CQC has confirmed major changes to the way health and social care services will be assessed and rated. Following strong support from last year’s consultation, CQC is moving away from a single assessment framework and introducing four sector‑specific frameworks for adult social care, mental health, primary/community services, and hospitals. The familiar five key questions (safe, effective, caring, responsive, well‑led) remain, but the new frameworks will use structured Key Lines of Enquiry and sector‑specific rating characteristics to define what Outstanding, Good, Requires Improvement and Inadequate look like in each sector.
CQC is also removing scoring and will make rating decisions directly at the key‑question level, supported by clearer rating characteristics. Providers, professionals, and the public are now being asked to give feedback on whether the draft frameworks improve clarity, consistency, transparency, and the ability to identify inequalities in care. After reviewing feedback, CQC will refine the frameworks and begin piloting them this summer. The consultation window closes on 12 June, and CQC encourages all providers to share their views.