Substance misuse services

This briefing looks at the quality and safety of clinics offering residential services for people withdrawing from drugs or alcohol | Care Quality Commission (CQC)

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The Care Quality Commission has published Substance misuse services: the quality and safety of residential detoxification. This briefing examines the quality and safety of clinics offering residential services for people withdrawing from drugs or alcohol.  It outlines concerns identified during CQC inspections and gives an example of good practice, as well as actions and recommendations.

The briefing reported a number of concerns. Many of the clinics were not:

  • assessing the risks to the safety of people prior to their admission following recognised national clinical guidance on treating people who are withdrawing from alcohol or drugs
  • storing, dispensing and handling medicines
  • appropriately carrying out full employment checks or sufficiently training their staff

The CQC also found that nearly three in four providers failed in at least one of the fundamental standards of care that everyone has the right to expect, whilst almost two-thirds of providers were not meeting the requirement for providing safe care and treatment.

Full briefing: Substance misuse services: the quality and safety of residential detoxification

 

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Urgent and emergency care: best practice

This CQC report offers practical examples of how leading emergency departments are meeting the challenges of managing capacity and demand, and managing risks to patient safety .

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This report from the Care Quality Commission details the good practice identified following the Commission’s work with consultants, clinical leads, senior nursing staff and managers from leading emergency departments in 17 NHS acute trusts.

This resource identifies:

  • strategies staff use to meet the challenge of increased demand and manage risks to patient safety
  • positive actions to address potential safety risks and to manage increased demand better
  • how working with others can manage patient flow and ensure patients get the care they need
  • that rising demand pressures in emergency departments are an issue for the whole hospital and local health economy.

Full report: Sharing best practice from clinical leaders in emergency departments

Community mental health survey 2017

Latest survey from Care Quality Commission (CQC) looks at the experiences of people receiving community mental health services

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A survey of over 12,000 people who received care or treatment for a mental health condition found around two-thirds of respondents reported a positive experience of overall care.

The vast majority of respondents said that they knew how to contact the person in charge of their care if they had concerns. Higher proportion of respondents this year also knew who to contact out of hours if they were experiencing a crisis.

However, concerns remain about the quality of care some people experience when using community mental health services. There has been little notable improvement in survey results in the last year in the majority of areas.

The CQC believe the results suggest scope for further improvements in a number of areas including: crisis care, access and coordination of care, involvement in care, monitoring the effects of medication and receiving additional support.

Further detail via Care Quality Commission

Full analysis: 2017 Community Mental Health Survey Statistical release

Related:  CQC Report Finds ‘Major Issues’ Surrounding Access To Mental Health Care

Review Of Children And Young People’s Mental Health Services: Phase One Report

This report confirms many of the issues raised in the Five year forward view for mental health and comments on the difficulties children and young people face in accessing appropriate support for their mental health concerns from a system that is fragmented and where services vary in quality | Care Quality Commission 

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This report is the first phase of a major thematic review requested by the Prime Minister in January 2017. The Care Quality Commission (CQC) has drawn on existing reports, research and other evidence and its inspections of children and young people’s mental health services, as well as conversations with young people to identify the strengths and weaknesses of the current system.

CQC has found that, whilst most specialist services provide good quality care, too many young people find it difficult to access services and so, do not receive the care that they need when they need it. One young person told CQC that they waited 18 months to receive help.

This report also lays the foundations for the next phase of CQC’s review. Phase two will seek to identify where has there been real change in the system, where change has been slower and what was needed to drive better care.

CQC regulation: consultation response

The Care Quality Commission has published the response to its second set of proposals aiming to simplify and strengthen health and social care regulation in England.  This document summarises the feedback received regarding proposals on how the CQC regulates primary medical services and adult social care services; improvements to the structure of registration; monitors, inspects and rates new models of care; and encourages improvements in quality of care.

 

Nine in 10 GPs rated good or outstanding following CQC inspection

Care Quality Commission (CQC) report finds that at the end of its first inspection programme of general practices 4% were rated ‘outstanding’, 86% were ‘good’, 8% were ‘requires improvement’ and 2% were ‘inadequate’.

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Image source: http://www.cqc.org.uk

The state of care in general practice 2014 to 2017 presents findings from CQCs  programme of inspections of GP practices. This detailed analysis of the quality and safety of general medical practice in England has found that nearly 90% of general practices in England have been rated as ‘good’, making this the highest performing sector CQC regulates.

Full document: The state of care in general practice 2014 to 2017

Specialist mental health care in England

The state of care in mental health services 2014 to 2017| Care Quality Commission (CQC) 

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Image source: http://www.cqc.org.uk

This report describes how CQC inspectors found that the majority of services are caring and compassionate towards their patients. However, the report also identifies several areas of concern: difficulties around accessing services, physical environments not designed to keep people safe, care that is over-restrictive and institutional in nature, and poor recording and sharing of information that undermines the efforts of staff to work together to make sure that people get the right care at the right time.

Full report: The state of care in mental health services 2014 to 2017

Additional links: CQC press release | NHS Confederation