Care Quality Commission

And so there is a role for sort of scandal in kind of driving improvement and sometimes sometimes the inquiry can kind of make a point and an explanation um and a kind of public case about how bad the scandal was and what it was um and therefore um and that kind of helps things move on if i think way back to the the francis public inquiry on mid staffs which i think i've not just checked back, but although it has been seen as, if you look back, it's been seen as making quite a big contribution to change in NHS policy, but actually the vast majority of Robert Francis's main recommendations were ditched and the government did something completely different.

It did a lot, it massively strengthened the Care Quality Commission at that point and made a whole bunch of other changes, but they weren't by and large what Robert Francis said.

It just used, but it kind of used the moral case that I suppose Robert Francis had strengthened and underlined, you know, after doing about three different inquiries to kind of then drive other change and drive what was improvement at that time.

But Zoe, I think you wanted to come back in.

And we'll be talking about access and continuity following the results from our survey and the publication of a report by MPs into access across all areas of primary care.

Our good news story this week is about the CQC showcasing positive

work in

general practice.

But because of the pressure practices are on to deliver appointments rapidly, that's not impossible for many people.

And they also said something similar to what RCGP President Victoria Georgiou-Brown was saying in that opinion piece, is that good access should prioritise continuity, which would ultimately save appointments in the longer term.

Before we go, we've just got time for our good news story, which this week is about a new CQC initiative highlighting pioneering work in general practice.

The regulator has launched a new learning from practice case study page that highlights how GP practices have developed new models or changed their systems to reach underserved communities.

So that's the second tranche of the inquiry.

And then the final third tranche really was all about whether NHS management and governance structures, including external scrutiny from organisations like NHS England, the CQC, and the professional regulation of the doctors and nurses were effective in keeping babies safe.

And if they weren't, what changes such as to NHS culture or making managers more accountable need to be introduced?

Yeah, I mean, crucially, the inquiry, Liz, was never about the safety of Lucy Letby's convictions.

There'll be no change to the service provision.

You're just basically billing another person." And then of course, all the insurance then had to come in, and the ga- legalities, and back then we didn't have the Care Quality Commission, we had something else.

So all of that learning at speed very quickly, and then also realizing how to invoice, how to bill, how to take a salary, all of that sort of thing.

I don't even think we had an accountant even for the first year.