In its annual assessment of the quality of health and adult social care in England, the Care Quality Commission (CQC) has found that despite challenging circumstances, as at 31 July 2016:
- 71% of the adult social care (ASC) services that CQC had inspected were rated ‘good’ and 1% were ‘outstanding’;
- 83% of the GP practices inspected were ‘good’ and 4% were ‘outstanding’; and
- 51% of the core services provided by NHS acute hospital trusts were ‘good’ and 5% were ‘outstanding’.
The assessment looked at how well people are involved in their own care and what good involvement looks like. The key findings of the report highlight:
- Enabling people to be more in control of their own care led to better and often more cost-effective outcomes, particularly for those with long-term conditions.
- Just over half of people said they felt involved in decisions about their health care and treatment, and women who use maternity services were particularly positive.
- There had been little change in people’s perceptions of how well they are involved in their care over the last five to 10 years, despite the national drive for person-centred care.
- People with long-term health and care needs were least likely to report feeling involved, particularly adults and young people with long-term conditions, people with a learning disability, and people over 75 years old.
End of life care was highlighted as an area where a lack of understanding of people’s individual needs was a significant barrier to people receiving good, personalised care. Health and care staff did not always have conversations about end of life care early enough to enable them to plan personalised care.
When looking at children’s transition to adult services, it was found that young people living with physical disabilities or illness were not always receiving the necessary care and support they need when they moved on to adult care services. And in some cases families were left feeling confused and distressed by the lack of information and support given to them.
The report makes clear the importance of supporting people with long-term conditions to manage their own care. In the case of diabetes it highlights that some people needed more emotional support than they were receiving – at diagnosis and on an ongoing basis. And that some people were not supported enough to fully understand their test results. Not enough people had a hand-held care plan that they could take with them as they moved between services. The report recommends that people with diabetes are supported to develop care plans that they can take home with them.
The report looks at help, care and support people receive during a mental health crisis. It found that the quality of care experienced by a person in crisis varied depending on where they live and when they seek help. Many people found that help was not available when they needed it, and care was not centred around their needs.
The full report can be read on the CQC website.