Staying one step ahead : Grade yourself

CQC inspections have slowly moved from the initial learning process towards corporate governance and accountability.

Preparing for your next inspection

  1. Review your last inspection and see where you are in the inspection map below.
  2. Then look at the next stage, and you can prepare for that.
  3. If the inspector repeats the same stage as last time, this might be that you haven't progressed enough and might face difficulties.

Map of inspection stages

 Quick guide to colour coding: Green means the inspector spent less time on this because you are expected to have achieved this, and may perform random checks to ensure compliance
cqc inspections future trends key

1st Stage: Fundamentals

  • Have you got basic rules for operating the organisation
  • Is everyone aware of the rules
  • Do you record activity
 cqc inspection trends 1

2nd Stage: Operations

  • Record of activity, and completeness
  • Basic staff competency, recruitment processes and appraisals
 cqc inspection trends 2

3rd Stage: Monitoring

  • Staff training and development, awareness of key safety areas, knowledge
  • Management competency, Good governance, oversight of operations
 cqc inspection trends 3

cqc inspection trends old new

4th Stage: Care

  • Governance and accountability of officers
  • Standards of care, Involvement in care, Consent
 cqc inspection trends 4

5th Stage: Actual Performance

  • Engagement with stakeholders, joined up care
  • Outcomes achieved, comparisons and benchmarks
 cqc inspection trends 5

Final Stage: Maturity

The CQC is moving towards online self-declarations and targeted site visits. The old PIR (Provider Information Request) will be replaced with an annual online Provider Information Collection report (PIC).

CQC will target Providers based on their declarations and intelligence gathered from other sources. Whistleblowing will become more important in trigger inspections.

cqc inspection trends 6

Future: CQC becomes part of the NHS

The CQC is likely to reinvent itself and may seek a change in legislation. The transformation has already started:-

  1. Inspect all providers [done]
  2. Extend to inspect owners of Groups [2018/2019]
  3. Extend to inspect Complex Providers [2018/2019]
  4. Invent NEW role: Inspect CCGs and Commissioning [In motion since 2014]

“….. we need to be able to look at how the system operates, not by being invited to do reviews but in it being part of the routine way we do our business. I think that requires legislative change.”

Sir David Bevan

May 2018

This process started in 2014

According to an interview given by Sir David Bevan on 20th March 2015, the process started 12 to 18 months before that interview.

The CQC is looking to become an “embedded regulator” in the system and commissioning so that they inspect 24/7/365 from inside the system instead of being “invited to inspect”.

In essence, CQC will become internal auditors, and part of the NHS and yet independent from other employees, thus guaranteeing its survival for as long as the NHS exists.

We get you through inspections

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About Us

Partnered with the National Association of Primary Care (NAPC)

NAPC - the largest network of Primary Care Networks in the UK

We are partnered with NAPC, The National Association of Primary Care, to provide their members with exclusive access to our innovative quality management systems and toolkits.

The NAPC developed the Primary Care Home model, that has now been adopted by NHS England as the blueprint for Primary Care Networks (PCNs).

 NAPC - National Association of Primary Care

NAPC boasts over 240 PCH sites across England who have access to the innovative toolkits developed by everythingCQC, which promise to transform workplace culture by simplifying and standardising quality frameworks across PCNs at a fraction of the time and cost of traditional methods.

The Primary Care Home (PCH) Programme

This is a knowledge and experience sharing network for PCNs and is free to join. If you are not already a member of this programme, you can do so by heading over to


Professor James Kingsland OBE - key advisor to everythingCQC

The biggest change in Primary Care in 25 years

If you are looking for the person that has quietly changed the direction of the NHS for the next decade and more, it is Professor James Kingsland.

The immediate past President of the NAPC, Professor Kingsland is the co-architect of the Primary Care Home initiative funded by NHS England who oversaw the successful national roll out and remains its National Clinical Director.

This blueprint of integrated care proved so compelling that NHS England commissioned the NAPC team headed by Professor Kingsland and Dr Nav Chana to pilot the Primary Care Home concept. This has now become mandatory by NHSE making it part of the GP contract under the model of Primary Care Networks (PCNs).

 Prof James Kingsland

He brings with him over 30 years of knowledge in Primary Care and Integrated Care, and a vision to create a new way of working. He has a very long and distinguished history of leading change in Primary Care and will now help us shape our “360 degree Workplace” initiative for more interpersonal and cohesive workplace.

In line with the PCN initiative the 360 degree Workplace will be a unifying methodology creating a common standard for Healthcare and Adult Social Care

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Our history

We are part of X-Genics, a leading provider of smart compliance software. Our clients have included ACAS, Boots, Specsavers and The Royal Society of Medicine Press among other leading brands.

history X Genics past clients

Our founders and advisors have deep roots in Healthcare, spanning back several decades.

We were involved in Compliance and Patient Safety systems years before the CQC came into existence

A quick timeline

2004: X-Genics was formed

2008: The Care Quality Commission (CQC) was created

2009: We started a CQC information portal for our clients

2011: We transferred our knowhow to as a public service knowledgebase

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