 We've published the findings from a series of focused visits to explore how community treatment orders (CTOs) were being used in nine boroughs across London between February 2019 and November 2021.
While we found that some patients appreciated the benefits of being on a CTO and most community mental health teams closely supervised patients on CTOs, we also found fundamental issues around their use. We found a disproportionate impact on Black British patients, varying levels of involvement of patients and families in CTOs, and some CTOs which had been active for several years.
Read the news story and full report for further findings, key areas of concern, and recommendations for providers and partners.
 Our annual assessment of the state of health and social care in England published on 21 October 2022.
State of Care looks at the quality of care over the past year. Based on our inspection activity, information received from the public and those who deliver care alongside other evidence - the assessment is that the health and care system is gridlocked and unable to operate effectively.
The key themes in this year's report are:
- Gridlocked care
- Access to care
- Inequalities in care
- Areas of specific concern, including maternity services and those that care for people with a learning disability and autistic people
- Workforce
- Systems: challenges and opportunities
For more detailed findings read the full report.
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How often we will assess services
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How we'll gather evidence
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How we'll reach a rating (including our new scoring approach)
We're currently developing the timeline for when we'll implement this new approach. We'll keep you updated as this develops. Meanwhile, we continue our current methods to monitor, assess and rate providers.
 We've published the results of the 2021/22 community mental health survey. The survey received feedback from 13,418 people who receive specialist care or treatment for a mental health condition between 1 September 2021 and 30 November 2021.
Organising care was an area which received positive feedback, with 96% of people saying they knew how to contact the person that was in charge of organising their care. However, many areas with the poorest historical results are still the poorest in 2022.
Key areas for improvement include communication, accessing care, crisis care, involvement, and support and wellbeing.
 We know how important the current factual accuracy process is as part of our inspection model.
As we look forward to our new regulatory model we want to get your feedback. We want to hear your views about what is working well and what isn't. We also want to hear what you would like to see and how the process could work in the new model.
The survey will close on 30 November 2022.
 Our survey showed 8 in 10 health and social care staff believe that feedback is valuable to help their jobs.
We want to hear from you in our upcoming campaign activity, to talk about the importance of feedback. We want to know how it helps you understand what’s not working as well as it could – as well as celebrate the great care you’re giving round the clock.
Your colleagues give their best each and every day but they need, and want feedback to understand how services are working for the people using them.
If you’d like to get involved and support our campaign either as a written or filmed case study, or quote for use on social media please email Jay.Harman@cqc.org.uk
 We've worked with the Society of Radiographers to produce a leaflet to help pregnant women and people understand the different types of scanning services that are available.
These leaflets discuss the importance of NHS scans as well as encouraging expectant parents to check the registration of the services they are thinking of using. This leaflet is also available in a variety of languages to support your work.
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