Recommendation 72

Full inspection as a pre-condition of foundation trust authorisation

The assessment for an authorisation of applicant for Foundation Trust status should include a full physical inspection of its primary clinical areas as well as all wards to determine whether it is compliant with fundamental safety and quality standards.

The Care Quality Commission has agreed that, in the future, it will inspect NHS trusts while the NHS Trust Development Authority is assessing whether to support their foundation trust application to progress to Monitor. This inspection earlier in the process will provide invaluable information as to the applicant trust’s compliance with fundamental quality and safety standards. The Care Quality Commission’s new inspection process is significantly more in-depth than its former approach and allows for large teams of specialist inspectors to visit any areas of a provider as they see fit.

No further update is required. Please see response to the recommendation above