Governance and regulatory processes

context with health and social care Engkand. Please refer to assignment brief and assignment plan for . Work has to be on power point presentation 10-12slides

Governance and regulatory
processes

Table of Contents
INTRODUCTION...........................................................................................................................4
LO 1.................................................................................................................................................4
1.1 Statutory and legislation network.........................................................................................4
1.2 Effects of policies and legislations on practice.....................................................................4
1.3 Drawing necessary attention on potential conflicts..............................................................5
LO 2.................................................................................................................................................5
2.1 Governance mechanisms.......................................................................................................5
2.2 Personal accountability ........................................................................................................5
2.3 Protocols, policies and procedures........................................................................................5
LO 3.................................................................................................................................................6
Reasons why services are inspected............................................................................................6
3.1 Evaluating inspection system of England.............................................................................6
3.2 Services associated with registration and inspection............................................................6
3.3 Key areas associated with enquiry........................................................................................6
3.4 Grading system and its implications.....................................................................................7
3.5 Sources of support and information......................................................................................7
LO 4.................................................................................................................................................7
4.1 Roles and responsibilities of key people...............................................................................7
LO 5.................................................................................................................................................8
5.1 Persons involved in inspection processes.............................................................................8
5.2 How to prepare for an inspection..........................................................................................8
5.3 Inspection process and information required .......................................................................9
5.4 Ways to address the outcome and impact of an inspection...................................................9
LO 6.................................................................................................................................................9
6.1 Regulation processes that apply to the service......................................................................9
6.2 Types of information required for regulation processes ....................................................10
6.3 Regulatory frameworks presenting conflicting requirements ............................................10
CONCLUSION..............................................................................................................................10
REFERENCES..............................................................................................................................11

INTRODUCTION
Regulatory and governance processes is considered to be as the policies, tools and
institutions which are mainly concerned with implementing, developing and enforcing of the
new rules and regulations over a period of time (Price and et.al., 2020). This study will highlight
on effectively understanding the statutory and legislation requirements. This study also
demonstrates internal governance arrangements and also demonstrate the requirements for
regulation while providing adult care services. This study also understand the responsibilities of
the individuals in adult care. This study also critically understand the inspection process and also
demonstrate wide range of regulatory requirements.
LO 1
1.1 Statutory and legislation network.
The UK legislation and statutory network associated with the adult care comprise of
Health and Social care Act, 2012, Equality Act, The care act, 2018, environmental issues act,
employment act, health and safety act, care provisions, equality and diversity, etc. Health and
Social care Act regulation, 2012 is a framework which focuses on reducing inequalities and also
inspect the adult social care services at national levels in England. The care act, 2018 tends to
focus on improving the well being of the individual by arranging quality services which prevents
people from developing the need of care (van de Bovenkamp, Stoopendaal and Bal, 2017). The
Care quality commission tends to focus on being safe, well led, responsive to the needs of the
people, caring and effective. There are various other legislations like Mental Capacity Act,
Safeguarding vulnerable groups act, Mental health act, Health and safety at word Act, 1974. The
key fundamental standards in adult care are person centred care, consent, proper equipments and
environment, safety, complaints, respect and dignity, etc.
1.2 Effects of policies and legislations on practice.
Policies and legislation in adult care practice in turn are considered to be very crucial
because it tends to provide safety and welfare to the individuals. They tend to deliver the various
set of rules. The legislative measures in adult care helps in supporting health and safety within
the workplace (Furnival, Boaden and Walshe, 2018). These policies and measures helps in
protecting individuals at work. These legislations and policies helps in protecting the right
associated with the dignity and respect and it also helps in providing the best quality care to the
participants. Policies and regulations in turn helps in effectively providing a road map in order to

carry out day to day operations. Ensuring complaints and regulation within the workplace helps
in streamlining the internal process within the health care department. Policies ensures
standardization in order to carry out day to day operational activities.
1.3 Drawing necessary attention on potential conflicts.
The national and local forums tends consist of various federal agencies where they focus
on reducing conflict associated with the principles and statutory framework for carrying out good
practice (Mountford and Geiger, 2018, July). The National forum tends to bring together various
local authorities in order to resolve the conflict and provide appropriate decision in order to
resolve conflict. Insufficient staffing and environmental conflicts in turn are considered to be
potential conflicts between regulatory requirements and the delivery of effective person centred
care. In order to resolve this conflict heath care organization must focus on complying with legal
laws and regulatory standards.
LO 2
2.1 Governance mechanisms.
Governance concept is considered to be as the key component which helps in taking
strategic decision in order to seek and achieve health objectives that are considered to be
conducive for universal health coverage. The key role of governance processes is to effectively
consolidate the process management standards and initiatives (Magill and Prybil, 2020). The
government processes helps in management standards and initiatives who in turn tends to work
towards a common goal in order to achieve better care results.
2.2 Personal accountability
Governance tends to set the best quality standards and principles which in turn helps in
contributing towards high degree of the organizational performance within the health care sector.
NHS in turn is considered to be accountable for performing various intervention in a responsible
manner. The key roles and responsibility towards quality improvement and maintaining an
appropriate governance structure is mainly linked with the implementation of the proper
government policies and procedure.
2.3 Protocols, policies and procedures.
Protocols, policies and procedures within the quality care provision in turn tends to
contain valid information which h helps in setting specific standards for the practice which
mainly comprise of regulatory, professional and legislative business requirements within the

healthcare sector. Policies and procedures in turn are considered to be necessary for setting
mandatory guidelines to perform specific task. This in turn helps in improving the quality of the
care services and in turn also results in continually driving towards improvement.
LO 3
Reasons why services are inspected.
Services are inspected in order to meet the right care standards and legislations. It helps
in improving the quality of the services and in turn also helps in meeting the care needs. It also
helps in providing good rating to the care organization.
3.1 Evaluating inspection system of England.
Inspect system in the health and adult care is mainly run by the Care Quality commission.
The key drivers associated with the inspecting system are The Health and Social care Act, The
care act. The CQC tend to inspect and regulate the health and care services within England. They
focus on interpreting the evidence and is in turn is also responsible for inspecting the health care
institutions and ensure that the following standards are met or not. The CQC tends to use 5 key
questions at the time of inspection which are safe, well led, responsive to the needs of the people,
caring and effective (Davies, 2018). On the failure of meeting the safety and quality standards,
then the registered person fails to comply with the criminal conviction and fine of £50000.
3.2 Services associated with registration and inspection.
Services associated with registration and inspection in relation with the adult and social
care provision mainly comprise of person centred care, consent, duty of condor, staffing levels,
standards of facilities, good governance, ability to complain, proper equipments and
environment, safety, complaints, respect and dignity, etc. They also inspect services associated
with the support, care and treatment which has been provided by the hospitals. Inspection of the
various medical devices and equipments in turn improves the quality of services within health
and social care provision (Snooks and et.al., 2019).
3.3 Key areas associated with enquiry.
Inspection is done by taking into compliance these three key areas of the enquiry which
mainly includes safe, well led, responsive to the needs of the people, caring and effective. The
evidence towards these questions in turn helps in building key area towards rating. Safe area
means it is free from any abuse or calamities.

3.4 Grading system and its implications.
Quality grades is associated with 6 point scale grade in order to check care. The sixth
grade comprise of excellent where the outstanding performance has been carried out by meeting
all necessary standards and regulations. Fifth grade constitute of very good which states that
major strengths are there in order to support positive outcomes of the individual in its key area of
improvement. Fourth grade constitute of good which states that, there are number of strength but
clearly demonstrates area for improvement. Third grade constitute of adequate which states that,
the there are few strengths which in turn outweighs the weakness. Second grade constitute of
weak which states that, there are lot weakness and requires immediate action plan. First grade is
unsatisfactory which constitute of major weakness and in turn urgent remedial action is required.
3.5 Sources of support and information.
There are various key sources which in turn helps in gaining new information mainly
comprise of local sources, regional sources, national sources and professional networks
(Furnival, Boaden and Walshe, 2018). This in turn helps in gaining wide source of information
associated with the health care which in turn results in better care results and outcomes.
LO 4
4.1 Roles and responsibilities of key people.
Registered care manager within the health and social care is mainly responsible for
updating the records of the patients, improving the practice of the business, connecting the
patients with health care services, recruiting highly skilled heath care practitioners, developing
treatment plans, etc. Inspectors in health and social care tends to focus on keeping the public
safe by effectively inspecting on several locations and also focuses on monitoring the potential
health hazards which helps in keeping the individuals safe (Magill and Prybil, 2020). The key
role associated with the health care auditor is to review the various financial reports of the
health care firm which helps in meeting the care compliance standards. Board members within
the health care sector tends to act as a governing body. They are responsible for overseeing the
financial well being of the hospital. They are also responsible for reviewing the quality assurance
within care provision. Non executive directors performs in the best interest of public and the
patient. Their key role and responsibility is to formulate strategies and monitor the activities of
executive directors in order to carry out day to day operations (Furnival, Walshe, and Boaden,

2017). Trustees are governing bodies who in turn are responsible for reviewing and developing
the overall strategy and mission of the hospital.
LO 5
5.1 Persons involved in inspection processes.
Inspection readiness is considered to be more than one time event which h tends to
provide valuable opportunities which in turn results in adherence to the organizational policies
and procedures. Inspection readiness tend to review facilities, documents, records and several
other resources which is associated with the clinical trail (Stoopendaal and Bal, 2017). Health
inspectors and care quality commission are the key people who in turn are responsible within the
inspection process. Care quality commission tends to regulate and inspect the health and care
services in England.
5.2 How to prepare for an inspection.
The care quality commission tends to involve 5 key questions at the time of inspection
which are safe, well led, responsive to the needs of the people, caring and effective.
Are the care services safe?
It means the individuals in the health and social care organisation are protected from
avoidable harm and abuse (Kuhlmann, Agartan, and von Knorring, 2016.).
Are the care services effective?
It means the individuals in the health and social care organisation provides effective
support, care and treatment in order to attain better care results. It helps in maintaining the
quality of life which is based on best evidence available.
Is the service caring?
It means the individuals in the health and social care organisation are treated with
kindness, dignity, respect, compassion, trust, etc. (The five key questions we ask, 2020).
Is the service responsive?
It means the individuals in the health and social care organisation are providing services
which in turn are completely organized and in turn helps in meeting the needs and requirements
of the person seeking care.
Is the service well led?
It means services provided to the individuals in the health and social care organisation are
well led through management, governance and leadership of the organization (van de

Bovenkamp, Stoopendaal and Bal, 2017). It helps in encouraging innovation and also promote
fair culture.
5.3 Inspection process and information required
The inspection process within the health and social care consist of self assessment,
inspection visits, feedback, quality improvement plans and reporting. The key information which
in turn has been required for the inspection of health and adult care services. Local information is
considered to be necessary because it helps in gaining wider knowledge on the subject matter
(Furnival, Walshe, and Boaden, 2017). Information which has been held before inspection is
also required to carry out inspection in order to analyse the patterns and grasp better
understanding on the operations of the business. Key information from the individuals who has
been using services such as health care professional, staff, carer, family members, etc. are
important to carry out inspection. Reports which has been quality assured graded in turn are
considered to be necessary at the time of inspection in health care department.
5.4 Ways to address the outcome and impact of an inspection.
The key outcome for carrying out the inspection is that, it helps on addressing and
responding to the various area of the concern. This helps in finding the best solution to the
problem. The key impact of the inspection is to effectively acknowledge the areas in order to
carry out good practice while providing care (Mountford and Geiger, 2018, July). It also helps in
effectively developing an action plan in order to provide better care results and outcomes. This
study also provides follow up focused inspection which in turn helps in providing the best
possible results and outcomes.
LO 6
6.1 Regulation processes that apply to the service.
Health and safety Act, 1974: It tends to cover various range of issues which are linked with the
health and safety across various sectors (Kuhlmann, Agartan, and von Knorring, 2016).
Employment law: It is considered to be as the collection of various rules and regulation and in
turn focuses on maintaining strong employer and employee relationship within the health care
setting. Optimum amount must be paid in order to retain prospective employees within the
organization.
Equal opportunities Act, 2010 : It is an effective regulation which helps in avoiding
discrimination within the health care workplace setting.

Health care quality improvement Act, 1986: It tends to provide high quality services to the
people seeking care services within the health and social care department.
6.2 Types of information required for regulation processes
Health care regulation helps in ensuring compliance in order to provide effective care
services to the patients (Snooks and et.al., 2019). The key information required for regulation
process is associated with the reports, quality information, etc. I have also analysed that, the
quality of the information stored is very credible. This in turn helps in providing high degree of
care and outcomes.
6.3 Regulatory frameworks presenting conflicting requirements
They key conflicts at the time of regulatory requirements mainly includes potential
duplication of the regulatory activities by the national regulators and local councils. This conflict
can be resolved by the effectively implementing regulatory laws which in turn has been enacted
by the legislature. Another major conflict is associated with the lack of coordination within the
information by the local care commissioner and regulator (Magill and Prybil, 2020). The key
conflict associated with the person centred planning safeguarding and health and safety
responsibilities. This issue can be effectively resolved by implementing Health care quality
improvement Act, 1986 and Health and Safety Act, 2010. These regulatory frameworks in turn
helps in addressing various key issues associated with the
CONCLUSION
From the above conducted study it has been summarized that, The UK legislation and
statutory network comprise of Health and Social care Act, 2012, Equality Act, The care act,
2018, etc. Legislations and policies helps in protecting the right associated with the dignity and
respect. This study summarizes that, CQC tend to inspect and regulate the health and care
services within England. This study also demonstrate measures to carry out inspection which
tends to involve 5 key questions i.e., safe, well led, responsive to the needs of the people, caring
and effective. This study demonstrates the regulation process in order represent conflicting
events.

REFERENCES
Books and Journals
Davies, B., 2018. Regulating the regulators. An empirical study of the influences on the research
governance practices in Victorian public healthcare agencies (Doctoral dissertation,
Victoria University).
Furnival, J., Boaden, R. and Walshe, K., 2018. Assessing improvement capability in healthcare
organisations: a qualitative study of healthcare regulatory agencies in the
UK. International Journal for Quality in Health Care. 30(9). pp.715-723.
Furnival, J.F., Walshe, K. and Boaden, R., 2017. ISQUA17-1226 REGULATORY
CONCEPTUALISATION AND ASSESSMENT OF HEALTHCARE IMPROVEMENT
CAPABILITY IN THE UK. International Journal for Quality in Health
Care, 29(suppl_1), pp.29-29.
Kuhlmann, E., Agartan, T. and von Knorring, M., 2016. Governance and professions. In The
Routledge companion to the professions and professionalism(pp. 49-62). Routledge.
Magill, G. and Prybil, L., 2020. Governance Ethics in Healthcare Organizations. Routledge.
Mountford, N. and Geiger, S., 2018, July. (Re)-Organizing the evolving healthcare market:
collaborative governance in bureaucratic contexts. In Academy of Management
Proceedings (Vol. 2018, No. 1, p. 14156). Briarcliff Manor, NY 10510: Academy of
Management.
Price, T and et.al., 2020. REVIVING CLINICAL GOVERNANCE? A QUALITATIVE STUDY
OF THE IMPACT OF PROFESSIONAL REGULATORY REFORM ON CLINICAL
GOVERNANCE IN HEALTHCARE ORGANISATIONS IN ENGLAND. Health Policy.
Snooks, H and et.al., 2019. Pros and cons of using anonymised linked routine data to improve
efficiency of randomised controlled trials in healthcare: experience in primary and
emergency care. International Journal of Population Data Science. 4(3).
Stoopendaal, A. and Bal, R., 2017. Working with layers: The governance and regulation of
healthcare quality in an institutionally layered system. Public Policy and
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van de Bovenkamp, H.M., Stoopendaal, A. and Bal, R., 2017. Working with layers: the
governance and regulation of healthcare quality in an institutionally layered system. Public
policy and administration. 32(1). pp.45-65.
Online
The five key questions we ask. 2020. [Online]. Available through:<https://www.cqc.org.uk/what-
we-do/how-we-do-our-job/five-key-questions-we-ask>