Introduction Junior doctors have been described as the ‘eyes and ears’ of hospitals,¹ but most feel disengaged from CQC inspections.² During 2018–2019 CQC piloted a series of junior doctor focus groups, led by junior doctor specialist advisors (SpAs).

The aim of these focus groups was to i) Improve the intelligence received from junior doctors ii) Increase engagement of junior doctors with the inspection process and iii) Increase understanding about the role of CQC.

Method Training materials were provided to junior doctor SpAs in the form of a video about the CQC, and a guide to running focus groups. Sixteen NHS trusts were visited (7 mental health, 9 acute).

A 10 minute presentation about CQC was given immediately prior to the focus group. Evaluation was undertaken using an online survey.

Results Thirty junior doctors completed the online survey. All were aware that CQC inspects hospitals, but only 19 (63%) were aware that CQC also regulates social care and dentists. Most (26/30) had never read the inspection report for their trust. All rated regulation as ‘important’ or ‘very important’, but over half felt disengaged from the inspection process. Most (26/30) agreed that the presentation improved their understanding of the CQC, and provided the CQC with accurate information about the trust (28/30).

Conclusion Inspectors and junior doctors found focus groups useful for informing the inspection process, and for improving understanding of the CQC. CQC is continuing this programme of focus groups to increase engagement with junior doctors and inform the rating of providers at well-led. In addition, this work will provide junior doctors with more opportunities for leadership and engagement with trust boards.³

References

1. https://www.nhs.uk/nhsengland/bruce-keogh-review/documents/outcomes/keogh-review-final-report.pdf

2. Data collected by CQC, 2018–2019.

3. https://improvement.nhs.uk/documents/1884/NHS-8-high-impacts-A4v5Bm_with_stickynotes_5_7dglFbL.pdf