Question to the Department of Health and Social Care:

To ask Her Majesty’s Government what assessment they have made of whether Monitor and the Care Quality Commission apply a consistent approach in relation to safety, quality and financial requirements of NHS foundation trusts and NHS trusts.

Robert Francis’ second report into the failings at Mid Staffordshire NHS Foundation Trust led to major changes in the Care Quality Commission’s (CQC) regulatory regime, and to Monitor’s and the NHS Trust Development Authority’s (NHS TDA) routine oversight of providers and assessment of aspirant foundation trusts. It has also resulted in closer working relationships between the three bodies responsible for regulation and oversight, particularly around the sharing of information and intelligence.

The currentrelationship between the CQC and Monitor is set out in a Memorandum of understanding and Operational Annexes which are attached. These outline how the two organisations work together, including on safety and quality issues. This includes the co-ordination and sharing of information following a CQC inspection and CQC providing a briefing document for Monitor which includes a review of the provider’s compliance from a quality of care perspective. The Operational Annex also specifically states, ‘each organisation will openly share relevant information on safety, quality, financial and governance risks at a licenced provider where appropriate’.

The Government sponsors each of the regulators, and provides stewardship of the health and care system as a whole, and in this role works with the regulators on an individual and collective basis to ensure that the regulatory system is as consistent and effective as possible. Both the Government and the system regulators are clear that it is in the interests of future care quality that the finances of acute trusts are healthy; and many of the improvements that are needed to improve quality of care will also improve efficiency.