We rolled out our new regulatory approach by area.
We have published guidance for providers on our new approach to assessment.
At this stage, our new approach will not apply to services that we do not rate (for example, dental providers).
How we rolled out our new approach
21 November to 5 December:
Our early adopter programme involved a small group of providers and started with planned assessments. We have used the learning to improve how we implemented the new changes.
From 5 December:
Assessments started of:
- providers in local authority areas including:
- Bedford Borough
- Central Bedfordshire
- Luton
- Milton Keynes
- all registered providers in our South region
From 13 December
We started assessments of local authorities.
From 9 January:
Assessments started for all registered providers in our London and East of England region.
From 23 January:
Assessments started for a small number of providers in our North region and Midlands region.
From 6 February:
- Assessments started for all registered providers in our North region and Midlands region
- Assessments of the well-led key question for NHS trusts started in all regions
From 11 March onwards
- We started to assess applications to register a new activity or service using the new approach
- Additional online notification forms available
- Online request process for Second Opinion Appointed Doctors (SOADs)
- Assessments start for services we do not rate, such as primary care dental providers.
We will continue to update our guidance and listen to feedback from providers about our new approach. We will keep you updated where we make any changes to improve.
Our regions and the areas they include
List of integrated care boards (ICBs) within each region. Postcode search for an ICB.
- NHS Bath and North East Somerset, Swindon and Wiltshire ICB
- NHS Bristol, North Somerset and South Gloucestershire ICB
- NHS Buckinghamshire, Oxfordshire and Berkshire West ICB
- NHS Cornwall and the Isles of Scilly ICB
- NHS Devon ICB
- NHS Dorset ICB
- NHS Frimley ICB
- NHS Gloucestershire ICB
- NHS Hampshire and Isle of Wight ICB
- NHS Kent and Medway ICB
- NHS Somerset ICB
- NHS Surrey Heartlands ICB
- NHS Sussex ICB
- NHS Bedfordshire, Luton and Milton Keynes ICB
- NHS Cambridgeshire and Peterborough ICB
- NHS Hertfordshire and West Essex ICB
- NHS Mid and South Essex ICB
- NHS Norfolk and Waveney ICB
- NHS Suffolk and North East Essex ICB
- NHS North Central London ICB
- NHS North East London ICB
- NHS South East London ICB
- NHS North West London ICB
- NHS South West London ICB
- NHS Birmingham and Solihull ICB
- NHS Black Country ICB
- NHS Coventry and Warwickshire ICB
- NHS Derby and Derbyshire ICB
- NHS Herefordshire and Worcestershire ICB
- NHS Leicester, Leicestershire and Rutland ICB
- NHS Lincolnshire ICB
- NHS Northamptonshire ICB
- NHS Nottingham and Nottinghamshire ICB
- NHS Shropshire, Telford and Wrekin ICB
- NHS Staffordshire and Stoke-on-Trent ICB
- NHS Cheshire and Merseyside ICB
- NHS Greater Manchester ICB
- NHS Humber and North Yorkshire ICB
- NHS Lancashire and South Cumbria ICB
- NHS North East and North Cumbria ICB
- NHS South Yorkshire ICB
- NHS West Yorkshire ICB
Early adopters are a small group of providers in the South region. They volunteered to be a part of this process and we gave them bespoke support. They include a mix of provider types, excluding NHS Trusts and services we do not rate.
Early adopters are:
- Alliance Medical Limited
- Amkare Limited
- Apex Prime Care Ltd
- Barchester
- Broadway Lodge Limited
- Menopause Clinic WSM
- Milestones Trust 
- Oldercare (Haslemere) Limited
- Partnering Health Limited
- The Manor Clinic Limited
- Wessex Children's Hospice Trust
- Willow Tower Opco 1 Limited