News Article

Care Quality Commission (CQC) fees for registered providers 2019/20

The fees paid by providers enable the CQC to fulfil their purpose of making sure health and social care services provide people with safe, effective, compassionate, high-quality care, and they encourage services to improve.

CQC will continue to make savings wherever possible. In 2015/16, they spent £223 million on their regulatory activities and have continued to drive down their costs so that their planned expenditure for 2019/20 is £208.3 million. CQC will continue to look carefully at their operating costs, and make careful investment so that they can offer the most efficient service for providers and continue to assure the public.

Following consideration of the consultation responses, CQC have made a number of decisions on their fees scheme for 2019/20. The decisions can be broken down into two themes. First, to complete their trajectory to full cost recovery for all sectors, as required by HM Treasury. By this they mean that CQC regulatory costs are paid for by provider fees, and no longer subsidised by grant-in-aid funding from the government. Second, to address fees for certain sectors where they needed to balance fees recovered with the cost of regulating those sectors.

The results of these decisions can be summarised as follows:

  • CQC will increase fees for the community social care sector by £1.5 million as part of the final year of a four-year trajectory to full chargeable cost recovery.
  • CQC will increase fees for the dental sector by £0.6 million to better align the cost of regulation with the fees collected.
  • CQC will decrease fees for the residential social care sector by £0.8 million to better align the cost of regulation with the fees collected.

Examples of the fee changes that community social care, dental and residential social care providers can expect include:

  • Community social care locations with 1 to 10 people using the service (representing 25% of the sector) will see their fee increase by no more than £86, with a fee ranging from £293 to £782.
  • Dental providers with one location with 1 to 4 dental chairs (representing 78% of the sector) will see their fee increase by no more than £109, with a fee ranging from £598 to £946.
  • Residential social care locations with 1 to 15 residents (representing 38% of the sector) will see their fee reduce by up to £40, with a fee ranging from £313 to £1,634.

Most NHS trusts and NHS GPs, whose overall size is similar to last year, will see a small change to their fees from April 2019 because of the changes they made to their fees structure last year. This is because each provider’s fee is calculated by looking at their size against the total size of the sector, both of which change year-on-year. However, this will not alter the total fees collected overall for these sectors.

Community social care providers will also be affected by the structural changes made last year, as well as the overall increase mentioned above. It is worth noting that 89% of community social care providers have seen reduced fees both in 2018/19 and in 2019/20 compared to the 2017/18 fee scheme following these structural changes.

For all other sectors, the fee scheme remains unchanged, which means a provider’s fee will remain the same as that for 2018/19, providing their registration remains unchanged.

CQC fees represent around 0.16% of overall indicative turnover of the health and social care market.

You can use the fees calculator published on the CQC website to help work out the annual fee for your service for 2019/20. You can also find guidance on how and when to pay your fees, including information on paying by instalment.

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