Most people still getting good care – but health and care system is ‘straining at the seams’

The Care Quality Commission have published this year’s State of Care shows that, thanks to the efforts of staff and leaders, the quality of health and social care has been maintained despite very real challenges and the majority of people are getting good, safe care but future quality is precarious as the system struggles with complex new types of demand, access and cost.

It shows that as of 31 July 2017, 78% of adult social care services were rated good as were 55% of NHS acute hospital core services; 68% of NHS mental health core services and 89% of GP practices and that many services originally rated as inadequate have used the findings of our inspections to make changes and improve their rating. However, there are also clear warnings from the changing nature of demand – increasing numbers of older people who are physically frail, many with dementia, more people with long term complex conditions – all of which is placing unprecedented pressure on the system.

Commenting on the report, Sir David Behan, Chief Executive of CQC, said:

“The fact that the quality of care has been maintained in the toughest climate that most can remember is testament to the efforts of frontline staff, managers and leaders. Many providers have used our inspection reports to improve, and we have seen improvements in safety in particular, although this area remains a big concern and focus for us. However, as people’s health and care needs change and become more complex, a model of care designed for the 20th century is at full stretch and struggling to cope with 21st century problems.

Download The state of health care and adult social care in England 2016/17