CQC Faces Criticism Over Inspection Delays and Failing IT System
The Care Quality Commission (CQC) has once again come under scrutiny as its new Chief Executive, Sir Julian Hartley, acknowledges serious shortcomings in the regulator’s performance. With outdated inspections and an IT system deemed unfit for purpose, concerns have been raised over the CQC’s ability to fulfil its role in monitoring care homes, hospitals, and other health and social care services across England.
The CQC is responsible for assessing care providers to ensure they meet safety and quality standards. Ratings are assigned to services under four categories: Outstanding, Good, Requires Improvement, and Inadequate. However, reports indicate that many assessments are significantly delayed, with some inspections years out of date.
Addressing MPs on the Health and Social Care Committee, Sir Julian confirmed that thousands of concerns raised by healthcare staff and the public had yet to receive a response, with a backlog of around 5,000 notifications. The newly implemented IT system, intended to streamline processes, has instead created further complications, preventing staff from effectively carrying out their duties.
In an interview with The Times, Sir Julian highlighted the importance of up-to-date information for those seeking care services. “If you’re considering a care home for a loved one, you need reliable and current information to make informed decisions,” he stated. “At present, the CQC is not delivering as it should. Our operational performance needs significant improvement to regain public confidence.”
Despite these challenges, Sir Julian maintains that the CQC’s inspection teams are dedicated professionals. However, he expressed concern that the organisation has lost public trust in its ability to identify risks and safeguard care standards.
The Health Secretary, Wes Streeting, has previously described the CQC as “not fit for purpose,” calling for urgent reform. This follows an independent review that exposed internal failings affecting the regulator’s ability to detect poor performance across healthcare settings.
Since taking on the role in December, Sir Julian has emphasised the need for cultural change within the CQC, promoting transparency and accountability. He has introduced a “truth and reconciliation” approach, encouraging staff to share feedback, and has outlined plans to appoint four new chief inspectors to oversee hospitals, social care, GP practices, and mental health services. Additionally, he aims to enhance patient involvement in the regulatory process.
Drawing from his personal experience of the healthcare system following a serious cycling accident in 2011, Sir Julian spoke about the challenges he faced when discharged from hospital. He recalled difficulties in accessing necessary medications and physiotherapy, highlighting the need for better coordination between health and care services.
“We must improve how health and social care services work together to support recovery and well-being,” he stated. “Addressing these systemic issues is crucial to ensuring that people receive the high-quality care they deserve.”