The Care Quality Commission (CQC) inspects, monitors and rates health and social care providers in England. It recently completed its first phase of regulation, having inspected all NHS trusts in England to build a picture of the quality of care across the country. In 2016, CQC started to design its “Next Phase” of regulation and proposals for regulating providers who care for people with learning disabilities. This followed an earlier consultation on CQC’s new organisational strategy, which Traverse also supported.
The health and social care system is becoming increasingly complex and resource-constrained, with providers expected to work in new ways to care for people effectively. It was therefore crucial for CQC to consult to understand the challenges and opportunities for those working in the NHS in this context - and gather views from the public and patients - to ensure the new approach to regulation is appropriate.
We were commissioned by CQC to analyse consultation feedback received on their draft proposals, and to develop a summary report to inform final proposals.
What we did
We used our bespoke consultation analysis system to analyse feedback from respondents. CQC sent us response data as it was received over the consultation period via a secure server, and this was imported into our SQL database. Each response was coded line-by-line by a team of analysts.
Working closely with CQC policy and project staff, we developed a thematic coding framework which we used to analyse responses. The draft coding framework was informed by the consultation materials and CQC’s policy development priorities. It was further developed and refined as analysis progressed and additional themes emerged from the feedback.
Every week, we sent the CQC project team an update report setting out the key themes that were emerging from the response data, as well as other data insights such as number of responses by different stakeholder groups.
We worked quickly and responsively to set up the database and develop the coding framework for the consultation, which had already started by the time that we were brought into the project.
Once the analysis process was finished, we produced a detailed analysis report containing summaries of the consultation feedback, structured in line with the consultation questions and the coding framework. The report structure was agreed early on with CQC, to ensure that the information was presented in a way that would be easy for them to use in their own formal response, and in policy development.
CQC gained a clear understanding of the different issues faced by their stakeholders in relation to their draft proposals for regulation, as well as overall levels of support or opposition for these. The clear and logical structure of our summary report set out key challenges, and this helped CQC to quickly translate these into actions and policy proposals using a “You Said, We Did” format.
We worked flexibly with CQC to deliver a report on time despite very short timescales, and uncertainty provided by an unexpected election period. We then supported CQC with further consultations on additional proposals for the wider health system, building on our expert knowledge of the health sector and understanding of how CQC uses consultations to inform policy development.
The CQC went on to employ us to carry out similar analysis in 2017-18 and 2018-19