Notice of Decision

Ofsted Enforcement: Notices Of Proposal – What They Are And How To Respond

Receiving a Notice of Proposal from Ofsted can be a stressful time for Providers, not least because it indicates that Ofsted has serious concerns about a service. Understanding what a Notice of Proposal is, its legal impact and how to respond can help Providers move past the initial panic mode more quickly and enable them …

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If Your CQC Registration Is Dormant, CQC May Cancel It

The Care Quality Commission’s (“CQC”) use of enforcement action, namely notices of proposal (“NOP”) and notices of decision (“NOD”), to either vary or cancel a provider’s registration is a fairly routine practice for providers who are perceived to have breached regulation(s) under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (“Regulations”). The …

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Concern Over CQC’s Cursory Responses To Warning Notice Representations

In recent times, we have noticed that the CQC’s responses to warning notice representations have become very light touch. Reasoned responses to Provider’s detailed submissions and evidence have been replaced with blanket responses which simply specify whether the representations are being upheld or not with no reasons provided, alongside any associated decision on whether to …

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An Update In Relation To The CQC’s Registration Service

In January 2023, in recognition of the pressures faced by the NHS during the winter, the CQC published its ‘Response to winter pressures’ which involved the CQC adjusting its regulatory activity to, “enable health and social care staff to carry on providing safe, high-quality care over winter months in the face of existing pressures”. As a …

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The CQC And Its Move Towards Imposing Conditions On Registration

During the COVID-19 pandemic, the CQC introduced a risk-based inspection model and focused its inspection activity where service users were deemed to be at risk of harm. Since the introduction of this risk-based system, we have seen an overall increase in the CQC’s enforcement action. This has also been confirmed by the CQC’s Chief Executive Ian …

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Notices of Decision – Using the Appeal Process to your Advantage

It is always worrying when you receive a letter from the CQC that states it has decided to cancel your registration, suspend your registration, or impose conditions on your registration, which in effect, will prevent you as a provider from conducting business. At Ridouts we have received numerous calls from panicked providers about the effects …

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Are Your Representations Against CQC Notices of Proposal Being Ignored?

At Ridouts we are frequently seeing that the CQC is automatically adopting Notices of Proposal, seemingly ignoring, or not testing the validity of, the representations submitted by Providers. In some cases the CQC is sending out Notices of Decision months after the Notice of Proposal was issued and therefore months and months, in some cases …

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What happens if the CQC wants to vary a practice’s conditions of registration?

The CQC’s focus on ‘Smarter Regulation’ in its new strategy includes a risk-based model of inspection. This model could lead to a much greater focus on GP practices that are perceived as ‘risky’ by the CQC, which could in turn lead to an increase in enforcement action. At Ridouts, we are already seeing an increase …

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Conditions of Registration – Giving the CQC even more control over your business?

For some time, CQC has been undertaking more activity based on risk and focusing efforts on services where they perceive concerns have arisen, or patient safety is at risk. This is not changing under the CQC’s new strategy. CQC’s business plan for 2020-2023 identifies four business priorities and 10 objectives. One of these is to …

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