CQC has set out a programme of change for the period through to 2028, with a focus on improving regulation across health and adult social care. The announcement highlights progress already made and confirms further updates planned over the next three years.

 

CQC states that early improvements are already visible in registration processes. Work is underway to simplify application documentation, strengthen guidance within the online portal, and reduce delays in decision-making. Additional registration inspectors have been appointed, and CQC reports a steady increase in the number of completed registration assessments each month.

Operational teams have been restructured into four sector-specific inspectorates led by Chief Inspectors. CQC expects this to enable more targeted oversight and a higher overall volume of assessments. The organisation has set a target of delivering 9,000 assessments by the end of September 2026.

Alongside immediate delivery priorities, CQC has begun a longer-term programme of reform. This reflects findings from recent external reviews, including the reviews led by Dr Penny Dash and Professor Sir Mike Richards, the Care Provider Alliance, and a technical review of digital infrastructure. The plan includes a full review of regulatory methodology, improvements to guidance for providers, and significant redevelopment of digital platforms and data systems.

CQC confirms that the implementation approach will be phased, with defined points to review progress and ensure that inspection activity continues with minimal disruption.

The current programme focuses on the period to the end of 2026. During this time CQC intends to:

• Redesign the regulatory process
• Test and pilot updates to assessment and digital systems
• Explore improvements to the provider online portal
• Strengthen registration functions further

The changes link to the public consultation Better regulation, better care. Engagement is underway across the health and care sector to define what quality looks like in each service type. Consultation feedback will be analysed in spring 2026, followed by piloting and finalisation of new frameworks during the summer, ahead of implementation towards the end of the year.

CQC also highlights planned investment in digital capability, data platforms, and improved handling of information shared by providers and the public.

There are confirmed opportunities for providers and people who use services to contribute through online engagement sessions, in-person workshops, and focus groups. Additional involvement will be available as CQC develops its wider technology and data strategy.

HLTH Compliance summary

The programme outlined by CQC signals notable changes in regulatory expectations, particularly relating to assessment methodology, evidence requirements, and digital interactions with providers.

HLTH Compliance will track the development of these changes closely and provide clear updates as timelines progress. Our role is to ensure providers remain informed, prepared, and confident throughout the transition. We will support services to understand what is changing, align governance with future requirements, and remain inspection ready at every stage.

For support tailored to your service, please contact the HLTH Compliance team.