The CQC’s new hospital inspection programme enters its second phase in January, with 19 acute trusts named in October as the next trusts to be inspected using larger, expert teams that include professional and clinical staff and trained members of the public. These will be the first trusts to be given ratings by the CQC.

The first phase of inspections started in September. By December 2015, theh CQC will have inspected every NHS Trust. Each inspection seeks to answer five questions about services:  are they safe, caring, effective, well-led and responsive to people’s needs? Inspectors will then make a judgement about the quality and safety of the care people receive there. Care will be rated as outstanding, good, requiring improvement or inadequate.

The acute trusts to be included in the second phase have been selected for a number of reasons: they may receive an inspection because they are showing as higher risk in our new intelligent monitoring system. They may show as having an intermediate risk that allows us to test the intelligent monitoring tool or they may be aspirant foundation trusts that Monitor have asked us to look at. 

The next wave of inspections will cover the following trusts.
Acute trusts

From the Band 1 of our intelligent monitoring  

1.      University Hospitals of Leicester NHS Trust (Central)   
2.      Aintree University Hospital NHS FT (North)
3.      Heatherwood and Wexham Park Hospitals NHS FT (South)
4.      Northampton General Hospital NHS Trust (Central)
5.      Leeds Teaching Hospital NHS Trust (North)
6.      Royal Berkshire NHS FT (South)                               
7.      Homerton University Hospital NHS FT (London)
 
Foundation Trust aspirants 

8.      St George’s Healthcare NHS Trust (Band 6) (London)
9.      Oxford University Hospitals NHS Trust (Band 3) (South)
10.   Royal Cornwall Hospitals NHS Trust (Band 3) (South)
11.   Hull and East Yorkshire Hospitals NHS Trust (Band 2) (North)
 
Keogh inspection follow ups

12.   Dudley Group NHS FT (Band 4) (Central)
13.   Blackpool Teaching Hospitals NHS FT (Band 2) (North)
14.   Basildon and Thurrock University Hospitals NHS FT (Band 1) (Central)
15.   Buckinghamshire Healthcare NHS Trust (Band 1) (South)
 
Intermediate trusts

16.   Lewisham and Greenwich NHS Trust (Band 2) (London)
17.   University Hospitals of Morecambe Bay NHS FT (Band 5) (North)
18.   East Kent Hospitals University NHS FT (Band 3) (South)
19.   Peterborough and Stamford Hospitals NHS FT (Band 6) (Central)
 
Mental health trusts/community health services
 
1.      Bridgewater Community Healthcare NHS Trust – FT applicant (Community - North)
2.      Coventry and Warwickshire Partnership NHS Trust – FT applicant (Mental Health - Central)
3.      Devon Partnership NHS Trust – FT applicant (Mental Health - South)
4.      Derbyshire Community Health Services NHS Trust – FT applicant (Community - Central)
5.      Dudley and Walsall Mental Health Partnership NHS Trust, MH – FT applicant (Mental Health - Central)
6.      SW London and St George’s Mental Health NHS Trust – TDA recommendation (Mental Health – London)
7.      Solent NHS Trust – FT applicant (Combined - South)
8.      Central Essex Community Services (Provider) – Social Enterprise (Community – Central)
 
The new way of inspecting makes better use of intelligent monitoring and expert inspection to assess performance.  The selection of acute trusts for inspection has been informed by theh CQC’s new intelligent monitoring tool developed by the regulator’s analysts. Together with local information from partners and the public, intelligent monitoring helps us to decide when, where and what to inspect. 

The CQC’s Chief Inspector of Hospitals, Professor Sir Mike Richards, said: “As a doctor, I liken intelligent monitoring to a screening test; our inspection combined with intelligent monitoring provides the diagnosis, following which we make a judgement, which will in turn lead to action.

“Our intelligent monitoring helps to give us a good picture of risk within trusts, showing us where we need to focus our inspections. We aim to publish the results at regular intervals.  They will provide the basis for constant contact with NHS hospitals and other NHS organisations, and may lead to inspections in response to particular issues.”