CQC readiness & compliance timeline
How TriageNix is prepared for Care Quality Commission registration across the five key questions, and what we deliver every quarter to keep clinical governance strong once registered.
Overall readiness
Clinical Leadership
A named human is legally responsible for the safety and governance of every AI-assisted decision.
Leadership proof materials
CSO & Registered Manager appointment evidence
Upload signed appointment letters, board minutes, DBS checks, professional registration, fit-and-proper-person declarations and CV evidence. These documents are bundled into the CQC evidence export pack for Well-led and Safe key questions.
CQC evidence · Safe & Well-led
Clinical leadership sign-offs on flagged AI triage decisions
Every flagged AI triage output is reviewed by the CSO or Registered Manager. Their sign-off notes are recorded in an immutable audit trail and surfaced here for CQC inspection.
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Five key questions
Mapped to the CQC single assessment framework. Each badge links to evidence kept in the Safety Case and governance packs.
Safe
Are people protected from avoidable harm?
- DCB0129 Clinical Safety Case per pathway with named CSO
- Hazard log, risk controls and CCR review board
- Red-flag escalation and safety-netting transcripts on every triage
- Safety reporting system with 24-hour triage SLA
Effective
Does care, treatment and support achieve good outcomes?
- Triage logic mapped to NICE CKS and NHS Pathways equivalents
- Independent clinician sign-off on Clinical Change Requests
- Outcome KPIs reviewed monthly by Clinical Governance Group
- Continuous benchmarking against 111 audit dataset
Caring
Do staff involve and treat people with compassion, kindness, dignity and respect?
- Patient experience survey embedded in triage close-out
- Accessible-information standard tone, language and reading-age controls
- Patient and Public Involvement (PPI) panel forming
Responsive
Do services meet people's needs?
- Pathway routing to ED, UTC, GP, pharmacy and self-care
- Reasonable adjustments flag captured at registration
- Multilingual triage with interpreter routing
- Complaints and SAR tracker with statutory SLAs
Well-led
Is leadership, management and governance assuring high-quality care?
- Registered Manager and Nominated Individual identified
- Board-level Clinical Safety Officer with quarterly reporting
- Statement of Purpose, scheme of delegation and risk register
- Annual quality account and DSPT submission
Compliance timeline
From registration application to ongoing quarterly assurance.
Phase 1 · Months 0–2
Registration foundations
Complete- Statement of Purpose and regulated activities scoped
- Registered Manager DBS, fit-and-proper interview & references
- Provider information return (PIR) draft prepared
Phase 2 · Months 2–4
Clinical safety & IG evidence pack
Complete- DCB0129 Clinical Safety Case signed by CSO
- DPIA, ROPA and DSP Toolkit submission at 'Standards Met'
- Cyber Essentials Plus certification renewed
Phase 3 · Months 4–6
CQC application & inspection prep
In progress- CQC online application submitted with supporting policies
- Mock inspection against single assessment framework
- Staff competency matrix and training records audited
Phase 4 · Month 6
Registration decision
Upcoming- Registration interview with Inspector
- Conditions of registration agreed
- Go-live readiness sign-off by board
Ongoing · Quarterly · Annual
Continuous compliance
Upcoming- Quarterly Clinical Governance Group with safety case review
- Annual DSPT, DPIA refresh and CCR effectiveness audit
- Monthly KPI submission to commissioner; complaints and SI reporting within statutory windows
Ongoing governance responsibilities
Once registered, these are the duties the registered provider and manager carry out continuously, with audit trails maintained for inspection.
Notifications to CQC
Statutory notifications (Regulation 12, 16, 17, 18) submitted within required timescales, with a board-tracked register.
Duty of Candour
Regulation 20 procedure, scripts and template letters; mandatory training renewed annually for all clinical staff.
Safeguarding
Named safeguarding lead, Level 3 training across clinicians, and routing into local authority safeguarding hubs.
Workforce assurance
DBS, professional registration checks, mandatory training and supervision tracked in the workforce dashboard.
Need our CQC evidence pack or Statement of Purpose?
Available to commissioners and inspectors on request, alongside DSPT, DPIA and Clinical Safety Case.