The Care Quality Commission checks whether hospitals, care homes and care services are meeting government standards. Visit our website at www.cqc.org.uk.
Quality and Risk Profiles (QRPs)
Welcome to the Quality and Risk Profile (QRP) area.
What are QRPs?
QRPs are a tool used by providers, commissioners and our own staff to monitor compliance with the essential standards of quality and safety.
Each organisation has a profile which contains information from a number of sources. We then analyse this information to identify areas where the organisation may not be meeting standards.
Currently only NHS QRPs are shared with providers and commissioners. They help in assessing where risks lie and can play a key role in providers’ own internal monitoring as well as informing the commissioning of services.
How can I view a QRP?
NHS trusts, lead commissioners and Monitor can view updated QRPs for their relevant trusts via the password protected ‘log-in’ area below.
Clinical commissioning groups (CCGs) and NHS England local area teams (LATs) can apply for an account to view specific NHS trust QRPs by completing the form below.
What happens next?
Accounts will usually be issued within one working day of the form being submitted.
One 'super-user' account will be issued per commissioning organisation, which can be used for further accounts to be created locally as required.
To create further accounts from your 'super-user' commissioner log-in:
- Go to 'Trust user admin'
- Select 'Add new commissioner user'
- Add the email address of the new user
- Tick the box against the name of your CCG or LAT (scroll down the list on the right hand side to find it)
- Click 'Save'
What kind of information is included in the profiles?
The information presented in the profiles is organised using the 16 essential outcomes of quality and safety. We have sourced and analysed a range of data sources, both qualitative and quantitative, to build each QRP.
These sources include information from:
- other regulatory bodies.
- the NHS Litigation Authority.
- routine data collections.
- other CQC regulatory activity.
- national clinical audit datasets.
- information from people using services – for example NHS Choices and feedback from Local Involvement Networks (LINks).
How does CQC use the information in QRPs?
The QRPs help us to continually monitor services after they register with us.
If we see that a service is at risk of not meeting the standards, we can take action including scheduling inspections or making targeted enquiries.
It is important to recognise that QRPs do not produce judgements about the extent of a provider’s compliance. Inspectors make these judgements and they use the QRPs as a starting point for their enquiries.
We have produced general guidance for people who will be using the QRPs and detailed statistical guidance that explains the analytic methods we use in our statistical model.
More information about QRPs
Currently we update QRPs nine times a year for NHS providers.
There are no scheduled updates in January, May and September which is when we develop and evaluate the information provided by QRPs.
No. Instead, they can use our website to access information on inspections at each provider.
We are working to further develop QRPs for adult social care and independent health care providers. Our aim is to share QRPs with these providers in the same way as the NHS once this development work is complete.
Providers should find the QRP useful to support their internal monitoring of quality by identifying areas of lower-than-average performance and, where necessary, taking action to address these.
We recommend that NHS trusts use the data in their profile to guide their own internal monitoring of standards. As the profile will be updated continuously and a new version will be issued each month, it will enable NHS trusts to keep track of changes in the estimates for each of the essential standards.
We also believe that commissioners will find the QRP invaluable for holding to account those that they commission services from, and for improving their commissioning for quality.
We will be accessing the STEIS to use as another source of information for Quality Risk Profiles (QRPs) and our monitoring of compliance with the essential standards.
The STEIS information will be particularly helpful in monitoring ‘never events’. These events can be difficult to identify in the statutory notifications received from the National Reporting and Learning System (NRLS).
Providers should however be aware that only reporting to the STEIS does not fulfil the statutory obligation to notify us of certain events.
Under the Health and Social Care Act, NHS trusts must report notifiable patient safety incidents without delay to the NRLS. This will often mean serious patient safety incidents must be reported to both the STEIS and NRLS to satisfy contractual and legal obligations.
Independent health and adult social care providers must continue to notify us directly.
Data source documents
These documents, for each of the five types of NHS provider, specify the sources of data we use to feed into the profiles for each essential standard.
Feedback from QRP workshops
We carried out a series of workshops and engagement events around the country to consult on the quantitative indicators in the QRPs for NHS trusts.
You can read about the findings from the workshops below.