Inspection Evidence Hub

NHS Trust Version

Evidence that supports inspection and assurance activity.

This page explains how governance, safety, and learning are structured, and provides direct access to supporting documentation, processes, and records aligned to CQC Single Assessment Framework.

CQC Single Assessment Framework Board-level oversight System assurance

How inspection and assurance activity is supported

The platform is designed to help organisations demonstrate oversight, assurance, and learning in a consistent and auditable way.

Regulatory inspection

Evidence is structured using plain language, aligned to regulatory expectations, and supported by documented processes for CQC inspectors.

Internal audit and assurance

Comprehensive audit trails and version controls support internal quality assurance processes and board-level oversight requirements.

Board and senior leadership oversight

Structured reporting and evidence packs support board assurance processes and executive decision-making.

Evidence by CQC Quality Statement

Direct access to evidence organised by CQC Single Assessment Framework Quality Statements.

SAFE

SAFE

How risks to people are identified and managed

  • How organisational risks are identified, recorded, and reviewed
  • How incidents and near misses are reported
  • How serious incidents are investigated
  • How learning is identified and shared

EFFECTIVE

EFFECTIVE

How care, treatment, and support achieve good outcomes

  • How clinical governance is structured
  • How quality improvement is monitored
  • How learning informs change

CARING

CARING

How people are treated with compassion and respect

  • How duty of candour is applied
  • How learning from harm informs improvements to care

RESPONSIVE

RESPONSIVE

How services respond to people's needs

  • How concerns and complaints are handled
  • How issues are escalated and reviewed

WELL-LED

WELL-LED

How leadership, governance, and culture support safe care

  • How governance arrangements are structured
  • How policies are implemented and reviewed
  • How leaders maintain oversight
  • How learning and improvement are monitored

PSIRF alignment

How PSIRF requirements are met

How PSIRF requirements are met

Patient safety incident responses are aligned with Patient Safety Incident Response Framework (PSIRF).

This includes:

  • Proportionate response selection
  • Focus on learning rather than blame
  • Clear documentation of decisions and actions

Download inspection pack

Tools and checklists to support inspection preparation

Download inspection evidence checklist

A printable checklist summarising evidence typically requested during inspection.

Common inspector questions

Answers to frequently asked questions during CQC inspections.

What inspectors commonly ask

Evidence-based responses to typical inspection questions

"How do you know risks are being managed?"

Risks are recorded in a central register, reviewed regularly, and escalated according to defined thresholds. Oversight is maintained through governance review and reporting.

"How do you learn from incidents?"

Incidents are reviewed proportionately. Learning is identified, documented, shared, and tracked through to completion.

"How do leaders know systems are working?"

Leaders receive assurance through audit, reporting, and review of performance and learning data.

"How do you meet PSIRF requirements?"

Responses are selected proportionately, focusing on learning and improvement. Decisions and outcomes are documented.

"How do you ensure policies are followed?"

Policies are version-controlled, reviewed, and supported by training and oversight.

Ready for inspection-ready evidence management?

Demonstrate governance, safety, and learning with structured evidence that aligns to CQC expectations.