The statutory framework
The statutory framework
The CQC’s statutory objectives
The CQC was established on 1 April 2009 by the Health and Social Care Act 2008 (“HSCA”); its functions include registration functions under Chapter 2 HSCA and review and investigation functions under Chapter 3. Pursuant to section 3 HSCA, “in performing its functions”, CQC’s main objective is to “protect and promote the health, safety and welfare of people who use health and social care services”; it is to perform its functions for the general purpose of encouraging (a) the improvement of health and social care services, (b) the provision of health and social care services in a way that focuses on the needs and experiences of people who use those services, and (c) the efficient and effective use of resources in the provision of health and social care services (see section 3(2) HSCA).
Further, by section 4 HSCA, in “performing its functions” the CQC must have regard, among other things, to: “the need to protect and promote the rights of people who use health and social care services (including, in particular, the rights of children” (section 4(1)(d)); “the need to ensure that action by the [CQC] in relation to health and social care services is proportionate to the risks against which it would afford safeguards and is targeted only where it is needed” (section 4(1)(e)); “best practice among persons performing functions comparable to those of [CQC]” (section 4(1)(g)); and “... such aspects of government policy as the Secretary of State may direct.” (section 4 (2)).
- Heading
- This judgment was handed down by the Judge remotely by circulation to the parties' representatives by email and release to The National Archives. The date and time for hand down is deemed to be 2pm on
- Mrs Justice Eady DBE
- Preliminary issue
- The decisions under challenge and the issues for determination
- The factual background
- The context
- The chronology relevant to the decisions under challenge and the current proceedings
- The registration decision
- The assessment decision
- IP1 patient data
- Advocacy
- O v P
- The statutory framework
- Regulated activity
- Registration of persons who carry on regulated activity
- Reviews and performance assessments
- Fundamental standards
- Statutory guidance for registered persons
- Relevant legal principles
- Process rationality
- Outcome rationality
- The Padfield principle
- The parties’ arguments
- The position of the CQC
- IP1’s position
- Analysis and conclusions
- Process irrationality
- Outcome irrationality
- The Padfield challenge
- Conclusions
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