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Adult Social Care: Cutting Red Tape Review

Adult Social Care: Cutting Red Tape Review

This report summarises the findings of the Cutting Red Tape review on progress of regulatory reform in the Adult Social Care Residential and Nursing Home Sector in England. The review is one of a series of reviews that examine whether legislation and its implementation can be simplified or improved to aid compliance and reduce unnecessary burdens on business.

Based on the responses received the review team found:

  • The role of different public agencies is unclear to many providers and appears to them to involve a significant amount of overlap
  • The overall burden of monitoring activities is having a negative impact on care and the time staff can spend with residents
  • The overall burden of monitoring activities also risks having a negative impact on the market
  • There is duplication of local authority contract monitoring requirements with CQC inspection requirements which results in overlap in inspection visits and information requests
  • There is inconsistency of approach between local authorities, which can lead to a lack of clarity about requirements and lead to similar data being collected in multiple formats
  • There is a lack of clarity around the role and responsibilities of CCGs, and an apparent lack of coordination with local authorities and CQC leading to additional uncertainty and duplication of activities
  • A number of different agencies are exploring improved approaches, but often these actions do not seem to be coordinated, suggesting a need to join up fragmented initiatives