  services
• Area Assessments
• Evidence file (NTA input)
• Award red and green tags

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The future regulation landscape- CAA
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For more information, subscribe to
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Registration

• From April 2010 Registration under the Health
  and Social Care Act 2008.
• Key function of CQC
• Registration flows from activity rather than type
  of provider.
• 18 registration requirements across both health
  and social care.
• Risk based and proportionate
• Fees for registration- sliding scale based on
  size capacity and charitable status

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Registration- time line

• Consultation on scope last summer.
• Consultation response released yesterday and
  consultation on requirements and wording of scope
  launched
• Consultation on Registration Guidance has
  commenced.
• April 2010- Registration commences

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Registration

• It will cover
• NHS Trusts and services providing the 14
  regulated activities
• Services previously registered under the Care
  Standards Act 2000
• Same for Childrens services and adult healthcare
• Childrens social care will remain with Ofsted

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Registration substance misuse

• Tier 4 accommodation together with intensive
  treatment.for people recovering from
  addiction.
• Treatment of disease, disorder or injury
• The definition covers care or treatment for a
  mental disorder, by or in a multidisciplinary
  team containing any of the healthcare
  professionals listed in paragraph A.103. This
  includes counselling and psychotherapy services,
  where carried out by those professionals. The
  term mental disorder is defined to mean any
  disorder or disability of the mind, including
  dependence on alcohol or drugs.

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Registration substance misuse cont

• The policy is to not include services that are
  not carried out by or
• in a multidisciplinary team containing healthcare
  professionals as
• set out in paragraph A.103. ..
• ..except some counselling and psychotherapy
  services, and social worker or psychologist
  services that are not provided within
  multidisciplinary teams.

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Registration substance misuse under review

• refining definitions for community based
  (non-residential) drug and alcohol services,
  where we have identified the risk and think that
  system regulation can address them..
• Therefore more may come into the scope ( in
  2011?)
• Counselling and psychotherapy ..some areas are
  relatively risky and should be within the scope
  of registration.. but some found to
  have less inherent risk, with little to be gained
  from system regulation.
• ..lack of clarity and difficult to distinguish
  between the range of counselling and
  psychotherapy services.

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18 requirements- here are the 10 highlights

• Care and welfare of service users
• Assessing and monitoring the quality of provision
• Safeguarding vulnerable service users
• Respecting and involving service users
• Records
• Competence and suitability of workers
• Effective management of workers
• Cooperating with other providers
• Provision of information
• Financial position

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Have your say

• _at_ http//www.dh.gov.uk/en/consultations/liveconsul
  tations/dh_096991
• Until the 29 May 2009

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The future regulation landscape- transitional
phase

• End of three year programme of joint Healthcare
  Commission and NTA reviews
• Possible substance misuse topic based reviews
  will fit into the new landscape
• The NTA SI Team about to enter into a phase of
  review and reconfiguration

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What do want for the future?

• What would you like to see registration achieve?
• If there is a topic based review of substance
  misuse in the future, what would you like it to
  address?