Evidence map›Paper›PMID 30525272›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2019

User involvement in regulation: A qualitative study of service user involvement in Care Quality Commission inspections of health and social care providers in England.

Emma Richardson, Kieran Walshe, Alan Boyd, Jill Roberts, Lillie Wenzel, Ruth Robertson, Rachael Smithson

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Involving Service Users in Care Regulation: A Scoping Review of Empirical Literature.International journal of health policy and management · 2025
    Article
  5. Article
  6. Humanizing harm: Using a restorative approach to heal and learn from adverse events.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  7. Observational
  8. Do performance indicators predict regulator ratings of healthcare providers? Cross-sectional study of acute hospitals in England.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2020
    Article
  9. Article
  10. Using quality indicators to predict inspection ratings: cross-sectional study of general practices in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Article
  11. User involvement in regulation: A qualitative study of service user involvement in Care Quality Commission inspections of health and social care providers in England.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Emma RichardsonAlliance Manchester Business School, University of Manchester, Manchester, UK.ORCID 0000-0003-0399-2343
Kieran WalsheAlliance Manchester Business School, University of Manchester, Manchester, UK.
Alan BoydAlliance Manchester Business School, University of Manchester, Manchester, UK.
Jill RobertsThe King's Fund, London, UK.
Lillie WenzelThe King's Fund, London, UK.
Ruth RobertsonThe King's Fund, London, UK.
Rachael SmithsonThe King's Fund, London, UK.

Funding

Department of Health Policy Research Programme PR-R11-0914-12001
6 · The paper itself

Abstract

backgroundHigh profile failures of care in the NHS have raised concerns about regulatory systems for health-care professionals and organizations. In response, the Care Quality Commission (CQC), the regulator of health and social care in England overhauled its regulatory regime. It moved to inspections which made much greater use of expert knowledge, data and views from a range of stakeholders, including service users.

objectiveWe explore the role of service users and citizens in health and social care regulation, including how CQC involved people in inspecting and rating health and social care providers.

designWe analyse CQC reports and documents, and 61 interviews with CQC staff and representatives of groups of service users and citizens and voluntary sector organizations to explore the place of service user voice in regulatory processes.

resultsCare Quality Commission invited comments and facilitated the sharing of existing service user experiences and engaged with representatives of groups of service users and voluntary sector organizations. CQC involved service users in their inspections as "experts by experience." Information from service users informed both the inspection regime and individual inspections, but CQC was less focused on giving feedback to service users who contributed to these activities. DISCUSSION AND

conclusionsService users can make an important contribution to regulation by sharing their experiences and having their voices heard, but their involvement was somewhat transactional, and largely on terms set by CQC. There may be scope for CQC to build more enduring relationships with service user groups and to engage them more effectively in the regulatory regime.

Indexed as

Advisory CommitteesPatient ParticipationPatient SafetyQuality Assurance, Health CareEnglandHumansQualitative ResearchState MedicineCare Quality Commissionhealth careinspectionregulationsocial careuser involvement

Identifiers

PMID30525272
PMCPMC6433317

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.