
Providers need to be alive to the risk of contractors becoming insolvent and how to limit the resulting inevitable disruption.
Care providers vary significantly in their approach to involving boards in setting up systems to ensure the delivery of high quality care.
Surprisingly, the quality of the service is rarely a routine element of board meetings with the scrutiny of the operational team often getting much less time than finance or business development. In our experience the following issues are likely to require consideration in any routine review of quality:
The impact of a new CQC enforcement regime is already being felt and the pressure a CQC to be performing is only going to see this increase.
Charitable providers should ensure that the board of trustees are aware of the new regulatory approach taken by the Charity Commission, as well as the new CQC regime. The willingness of the Charity Commission to ‘show its teeth’ as a regulator has been demonstrated by the number of recent statutory inquiries it has opened. Even where other regulators are involved, the Commission has shown a willingness to get involved to assess whether the charity trustees fulfilled their duties. It has, for example, recently opened an inquiry into St Paul’s School to ‘investigate the charity trustees’ approach to safeguarding and handling of allegations of a sexual nature’. Funding restrictions inevitably impact on the quality of care. As funding constraints become ever more apparent, the board may want to consider alternative ways of monitoring the profitability of particular services and consider whether resources should be focused on more sustainable services. Quality comes at a cost and the damage done by bad publicity arising from a safeguarding event can easily outweigh the cost of not pursuing a contract.
Care providers continue to adapt to the changing environment by developing new skills and services, exploring commercial partnerships and engaging more closely with service commissioners. As they do so, their activities become more varied and often more complex. It is essential that standards of governance and especially those that impact on the quality of care, keep pace.
Contact Shivaji Shiva on 0121 214 3681 or shivaji.shiva@anthonycollins.com.
Providers need to be alive to the risk of contractors becoming insolvent and how to limit the resulting inevitable disruption.
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