The Care Quality Commission (CQC) is the main regulator of health and social care quality in England. In 2023, it introduced several changes to its approach. Following several reviews critical of its approach, this report supports the development of CQC's future regulatory model. It sets out five key pieces of learning for CQC to consider.

Seeking to inform the Care Quality Commission’s approach to assessing and encouraging improvement cultures whilst maintaining a strong regulatory role, this review explores the role and characteristics of good improvement cultures and the enablers and barriers influencing improvement in health and adult social care.

The COVID-19 vaccination programme has been one of the few almost unqualified successes of the UK’s response to the pandemic. Based on interviews with a wide range of people involved in the programme, this report sets out what the roll-out in England has achieved, as well as its trials and tribulations.

Staffing is the make-or-break issue for the NHS in England. This report sets out a series of policy actions that should be at the heart of the workforce implementation plan.

The Care Quality Commission (CQC) introduced a new approach to inspecting and rating health and social care providers in 2013. The authors of this report developed a new framework for understanding the impact of regulation that describes eight ways in which regulation can affect provider performance. It shows that impact can occur before, during and...