Crucial error by NHS regulator – CQC must act now to regain public confidence

2020health press release

Crucial error by NHS regulator –  CQC must act now to regain public confidence

Commenting on the news that CQC have hidden the names of staff involved in covering up an internal review into poor inspections of a hospital in Cumbria:

Julia Manning says

“Given that the CQC destroyed an internal report that reflected badly on themselves, the public can only conclude that the CQC are still more concerned about their reputation (or historically Ministerial pressure to look good) than patient safety.

Only those who have lost children or young parents can know the incomparable grief experienced by those families. Yet this grief has been compounded by obfuscation, rebuffs and opacity. A culture of fear, paternalism and concealment still stalk the corridors and wards of the NHS, and as we now know, in the NHS regulator the Care Quality Commission (CQC) as well. It is only due to the campaigning by these families (again as we saw in Mid-Staffs) that is bringing the truth to light. Accountability is nowhere to be seen in the NHS.”

The culture of the NHS, and now it is clear, the regulator too, needs to change radically. There are some easy solutions that should start today:

  • NHS Trust’s case reviews should be open, include patients and all affected parties, not private board meetings. Only then will there be a chance for candour, learning and timely apologies. Most people just want to know the truth and can forgive errors if they know they have been listened to and the errors dealt with.
  • Those found to have deliberately hidden evidence or covered up should be subject to police investigation. Endless internal investigations and public inquiries delay justice and drive the growing spend on NHS litigation.
  • CQC are putting new systems in place – but this needs to be more transparent with a ‘then and now’ for the public to see, and a fail-safe, on-line, open-view system for responding to public concerns should be on their website.
  • CQC should publically sack their lawyers who advised them to redact names from the report.
  • The CQC managers who ordered the internal report to be destroyed should be sacked if still employed, and their actions reviewed for possible obstruction of justice. Babies died and their parents are still in the dark as to many of the details. Jeremy Hunt should personally ensure that this happens.
  • All NHS providers, Hospital, GPs etc need to be made legally responsible for safety. Accountability will mean nothing until this happens.


Note to Editors

1. For interviews, comment or further information please contact Julia Manning on 07973312358

2. is an independent, grass-roots, Think Tank passionate about creating a healthy society. We identify issues and bring informed people together to create these solutions. Please visit for more information and full publications. 

About Julia Manning

Julia is a social pioneer, writer and campaigner. She studied visual science at City University and became a member of the College of Optometrists in 1991, later specialising in visual impairment and diabetes. During her career in optometry, she lectured at City University, was a visiting clinician at the Royal Free Hospital and worked with Primary Care Trusts. She ran a domiciliary practice across south London and was a Director of the UK Institute of Optometry. Julia formed 20/20Health in 2006. Becoming an expert in digital health solutions, she led on the NHS–USA Veterans’ Health Digital Health Exchange Programme and was co-founder of the Health Tech and You Awards with Axa PPP and the Design Museum. Her research interests are now in harnessing digital to improve personal health, and she is a PhD candidate in Human Computer Interaction (HCI) at UCL. She is also dedicated to creating a sustainable Whole School Wellbeing Community model for schools that builds relationships, discovers assets and develops life skills. She is a member of the Royal Society of Medicine’s Digital Health Council. Julia has shared 2020health's research widely in the media (BBC News, ITV, Channel 5 News, BBC 1′s The Big Questions & Victoria Derbyshire, BBC Radio 4 Today, PM and Woman's Hour, LBC) and has taken part in debates and contributed to BBC’s Newsnight, Panorama, You and Yours and ITV’s The Week.
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