Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many registered social care provider applications were rejected by the CQC due to issues with policies and procedures (a) in England, (b) by region, and (c) by local authority in each of the last five years.

Care providers entering and exiting is a normal part of a functioning market, and local authorities should have appropriate contingency plans in place depending on the services being provided. Under the Care Act 2014, local authorities also have a temporary duty to ensure continuity of care in the event of business failure. This means that people continue to receive the care and support they need if their adult social care provider is no longer able to carry on delivering services.

New providers registering with the Care Quality Commission (CQC) for the first time may have their application rejected if they send an application which is incomplete, for instance one that is missing documents or missing information within required documents. The CQC does not hold data at the level requested but can confirm that over the past five years, 22,629 incomplete applications across all sectors have been rejected. The following table shows a breakdown for the past five years of rejected incomplete applications across all sectors:

New providers registering with the CQC for the first time may have their application refused. In these cases, a complete application is reviewed by the CQC’s registration team who refuse the application if they are not satisfied the registering provider is able to meet the requirements as per the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and the Care Quality Commission (Registration) Regulations 2009. The CQC does not hold data at the level requested but can confirm that over the past five years, 1,385 applications across all sectors have been refused. The following table shows the breakdown for the past 5 years of refused applications across all sectors:

Providers already registered with the CQC may apply to vary their conditions of registration, and in some cases this may lead to a refusal or rejection by the CQC. Over the past five years, 85,822 applications to vary a registration by an adult social care provider have been received by the CQC. The following table shows the breakdown for the past five years of applications to vary a condition by an adult social care provider:

Over the past five years, 23,454 applications to vary a registration have been rejected, because the information submitted was incomplete. The following table shows a breakdown of these rejections for the past five years:

Over the past five years, 405 applications to vary a registration have been refused outright. The following table shows a breakdown of these rejections for the past five years: