Care Quality Commission publishes report into people’s involvement in their care

Published: 19 May 2016 Page last updated: 12 May 2022

We've published a new report, ‘Better Care In My Hands’, which looks at how people are being involved in their own care.

Better care in my hands

People’s right to being involved in their own care is enshrined in law in the fundamental standards of care. It is an essential part of person-centred care and leads to better and often more cost effective outcomes.

The report is based on analysis of CQC’s national and thematic reports, such as State of Care, its inspection findings and on its NHS patient surveys. It sets out what enables people’s involvement in their own care and provides examples of good practice, as identified by CQC inspectors.

The reports key conclusions include:

  • As reported in recent national patient survey data, just over half of patients  definitely felt involved in decisions about their health care and treatment
  • Women who use maternity services are particularly positive about how well they are involved in decisions about their care. (see CQC’s maternity survey)
  • Adults and young people with long terms physical and mental health conditions, people with a learning disability and people over 75 are less likely to be involved in their care than other groups – they report feeling less involved and other evidence demonstrates this
  • There has been little change in people’s perceptions of how well they are involved in their health or social care over the last five years. A significant minority of people have consistently reported only feeling involved in their care to some extent or not at all over this period.
  • CQC has reported a lack of progress over the last six years in involving people in their care when they are detained under the Mental Health Act. Poor involvement in care is the biggest issue the regulator found in monitoring the use of the Mental Health Act in 2014/15.

This report is timely because as health and social care services reconfigure to adapt to the changing needs of their populations there is an opportunity to make sure person centred care becomes a reality for more people.

Find out more about Better care in my hands, including the review's key findings, recommendations and data.

For more information

'Better care in my hands' – our review of how people are involved in their own care.