Table 4.
Individual/proactive | Collective/proactive |
• Interview patients or family during planned inspections in all care sectors • Collect experiences from adolescents and other patient groups (such as people living in poverty) in theme based inspections • Interview frail older service users to inform theme based inspection • Search social media to collect information from individual patients as signals in risk based supervision |
• User panels on specific regulatory topics • User involvement in multi annual policy plan • Advisory board of children (Children’s Council) • User involvement in designing supervision frameworks • Sharing information about the inspectorate to the public • Use patients as a source of information for planning and conducting theme based inspections • Interview adolescents represented in a youth council as part of theme based inspection • Young peer-inspectors in inspection team to interview young people • Experts-by-experiences (with learning disabilities) involved in the entire inspection process of theme based inspection • Experts-by-experience were trained and involved in inspections in elderly care homes • Mystery-guests with learning disabilities used in review of access of services (experts by experience show up in institutions under-cover and inform inspectors about their experiences) • Mystery guests used in reviews of elderly home care • Search social media to collect information about organizations as signal in risk based supervision • The ratings and reviews of an independent patient rating website are used by inspectors in identifying risks or themes or to prioritize their visits |
Individual/reactive | Collective/reactive |
• Patient complaints • Regulatory requirement for involvement of patient/next of kin in incident investigation • Contact next of kin after sentinel events to identify if they have been involved in the required investigation by the healthcare organization |
• Inspecting of how healthcare organizations involve patient and next of kin in incident investigation • Aggregated information from complaints on sector and themes is used in risk based supervision for agenda setting and prioritization • Text mining research is performed to find relevant topics in complaints |