Beechdale Health Centre
Notify CQC of changes affecting the Provider/Manager of a regulated activity – Outcome 28 - Statements & Forms
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A. Confidentiality Notice
This document and the information contained therein is the property of Beechdale Health Centre.
This document contains information that is privileged, confidential or otherwise protected from disclosure. It must not be used by, or its contents reproduced or otherwise copied or disclosed without the prior consent in writing from Beechdale Health Centre.
B. Document Details
Classification: / InternalAuthor and Role: / Arun Venugopal PM
Organisation: / Beechdale Health Centre
Document Reference: / 1
Current Version Number: / 1
Current Document Approved By: / Arun Venugopal PM
Date Approved: / 21/06/2013
C. Document Revision and Approval History
Version / Date / Version Created By: / Version Approved By: / CommentsContents
Statutory Notifications in compliance with Outcome 28:
- Notify the CQC of any plans for a person other than the Registered Person (Provider or Manager) to carry on or manage the service
- Notify the CQC of changes to the name of the Registered Person (Provider or Manager)
- Notify the CQC of the appointment of a NEW Registered Person (Provider or Manager)
- When the Practice is a Partnership, notify the CQC of any changes to the membership of the Partnership
Statutory Notifications in Compliance with Outcome 28:
1. Practice Statement – Notify the CQC of any plans for a person other than the Registered Person (Provider or Manager) to carry on or manage the service
In the event that the Practice initiates plans for a person other than the current Registered Person (Provider or Manager) to carry on or manage the service, Dr SK Sharma / Practice Manager is responsible for advising the CQC of these plans as soon as possible before they do so.
CQC – Notification of Change Form
This embedded form has been created and provided by the CQC for the Practice to report that a person other than the current Registered Person (Provider or Manager) is to carry on or manage the service.
You will need to complete Sections 1 and 3.
When completed it should be e-mailed to:
2. Practice Statement – Notify the CQC of changes to the name of the Registered Person (Provider or Manager)
In the event that the name of the current Registered Person (Provider or Manager) changes, Dr SK Sharma / Practice Manager is responsible for advising the CQC of the change as soon as possible.
CQC – Notification of Change Form
This embedded form has been created and provided by the CQC for the Practice to report that the name of the current Registered Person (Provider or Manager) has changed.
You will need to complete Sections 1 and 4.
When completed it should be e-mailed to:
3. Practice Statement – Notify the CQC of the appointment of a NEW Registered Person (Provider or Manager)
In the event that Practice appoints a NEW Registered Person (Provider or Manager), Dr SK Sharma / Practice Manager is responsible for advising the CQC of the appointment as soon as possible.
CQC – Notification of Change Form
This embedded form has been created and provided by the CQC for the Practice to report that a NEW Registered Person (Provider or Manager) has been appointed.
You will need to complete Sections 1 and 3.
In addition, you will need to enter the Name of the New Registered Manager
AND the date they will begin work in Section 11 – ‘Any further relevant information’.
When completed it should be e-mailed to:
N.B. The NEW Registered Manager will also be required to complete a separate form and submit it to the CQC if they are either:• A First-time applicant (including applicants who will job-share), or
• An Existing Registered Manager who is going to work for a different Provider.
The following embedded form has been created and provided by the CQC for the Practice to make an application for registration as a Manager:
When completed it should be e-mailed, together with all related forms (as attachments) to:
ALSO, if the New Registered Manager’s responsibilities cover more than one LOCATION, a separate, additional form must be completed for each Location and sent to the CQC with the form(s) above.
The following embedded form has been created and provided by the CQC when applying to become a New Registered Manager managing more than one location:
4. Practice Statement –When the Practice is a Partnership, notify the CQC of any changes to the membership of the Partnership
In the event that the Practice is a Partnership and there is a change to the membership of the Partnership, Dr SK Sharma / Practice Manager is responsible for advising the CQC of the change in membership as soon as possible.
CQC – Notification of Change Form
This embedded form has been created and provided by the CQC for the Practice to report that when the Practice is a Partnership, there is a change to the membership of the Partnership.
You will need to complete Sections 1 and 5.
When completed it should be e-mailed to:
Doc. Ref – Version – Page 7 of 7
Filename: Notify CQC of changes affecting the Provider/Manager of a regulated activity – Outcome 28 - Statements & Forms