Organizational Development Initiatives and Learning Programs Summary

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Organizational initiatives such as the Inclusive Leadership Pathway and Successful Manager Pathway aim to promote diversity and leadership development within the company. The Inclusive Mentoring Programme and Race and Inclusion learning further enhance inclusivity and understanding of diverse perspectives. These programs mark a positive step towards fostering a more inclusive and diverse workplace culture.


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  1. Executive Team Report March 2024

  2. Organisational matters

  3. People Inclusive Leadership pathway The Inclusive Leadership Pathway, a 12-month leadership programme for colleagues from ethnic minority backgrounds and disabled colleagues, has recently concluded. The goal was to support and nurture improved representation from these diverse groups across all job grades, especially in senior positions. The programme included self-reflection, skills development, and knowledge application in the workplace, with support from peers and sponsorship by senior leaders. The results were positive with 31% of delegates being promoted to higher leadership positions. We have also benefited from colleagues in this programme working on stretch projects, such as how to improve employee voice. Initial feedback on the Pathway has been overwhelmingly positive, culminating in a graduate celebratory event in February 2024, with Senior Leaders joining delegates to recognise their achievements. Delegates involved in the programme are now being offered Coaching Practitioner training, to increase diversification within our Coaching Framework. Successful Manager Pathway The Academy has now launched the first cohort of the Successful Manager Pathway programme, our flagship development offer for all our people managers. The overarching aim is to support the development of our culture and build management competence and consistency. The first cohort is prioritised for Data and Insight Unit colleagues, as the major transformation in that area concluded in June 2022. Cohort 1 also includes new managers from across the organisation. The second cohort will shortly be launched for our Operational and Regulatory Leadership management community, with further cohorts from September 2024 onwards which will be available to all remaining managers.

  4. People Inclusive Mentoring The Inclusive Mentoring Programme is set to launch in May 2024, with colleagues from ethnic minority backgrounds and disabled colleagues as mentors, and senior leaders as mentees. The aim is to enhance senior leaders' understanding of the experiences of ethnic minority and disabled colleagues and continue in our journey of a truly inclusive culture. Learning from our previous Reverse Mentoring Programme, both mentors and mentees will receive training in mentoring skills and allyship, reciprocal mentoring and receive ongoing support throughout the inclusive mentoring partnerships. Colleagues involved will be invited to join our Mentoring Framework, to increase diversification of mentors available. Race and Inclusion learning Race and Inclusion learning was commissioned as part of our commitment to develop our understanding of race, racism and structural racism, in response to the Listening, Learning and Responding to Concerns (LLRC) review. A suite of learning is being delivered at all levels of the organisation, beginning with our Board members and Senior Leaders, who have now attended their first sessions. These sessions were designed to develop an understanding of race, racism, and structural racism, and to help leaders build their confidence and understanding of the importance of inclusion. Part 2 will run in the Spring, with a focus on the external view of race and racism and how we regulate, understand structural and institutional racism, and explore critical race and inclusion issues facing healthcare. An all-colleague programme of learning and development is currently being designed and will launch Autumn 2024.

  5. Regulatory Insights

  6. Chief Inspectors Update LA Assurance Work continues on the roll out of our baselining work with onsite work in Hertfordshire, West Berkshire and Hounslow and a total of 17 Councils announced for this quarter. Following agreement on LAA reporting and funding arrangements for 2024-2025 recruitment is progressing for 42 roles in the LA Assurance Teams. ICS Assurance Following ICS pilots with Birmingham and Solihull and Dorset ICS and the completion of those reports, and the completion of the evaluation report, submission of the proposed methodology, and the publication of the consultation concerning Fees for ICS Assurance we now await agreement to proceed into baselining.

  7. Regulation Local Authority Assurance - Recruitment is ongoing to build capacity within the LAA team,17 assessments are in train and 23 will be in train by the end of March. The first 3 site visits have been completed and reports are now being drafted Regulation 9A which protects visiting rights--will come into force in April 2024. We have a legal duty to issue guidance on compliance with the fundamental standards and to consult when we make substantive changes to our guidance. Final draft will be presented at Board today. National maternity programme - Our national maternity inspection programme completed the final onsite inspection work in December 2023. Throughout the programme, we are committed to sharing highlights of our findings. This allows us to share best practice examples and positive innovation with the national maternity improvement effort. On the 6thMarch we hosted a Maternity Improvement Workshop inviting providers and stakeholders to join together to focus on some of the early findings with a focus on collaborative improvement. The analysis from this day will inform the end of programme report. Urgent and Emergency Care -Pressure on Urgent care remains. Inspections of services have continued across the winter period with a focus on high-risk services. The CQC Patient First methodology has recently been refreshed with the expert input of our medical NPA and SpA workforce and has been mapped across to the Single Assessment Framework. As in previous winters CQC will continue to view UEC pressures with a focus on systems to ensure responsive inspection and action is targeted and proportionate.

  8. Regulation Independent Care(Education) and Treatment Review - CQC were asked to jointly take on with NHSe the Independent care and treatment reviews (ICETR s) by Ministers in 2023 following the recommendations made by Baroness Hollins. Regulatory leadership began this work programme following the release of funding in December 2023 from DHSC The first year jointly with NHSe, setting the direction of activity including the recruitment of specialist MHAC chairs and outcomes for people to ensure all people currently in long term segregation (LTS) have at least one ICETR by December 2025. ICETRs panels will be stood up from May 2024 with a clear trajectory to complete the backlog of 97. Maternity and Newborn Safety Investigation Programme - The programme as of the end of January has completed in total 3407 investigation reports, with 366 live investigations ongoing. The programme is currently recruiting into a variety of roles to support investigations and business services. The programme continues to develop its communication approach with the launch of the MNSI LinkedIn page and publication of our blog on an approach using local rationality questions, this was further supported by two webinars which were well attended. In March a blog will be published in support of International Women s Day titled Inspiring inclusion this reflects the training undertaken by the team with the UK charity Birthrights.

  9. Communications and Engagement Past consultations We responded to the Parliamentary and Health Service Ombudsman s survey on Public Value Model - a new approach related to making the most of the funds PHSO have available to help improve public services on 9 February. We responded to the Department of Health and Social Care s consultation on pharmacy supervision on 20 February. This seeks views on proposals to modernise legislation governing the supervision of activities by a pharmacist in a pharmacy. We submitted a response to the Health and Social Care Select Committee s inquiry on NHS performance, leadership and safety . The response was submitted on 8 March. We responded to the Department of Health and Social Care consultation on Health and Social Care statistical outputs on 5 March. Current consultations We are responding to the House of Lords Preterm Birth Committee s inquiry into Preterm Birth. The inquiry is focusing on prevention and consequences of preterm birth in England. The deadline to respond is 27 March 2024. Provider Engagement Over the last couple of weeks, we've received correspondence from stakeholders who represent providers, and from providers themselves, raising various issues around our new assessment approach. All the insight we've received has been collated and shared with leadership colleagues, and we are working through how we respond to these points and build confidence in our new approach. We ll continue to act on the feedback we get from providers throughout the rollout.

  10. Communications and Engagement Engagement Activity CQC is changing a provider awareness campaign on our overall transformation approach. This began in the summer and is ongoing. Our Share for Better Care campaign, in partnership with Healthwatch England, launches on 13 March. The campaign aims to gather insights from communities that are often not seen in national feedback. Monitoring the Mental Health Act in 2022/23. This report sets out our activity and findings from our engagement with people subject to the MHA and review of services registered to assess, treat and care for people detained using the MHA. It is due to be published on 19 March. Final guidance on visiting and accompaniment in care homes, hospitals and hospices publication. We consulted on our proposed guidance to help providers and other stakeholders understand and meet the new fundamental standard on visiting and accompanying in care homes, hospitals, and hospices and their roles and responsibilities under it, and the final guidance is due to be published in early April.

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