Recommendation 139

Ensuring patient safety and quality standards are met

The first responsibility for any organisation charged with responsibility for performance management of a healthcare provider should be ensuring fundamental patient safety and quality standards are being met.  Such an organisation must require convincing evidence to be available before accepting that such standards are being complied with.

Registration by the Care Quality Commission and Monitor’s licencing of providers gives an assurance to commissioners that a provider meets fundamental standards of care. The NHS Standard Contract provides a framework for commissioners to receive on-going assurance on compliance with standards, through its routine performance management processes.


The Care Quality Commission’s new-style inspections involve larger teams and more in depth inspections. These inspections against the new fundamental standards of care, provide greater clarity on a hospital’s performance and show where improvements are required, if necessary.