Unravelling the intricacies of the CQC scoring system

As we enter the new era of healthcare assessment, we say goodbye to the old ratings characteristics and hello to a new dynamic scoring system. The ratings system under the new single assessment framework will see the introduction of numerical scoring and provide clearer detail of where providers are excelling and where they are failing.

The new CQC scoring System

Picture a 4-point scale: 1 for significant shortfalls, 2 for some hiccups, 3 for a good standard, and 4 for an exceptional standard. This will be the scoring scale used to provide judgement against each of the new quality statements. These scores, given to each quality statement, then influences the pillars of safe, effective, caring, responsive, and well-led. The result? An overall service level rating.

But here’s the deal – to secure a ‘good’ or ‘outstanding’ rating for any key question, providers must excel across all quality statements. No hiding allowed. The scoring system contain ratings limiters, so if you fail to evidence a good standard in just one quality statement within a key question this will compromise the overall key question rating.

The pursuit of ‘outstanding’ is no walk in the park either. Even if a key question hits ‘outstanding,’ a hiccup scoring of 1 or 2 in any quality statement can downgrade it to ‘good.’ Transparency is on the agenda.

Initially, only ratings will be published, but future plans include revealing the scores behind them.

As CQC ushers in this new chapter, it’s not just a shift in scoring – it’s a promise of a more transparent evaluation, steering healthcare quality assessment towards a brighter future.

It would help to read about the CQC’s new single assessment framework on our blog too.


Want to know more about how the scoring system will work in practise? Join one of our webinars, where we explain the details and can answer any questions you may have. To see when our upcoming webinars are, visit our CQC webinars page.

You can also view a preview of one of our previous webinars about the intricacies of the new CQC scoring system below:

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