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CQC to replace their Key Lines of Enquiry (KLOE’s)

CQC to replace their Key Lines of Enquiry (KLOE’s)

The CQC (Care Quality Commission) has recently provided an update on their new strategy, explaining the steps and decisions they have made since its launch in May.

A new Assessment Framework

One of the biggest developments, confirmed by Joyce Frederick, the new Director of Policy and Strategy, in her recent blog, is that the existing ratings and five key questions (KLOEs) used to regulate service providers, are to be replaced by a new assessment framework.

Joyce Frederick went on the explain that the updated framework that will be used to judge the quality of care delivered by providers is to be based on a set of ‘quality statements’ that are clearly linked to existing regulations.

The new quality statements will set out exactly what ‘good’ and ‘outstanding’ person-centered care looks like, and what users should expect from providers. The same set of statements will be used when assessing all sectors and service types, and at all levels too.

The aim, she wrote, was for the CQC to be exceptionally clear and consistent in their assessment criteria, and as a result to have only a single assessment framework to cover all.

A new method of categorising evidence and scoring assessments

The CQC has also decided to develop a method to categorise evidence collected from providers. They propose six evidence categories, which could include user’s experience of care and policies in place at a service, for example, and each will be given a structured score too.

The aim of the new categories and scoring method is to bring a more consistent structure to CQC’s process of assessing quality, enable service providers and users alike to have a more up-to date view of the quality of service provided, and to make the CQC’s judgement and assessment of a service clearer to understand.

While the details of the framework and six evidence categories have yet to be decided, the Director of Policy and Strategy went on to explain testing will be carried out over the next twelve months, first with just small groups of providers, before live environment testing, and finally rollout of their new method of regulation.

A new strategic approach to data collection

Mark Sutton, the CQC’s Chief Digital Officer, in his own blog, also explained how the CQC have been making headway in developing new methods of collecting and using data gathered from both service providers and users.

A reminder about what the strategy promised in regard to data collection and use

The new strategy promised to:

  • use advanced ‘smarter’ technology and data science techniques to develop better and more consistent methods of regulating services
  • increase efforts to encourage users to give feedback on care services
  • reduce duplication and workload for service providers when submitting data to the CQC
  • improve feedback to providers and users to help drive improvements in care


Developing a new digital platform

Mark Sutton explained that a new digital platform is being developed which will bring all the CQC’s data together in one place for analysts and inspectors to interrogate and use to inform their judgements. He expressed a desire for data sharing agreements to make it easier for different sources to share gathered information between services, partners, and stakeholders.

Developing a new provider portal

Mark Sutton, in his recent blog, also announced how the CQC are developing a new digital interface, a provider portal.

The new provider portal ‘will be a simpler, quicker and more intuitive way to give us structured data and information. It will mean there is one place for providers to register, update their information and submit new data such as statutory notifications.’

The idea is to make it easier for providers to check and update the information that the CQC hold on them, and to benchmark themselves with similar providers.

Next, Mark Sutton promises an inclusive listening service for members of the public, to help encourage and enable users of services to describe their experiences.


Read the full blogs here:

Joyce Fredericks’s blog, Director of Policy and Strategy CQC – Developing our new regulatory model 

Mark Sutton’s Blog, Chief Digital Officer CQC – Using data to transform our regulation

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